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Ampulla of Vater


Features to report

Reviewer: Hanni Gulwani, M.D. (see Reviewers page)
Revised: 1 December 2012, last major update August 2012
Copyright: (c) 2003-2012, PathologyOutlines.com, Inc.


Editorís note

Items listed below are mandatory to report for accreditation purposes by American College of Surgeons Committee on Cancer, except those in italics, which are optional but still recommended

● Specimen type
● Tumor site
Presumed tumor origin (intraampullary, periampullary duodenum, mixed, common bile duct, pancreatic)
● Histologic type
● Histologic grade (well, moderate, poor or undifferentiated)
● Tumor size (invasive carcinoma component)
● Depth of invasion, local extension
● Margins - invasive carcinoma; distance to closest margin and identify margin (recommended to ink posterior retroperitoneal surface of pancreas and submit sections of tumor closest to this margin)
● Margins - carcinoma in situ; involvement of pancreatic duct or common bile duct margin
Margins - PanIn
● Pathologic staging
● Perineural invasion (for resections)
● Angiolymphatic invasion (for resections)
● Lymph nodes
Additional findings: PanIN / dysplasia, adenoma, inflammation, adenomyosis, pancreatitis, gastritis, other

End of Ampulla of Vater > Miscellaneous > Features to report

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