Received without fixative/in formalin, labeled _____ and “_____”, is a __ x __ x __ cm portion of distal pancreas with attached __ x __ x __ cm, __ g spleen. The pancreatic duct at the proximal margin is identified. The posterior aspect of the pancreas is inked black and the proximal resection margin is inked blue. There is a __ x __ x __ cm, _____ (color, circumscription, texture, solid, multicystic) mass within the pancreas, __ cm from/extending to the proximal pancreatic resection margin. The soft tissue surrounding the external surface of the pancreas is _____ (color, fatty, fibrotic, necrotic, uninvolved by tumor, focally/extensively involved by tumor). The uninvolved pancreas is _____ (color, lobulated, fibrotic). The splenic capsule is _____ (smooth, fibrotic, covered with adhesions, lacerated). The spleen has a _____ (color, consistency) cut surface with _____ (a few firm white nodules from __ to __ cm in diameter, extensive infiltration by tumor). Multiple _____ (color, consistency) lymph nodes are identified, ranging from __ to __ cm in maximum dimension. The pancreatic resection margin is inked _____, the anterior peripancreatic soft tissue margin is inked _____, and the posterior peripancreatic soft tissue margin is inked _____. Photographs are taken. Representative sections are submitted as follows:
#___ & #___ = proximal pancreatic resection margin with the pancreatic duct, ___ pieces
#___ - #___ = mass and adjacent pancreas with posterior margin, 1 piece / cassette.
#___ & #___ = mass and adjacent structure (e.g. spleen or splenic vessel)