derm - Cytology and Biopsy of Tumors Flashcards
Surgical Pathology report components
Description
Make sure you read and understand this part.
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Diagnosis (or diagnostic hypothesis!)
Look for ‘probability of certainty’ of diagnosis
‘Slam dunk’- specific diagnosis
‘Compatible’, ‘Consistent’, Generic tumor type (round cell, mesenchymal cell)
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Comments
Should provide prognosis in terms of probability
> Statistical information on clinical outcome: – not ‘malignant’, ‘poor prognosis’
> Metastatic rate, Progression free interval, Disease free interval, 12 and 24 month survival,
> Median survival is problematic.
What you expect for neoplasms….
Diagnosis
Prognosis
Margins
Diagnosis of neoplasms
- importance
- naming convention
Most important to determine prognosis.
Name based on phenotype (what the cells look like or
express)
Usually reflects ‘cell of origin’
Based on latest Fascicles and consensus papers.
Choose your preferred pathologist!
Diagnostic approach to Skin Masses
Know what you are dealing with…
Location of the mass in relationship to important structures.
Cytology
Surgical dose – compartment and barriers
Histopathology
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Neoplastic
Epithelial
Mesenchymal
Round cell
Other
> melanoma
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Non-neoplastic