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:
Clinical Diagnosis & History: Patient with metastatic RCC to lungs. Specimens Submitted: 1: Kidney, left, total nephrectomy. 2: Lymph nodes, suprahilar, left, and adrenal gland, excision. 3: Lymph nodes, pre-aortic, excision. 4: SP: Para-aortic lymph nodes. DIAGNOSIS: 1. Kidney, left, total nephrectomy. Tumor Type: Renal cell carcinoma - Conventional (clear cell) type. Fuhrman Nuclear Grade: Nuclear grade IV/IV. Tumor Size: Greatest diameter is 9.5 cm. Local Invasion (for renal cortical types): Extends through renal capsule but confined within Gerota's fascia. Renal Vein Invasion: Tumor is identified in muscular vessels in the region of the renal sinus/hilum. Surgical Margins: Free of tumor. Non-Neoplastic Kidney: Unremarkable. Adrenal Gland: Involved by tumor (see Part 2). Lymph Nodes: Not identified. Staging for renal cell carcinoma/oncocytoma: pT3b Tumor grossly extends into the renal vein(s) or vena cava below the diaphragm. ymph nodes, suprahilar, left, and adrenal gland, excision. Clear cell.carcinoma involving adrenal gland. No lymph nodes identified. 3. Lymph nodes, pre-aortic, excision. Lymph Nodes: Not involved. Number of nodes examilied:3. 4. SP: Para-aortic lymph nodes. Lymph Nodes: Not involved. Number of nodes examined:1. IATTEST THAT THE ABOVE DIAGNOSIS IS BASED UPON MY PERSONAL EXAMINATION OF THE SLIDES (AND/OR OTHER MATERIAL), AND THAT I HAVE. REVIEWED AND APPROVED THIS REPORT. Special Studies: Special Stain. Comment. RECUT. RECUT. RECUT. Gross Description: 1.) The specimen is received fresh for consultation labeled "Left kidney" and consists of a kidney with attached ureter, renal. vessels and perinephric fat weighing 454 g in total. The kidney measures 11 x 9 x 5,5 cm. The attached ureter measures 2.5 cm. in length and 0.6 cm in diameter. The altached renal vein measures 1.1 cm in length and 1,5 cm In diameter. There are two renal. arteries which are up to 95 to 100% stenotic. The remaining renal vessels and ureter margins are grossly unremarkable. An. adrenal gland is not identified. The kidney Is Inked black and bivalved to reveal a 9.5 x 6.1 x 5.5 cm, circumscribed, spongy to. firm,. white to golden yellow, focally fibrotic and hemorrhagic mass which protrudes into the renal vein 1,7 cm away from the renal vein. margin and abuts the renal capsule but does not appear to go through or into the perirenal fat. Sections through the remalnder of. the kidney reveal a pink brown parenchyma, with a well-defined cortico-medullary junction containing a 0.8 x 0.7 x 0.3 cm cyst. The cortex measures 1.0 cm and the calyces appear normal. No lymph nodes are identified in the perinephric fat, Representative. sections are submitted for frozen consultation, TPS and for permanent sections. Summary of sections: FSC -- frozen section control. UVM - 4 ureteral and vessel margins. T-- tumor. THF- tumor with hilar fat. TSF -- tumor with sinus fat. TK - tumor with adjacent kidney. RP -- renal pelvis representative sections. K -- representative sections kidney. 2). The specimen is received fresh labeled "left suprahilar lymph nodes and adrenal gland" and consists of a 5,5 x 1.8 x 1.2 cm. intact adrenal gland weighing 5.5 g, with attached fibrofatly adipose tissue measuring 8,0 x 3.4 x 1.0 cm. Within the fat is a 2.8 x. 2,5 x 2.5 cm firm purple tan lymph node, with three additional small possible lymph nodes ranging from 0.3 cm up to 0.4 cm in. greatest dimension. The largest lymph node is sectioned to reveal a variegated yellow-gray hemorrhagic cut surface with a. central gelatinous component. The adrenal gland is sectioned to reveal a grossly unremarkable orange cortical surface with a. tan-white homogeneous medullary cut surface. Representative sections are submitted. Summary of sections: A-adrenal gland. LLN-largest lymph node. LN-additional possible lymph nodes. 3). The specimen is received in formalin, labeled "pre-aortic lymph nodes" and consists of multiple pink tan firm lymph nodes. ranging from 0.8 to 3.7 cm in greatest dimension. All identified lymph nodes are submitted. Summary of sections: LN - lymph nodes. SLN-- serially sectioned lymph node. 4). The specimen is received in formalin, labeled "para-aortic lymph nodes" and consists of a pink tan firm lymph node measuring. 1.3 cm in greatest dimension. The lymph node is entirely submitted. Summary of sections: LN -- lymph node. Summary of Sections: Part 1: Kidney, left, total nephrectomy. Block. Sect. Site. PCs. 1. FSC. 1. 2. K. 2. 2. RP. 2. 3. T. 3. 3. THF. 3. 2. TK. 2. 2. TSF. 2. 1. UVM. 1. Part 2: Lymph nodes, suprahilar, left, and adrenal gland, excision. Block. Sect. Site. PCs. 1. a. 2. IIn. 2. 1. In. 1. Part 3: Lymph nodes, pre-aortic, excision. Block. Sect. Site. PCs. 1. In. 1. 3. sin. 3. Part 4: SP: Para-aortic lymph nodes. Block. Sect. Site. PCs. 1. In. 1. Intraoporative Consultation: Note: The diagnoses given in this section pertain only to the tissue sample examined at the time of the intraoperative. consultation. 1. FROZEN SECTION DIAGNOSIS: SP: LEFT KIDNEY. D: RENAL CORTICAL NEOPLASM. (NON-UROTHELIAL). PERMANENT DIAGNOSIS: SAME.

Extracted data:
Summary Stage: Stage IV
Histologic Grade: G4
ICD-10 Code: C64.9
ICD-O-3 Code: 8310/3
Pathologic N Stage: pN0
Pathologic T Stage: pT3b
Primary Tumor: Yes
Organ of origin: Kidney
Cancer Type: Kidney Clear Cell Renal Carcinoma