Select one from the first three, and one from the last two. (eg. IDC and DCIS present). If none of the first three is applicable, move on to the next question
Histological Type- special
Choose
No special type
Cribiform
Papillary
Medullary
Mucinous/colloid
Tubular
Option 7
DCIS
If present choose the grade
Clear selection
Lymphovascular invasion?
Clear selection
Tumour Grade
Number of Nodes examined
Axillary and Sentinel
Your answer
Number of Nodes involved
Axillary and Sentinel
Your answer
Sentinel Node
Clear selection
Extra-nodal extension?
Clear selection
Margins
Clear selection
Closest margin (DCIS) (mm)
Your answer
Closest margin (invasion) (mm)
Your answer
ER Status?
ER- Estrogen Receptor
Clear selection
ALLRED score
for ER
Your answer
PgR status
PgR- Progesterone receptor
Clear selection
ALLRED score
for PgR
Your answer
HER2 status
HER2- Human Epidermal growth factor Receptor 2
Clear selection
Value
for HER2
Your answer
FISH score
for HER2
Your answer
Comments
Pleaes tell us your comments about this form- and how it could be made easier to fill out