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Breast benign Macroscopic reporting dictation template Data element Fresh tissue received Response No Yes Number of specimens received __ Laterality Left Procedure Specimen orientation As stated by the clinician Not orientated Orientated Specimen weight __g Specimen size __x__x__mm If orientated, record as follows: Medial-lateral length __mm Superficial-deep length__mm Skin Skin dimensions Skin abnormalities Nipple For each specimen, record the following: Absent __x__mm Absent Absent Lesion(s) Number of macroscopically visible lesions For each lesion (if >1 designate accordingly): Lesion description Location Lesion dimensions Distance of lesion to nearest margin Absent __ Slice number involved by lesion Other relevant macroscopic information __ Text Block identification key Text Breast benign dictation template If yes, describe any additional tests/ frozen sections/biobanking performed Right If orientated, list markers & locations and colours used. Record the plane of dissection in orientated specimens (e.g. medial to lateral/ superior to inferior/ superficial to deep). Superior-inferior length __mm Present Present, describe Ulceration Present, describe Normal Other, specify Other, specify Present Abscess Cyst Text __x__x__ mm __ mm Specify margin Calcification Fibrosis Other, specify See illustration in protocol E.g. any additional orientation; specimen integrity (if disrupted) Describe nature and site of blocks Date: 21 October 2015 Version: 1.1