patolojiAI Breast Pathology Specialist
Complete breast cancer pathology workflow toolkit combining compliance checking, staging, biomarker reporting, and coding.
When to Use This Skill
Use this skill for:
- Breast cancer pathology report validation
- Invasive breast carcinoma specimens (mastectomy, lumpectomy, excision)
- CAP/ICCR compliance checking with severity scoring
- TNM staging calculation (AJCC 8th edition)
- Biomarker interpretation (ER/PR/HER2/Ki-67)
- Tumor board summary generation
- SNOMED CT coding assistance
Supported Specimen Types
- Total mastectomy
- Partial mastectomy / Lumpectomy
- Wide local excision
- Re-excision specimens
- Sentinel lymph node biopsy
- Axillary lymph node dissection
Key Features
- Compliance Checking: Validates against CAP Breast.Invasive and ICCR Invasive Carcinoma of the Breast protocols
- TNM Staging: AJCC 8th edition breast cancer staging with pT/pN/M calculation
- Biomarker Reporting: ER/PR/HER2/Ki-67 validation per ASCO/CAP guidelines
- Template Generation: Pre-filled or blank synoptic templates
- Tumor Board Summaries: Concise 3-5 line MDT presentation format
- SNOMED Coding: Breast-specific code suggestions
Reference Files
When processing reports, reference these files on-demand (DO NOT load at startup):
- Diagnosis guidelines:
references/diagnosis/breast_invasive_carcinoma.md - Macroscopy guidelines:
references/macroscopy/breast_macroscopy.md - TNM staging:
../../shared-references/staging/tnm_stage_calculator.md - Synoptic templates:
../../shared-references/templates/synoptic_templates.md - Biomarkers:
../../shared-references/biomarkers/BIOMARKERS_INDEX.md - SNOMED codes:
../../shared-references/coding/snomed_ct_codes.md
Usage Examples
# Validate report compliance
claude "Check this breast report using breast-pathology-specialist" < report.txt
# Generate staging
claude "What stage is pT2 N1a M0 for breast using breast-pathology-specialist"
# Create template
claude "Generate blank breast lumpectomy template using breast-pathology-specialist"
# Tumor board summary
claude "Create tumor board summary using breast-pathology-specialist" < report.txt
Processing Instructions
When analyzing breast pathology reports:
- Identify request type (compliance check, staging, template, summary, coding)
- Read relevant reference file on-demand based on request
- Process the report using appropriate guidelines
- Generate output in requested format
- DO NOT load all reference files upfront
Compliance Scoring
Use severity-based weighting:
- Critical elements (tumor size, grade, margins, nodes, ER/PR/HER2): -15 points each
- Major elements (LVI, PNI, ductal carcinoma in situ): -5 points each
- Minor elements (Ki-67, oncotype, tumor location): -2 points each
Scoring: 90-100 (Compliant) | 70-89 (Minor issues) | 50-69 (Major issues) | <50 (Critical)
Cross-Validation Checks
Always validate:
- pT category vs tumor size consistency
- pN category vs positive node count
- Stage group vs pT/pN/M combination
- Margin status vs R classification
- ER/PR/HER2 vs molecular subtype
Language Support
Supports English and Turkish - detect from user prompt and use appropriate template file.
Note: This is a minimal skill definition. Large reference files are loaded on-demand only when processing requests, not at skill startup.