My surgical pathology final report (partially)

Clinical Information
Mucinous carcinoma right breast.

Source of Specimen
A. Right breast tumour with additional superior margin.
B. Right axillary fat and node.

Microscopic Description
A. Sections show the mass is a mucinous carcinoma, 2.3cm in largest diameter, composed of small groups of malignant cells with mild nuclear pleomorphism within pools of mucin. Lumina formation is seen in some cellular groups. A few foci of cystic ducts are seen in the breast lobules of thew surrounding breast tissue. All margins are free of malignancy. The other piece of breast tissue also shows a few cystic ducts and is free of malignancy.

B. Sections show fibroadipose tissue with a few nerve bundles. Lymph nodes are not present.

Diagnosis
A. Right breast tumour with additional superior margin: Musinous carcinoma with clear surgical margins.
B. Right axillary fat and node: No lymph nodes present.

Addendum Report
Immunohistochemistry Report
Estrogen Receptor : Strongly Positive
Progesterone Receptor : Strongly Positive

Anti Her2/neu (clone 4B5) for CerbB2 oncoprotein: Negative (score 1+).