Extract from the provided pathology report the following data points, seperated by semi-colons: summary cancer stage; histologic grade; ICD-10 code; ICD-O-3 code; pathologic N stage; pathologic T stage; whether the sample is of the primary tumor; the orgran of origin of the sample; and the cancer type.

Pathology report:
JCGA-AK-3426 - -. Clinical History/Diagnosis: Right renal mass. Source of Specimen(s): A: inter aorto caval Lymph Nodes. B: right kidney adrenal gland hilar lymph nodes. C: Retrocaval lymph nodes. D: Additional retrocaval lymph nodes. Gross Description: Received in four parts. Source of Tissue: 1. Labeled #1, Inter-aortocaval lymph node. Frozen Section Diagnosis: 1FS DIAGNOSIS DEFERRED, ? METASTASIS VERSUS. PRIMARY TUMOR IN LYMPH VERSUS INTRANODAL VASCULAR. PROLIFERATION,. Gross Description: Received fresh for frozen section evaluation is. a. 2.5cm in greatest dimension, tan-pink, firm lymph node which is sectioned. to reveal bulging, nodular, cut surfaces. A representative section is. submitted for frozen section evaluation and the frozen section residue is. submitted in one block. Additional representative sections are submitted. in two blocks. Designation of Sections: 1FS, 1A-1B. Summary of Sections: multiple. Note: Tissue is submitted for microbiology cultures. Source of Tissue: 2. Labeled #2, Right kidney, adrenal gland and hilar. lymph nodes. Frozen Section Diagnosis: 2FS RENAL CELL CARCINOMA PRESENT. THE. FROZEN. SECTION FROM PART #1 WAS RE-REVIEWED AFTER LOOKING AT THE. FROZEN SECTION. FROM THE KIDNEY. THAT IS METASTATIC CANCER FROM KIDNEY AND. LYMPH NODE. Gross Description: Received fresh for frozen section evaluation is an 879. gram, right nephrectomy, having an abundant amount of attached perinephric. fat. There is a 1.5 x 0.3cm fragment of attached ureter, having a lumen,. 0.2cm in greatest dimension which is probe patent to the renal hilum. The. kidney itself is 16.0 X 6.5 x 5.0cm in greatest dimension. It is bivalved. to reveal an 8.5 X 7.5 X 6.0cm mass in the mid to lower pole, having light. tan to golden yellow-orange, nodular, cut surfaces. A representative. section of the mass is submitted for frozen section evaluation and the. frozen section residue is submitted in one block. The remaining renal. parenchyma is red-brown, firm, having a well-defined corticomedullary. junction. The adrenal gland is 4.5 x 2.0 x 0.8cm in greatest dimension. and is sectioned to reveal golden yellow-orange to tan-brown, cut. surfaces. There is one palpable lymph node in the attached hilar soft. tissue, 2.0cm in greatest dimension. The lymph node is entirely. submitted. Representative sections are submitted in twelve blocks. Designation of Sections: 2FS frozen section kidney mass, 2A ureter and. vascular margins, 2B-2D tumor with inked circumferential margin, 2E-2F. additional representative sections tumor, 2G-2H random sections kidney,. 21 adrenal gland, 2J-2L hilar lymph node, 2M- additional ureteral. margin. Summary of Sections: multiple. Note: Tissue is submitted for cytogenetic studies. Source of Tissue: 3. Labeled #3, Retrocaval lymph nodes . Gross Description: Received fresh are two red-purple, firm lymph nodes,. 4.0cm in greatest dimension. The lymph nodes are entirely submitted in. five blocks. Designation of Sections: 3A-3B one lymph node, 3C-3E one lymph node. Summary of Sections: multiple. Source of Tissue: 4. Labeled #4, Additional retrocaval lymph nodes. Gross Description: Received fresh are six tan to red-purple, firm lymph. nodes, 0.8 to 5.5cm in greatest dimension. The lymph nodes are sectioned. to reveal red-purple to tan, soft, friable, cut surfaces. Representative. sections are submitted in five blocks. Designation of Sections: 4A-4B representative sections large lymph node,. 4C one lymph node, 4D-4E multiple single lymph nodes. Summary of Sections: multiple. Final Diagnosis: 1. Lymph node, inter-aortocaval, excision: - Metastatic renal cell carcinoma in one lymph node (1/1). 2. Right kidney, adrenal gland and hilar lymph nodes, radical. nephrectomy: - High grade renal cell carcinóma (8.5 cm), núclear grade 3; see note. - Negative capsule and vascular margin. - Ureteral margin with intralymphatic tumor emboli. - Metastatic renal cell carcinoma in peri hilar soft tissue. - Adrenal gland with no tumor seen. 3. Lymph nodes, retrocaval, excision: - Metastatic renal cell carcinoma in two out of two lymph nodes (2/2). 4. Lymph nodes, retrocaval, excision: - Metastatic renal cell carcinoma in three out of seven lymph nodes (3/7). Note: The tumor morphologically shows clear cell and papillary features,. with focal spindled cells suggestive of sarcomatoid change. Immunohistochemistry stains show that the tumor cells are positive for. CK7, HMW cytokeratin. and CD10. Final subtyping is pending. cytogenetic analysis. These tests were developed and their performance characteristics. determined by the immunohistochemistry laboratory at the. These tests have not been cleared or approved by the U.S. Food. and Drug Administration. The FDA has determined that such clearance or. approval is not necessary. These tests are used for clinical purposes. They should not be regarded as investigational or for research. This. laboratory is certified under the Clinical Laboratory Improvement. Amendments of. (CLIA) as qualified to perform high complexity clinical. testing. Procedures/Addenda. FC Cytogenetics. Results-Comments. CYTOGENETIC ANALYSIS REPORTS. KARYOTYPE: Abnormal mosaic. karyotype: 36-44,XY,del(3)(p21p25),-8[cp20. (46,XY[1]. A renal mass was received and harvested after six and seven days in. culture. The chromosomes from 21 metaphases were counted and analyzed, and five. of these metaphases were karyotyped by G-banding. Twenty cells had. chromosome numbers ranging from 36 to 44 and exhibited two clonal. aberrations: a deletion in the p arm of chromosome 3 and a missing copy. of. chromosome 8. Both of these abnormalities have been reported in cases of. nonpapillary renal cell carcinoma. One cell had a normal karyotype. A. preliminary report was given to.

Extracted data:
Summary Stage: Stage III
Histologic Grade: G3
ICD-10 Code: C64.9
ICD-O-3 Code: 8310/3
Pathologic N Stage: pN1
Pathologic T Stage: pT3a
Primary Tumor: Yes
Organ of origin: Kidney
Cancer Type: Kidney Clear Cell Renal Carcinoma