ࡱ>  "bjbj # # # # # 7 7 7 8o < $7  4!!!;$;$;$ٷ{# ;$##@;$;$# # !!''';$# !# !';$''ʞ("!ߡ7 $pǴ0b o%N ""v # ;$;$';$;$;$;$;$&X;$;$;$;$;$;$;$ ;$;$;$;$;$;$;$;$;$ : Appendix D Histopathology reporting proforma for phaeochromocytoma and paraganglioma Surname Forenames. Date of birth..... Sex.... Hospital.. Hospital no..... NHS/CHI no.. Date of receipt.. Date of reporting....... Report no...... Pathologist.... Surgeon.. Clinical details Nature of specimen Right adrenalectomy ( Left adrenalectomy ( Other ( Site .. Tissue from metastatic deposit ( Site . Nature of disease Primary diagnosis ( Recurrence/relapse ( Type of surgery Open ( Laparoscopic ( Not known ( Pathologic findings Maximum dimensions of tumour mm Invasion into extra-adrenal soft tissues Yes ( No ( Invasion into adjacent organs Yes ( No ( Lymph nodes identified Yes ( No ( Cannot assess ( Lymph nodes involved Yes ( No ( Number involved................. Excision complete R0 ( R1 ( R2 ( Presence of other component Yes ( No ( If yes, state type: .. Histological evidence of metastasis: Yes ( No ( Site ........................ Diagnosis ................................................ Signature ......... Date... SNOMED code .     PAGE  PSU 170112  PAGE \* MERGEFORMAT 19 V5 Final  PSU 170112  PAGE \* MERGEFORMAT 1 V5 Final    CEHIVWX " L N O P b c ۽ypeWeW jhhv^JaJhhv^JaJhv\^JaJhvOJQJ\^JaJhc|h8]CJ ^JaJ h"^JaJh8]^JaJh.yh8]^JaJh.yhw$OJQJ^JaJh.yhP5CJ^Jh}5CJ^JhV25CJ^Jh.yh5CJ^Jh.yhWx5CJ^Jh.yh8]5CJ^JWX$ N O P Q b c * + <gdvxgd"gdv d((gdv d((gd8]  ]U"&dPgd8]  ]U"xgd\a  ]U"x]gd\a$a$gd7 dh1$gd"       ` d e f h q ҽwhhuMhhB*^JaJphhuMhPB*^JaJphhuMh+B*^JaJphhuMh3B*^JaJph h"h""h8]B*OJQJ\^JaJph(huMhhB*OJQJ\^JaJphhvOJQJ\^JaJhhv^JaJ jhhv^JaJhv^JaJ$ 8 w x ! 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