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Digitize pathology findings with precision. Extract specimen information, gross and microscopic descriptions, diagnostic conclusions, and staging data. Enable rapid clinical decision-making with structured pathology data for oncology and surgical workflows.
pathology-report.pdf
Viewer
JSON
report_date
2024-03-22
accession_number
S24-12345
patient_name
Margaret A. Wilson
patient_dob
1958-02-14
patient_gender
Female
medical_record_number
MRN-2024-55678
ordering_physician
Dr. Steven Richards, MD
ordering_physician_npi
1593572468
specimen_received_date
2024-03-20
specimen_source
Right breast, lumpectomy
clinical_history
56-year-old female with suspicious mass detected on mammogram. BIRADS 4C. Core biopsy positive for invasive ductal carcinoma.
procedure_performed
Lumpectomy with sentinel lymph node biopsy
procedure_cpt
19301
gross_description
Received fresh, labeled 'right breast lumpectomy' is an oriented breast specimen measuring 6.5 x 4.2 x 3.8 cm. Inked margins: superior-blue, inferior-green, medial-black, lateral-orange. Serial sectioning reveals a firm, stellate, tan-white mass measuring 2.1 x 1.8 x 1.5 cm.
microscopic_description
Sections show infiltrating ductal carcinoma, moderately differentiated. Tumor cells arranged in cords and nests with moderate nuclear pleomorphism. Mitotic figures present (8/10 HPF). No lymphovascular invasion identified. Surgical margins negative, closest margin 0.5 cm (inferior).
Diagnosis
2 items
finding
icd10_code
Invasive ductal carcinoma, moderately differentiated (Grade 2)
C50.911
Sentinel lymph node negative for metastasis (0/2)
C77.3
tumor_staging
tumor_size_cm: 2.1, pathologic_t_stage: pT2, pathologic_n_stage: pN0(sn), histologic_grade: Grade 2 (Nottingham score 6/9), margins: Negative, closest 0.5 cm
biomarkers
er_status: Positive (95%), pr_status: Positive (80%), her2_status: Negative (IHC 1+), ki67_index: 15%
pathologist_name
Dr. Jennifer Lee, MD
pathologist_npi
1357924680
electronically_signed_date
2024-03-22
pathology-report.pdf
Viewer
JSON
report_date
2024-03-22
accession_number
S24-12345
patient_name
Margaret A. Wilson
patient_dob
1958-02-14
patient_gender
Female
medical_record_number
MRN-2024-55678
ordering_physician
Dr. Steven Richards, MD
ordering_physician_npi
1593572468
specimen_received_date
2024-03-20
specimen_source
Right breast, lumpectomy
clinical_history
56-year-old female with suspicious mass detected on mammogram. BIRADS 4C. Core biopsy positive for invasive ductal carcinoma.
procedure_performed
Lumpectomy with sentinel lymph node biopsy
procedure_cpt
19301
gross_description
Received fresh, labeled 'right breast lumpectomy' is an oriented breast specimen measuring 6.5 x 4.2 x 3.8 cm. Inked margins: superior-blue, inferior-green, medial-black, lateral-orange. Serial sectioning reveals a firm, stellate, tan-white mass measuring 2.1 x 1.8 x 1.5 cm.
microscopic_description
Sections show infiltrating ductal carcinoma, moderately differentiated. Tumor cells arranged in cords and nests with moderate nuclear pleomorphism. Mitotic figures present (8/10 HPF). No lymphovascular invasion identified. Surgical margins negative, closest margin 0.5 cm (inferior).
Diagnosis
2 items
finding
icd10_code
Invasive ductal carcinoma, moderately differentiated (Grade 2)
C50.911
Sentinel lymph node negative for metastasis (0/2)
C77.3
tumor_staging
tumor_size_cm: 2.1, pathologic_t_stage: pT2, pathologic_n_stage: pN0(sn), histologic_grade: Grade 2 (Nottingham score 6/9), margins: Negative, closest 0.5 cm
biomarkers
er_status: Positive (95%), pr_status: Positive (80%), her2_status: Negative (IHC 1+), ki67_index: 15%
pathologist_name
Dr. Jennifer Lee, MD
pathologist_npi
1357924680
electronically_signed_date
2024-03-22
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| Visual Review |





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