Pancreatic Pathology Specialist
Complete pancreatic cancer pathology workflow toolkit combining compliance checking, staging, margin assessment, and coding.
When to Use This Skill
Use this skill for:
- Pancreatic cancer pathology report validation
- Exocrine pancreas carcinoma specimens (Whipple, distal pancreatectomy, total pancreatectomy)
- CAP/ICCR compliance checking with severity scoring
- TNM staging calculation (AJCC 8th edition)
- Complex margin assessment (anterior/posterior surface, SMA, portal vein, bile duct)
- Whipple specimen dissection guidance
- Tumor board summary generation
- SNOMED CT coding assistance
Supported Specimen Types
- Whipple procedure (pancreaticoduodenectomy)
- Distal pancreatectomy
- Total pancreatectomy
- Enucleation
- Core needle biopsy
Key Features
- Compliance Checking: Validates against CAP Panc.Exo and ICCR Carcinoma of the Exocrine Pancreas protocols
- TNM Staging: AJCC 8th edition pancreas staging with pT/pN/M calculation
- Margin Assessment: Anterior surface, posterior surface, SMA, portal vein groove, bile duct, pancreatic neck
- Whipple Dissection: Step-by-step guidance for proper specimen sampling
- Template Generation: Whipple and distal pancreatectomy synoptic templates
- Tumor Board Summaries: Concise 3-5 line MDT presentation format
- SNOMED Coding: Pancreas-specific code suggestions
Reference Files
When processing reports, reference these files on-demand (DO NOT load at startup):
- Diagnosis guidelines:
references/diagnosis/exocrine_pancreas.md
- Macroscopy guidelines:
references/macroscopy/pancreas_macroscopy.md
- TNM staging:
../../shared-references/staging/tnm_stage_calculator.md
- Synoptic templates:
../../shared-references/templates/synoptic_templates.md
- SNOMED codes:
../../shared-references/coding/snomed_ct_codes.md
Usage Examples
# Validate report compliance
claude "Check this pancreas report using pancreas-pathology-specialist" < report.txt
# Generate staging
claude "What stage is pT2 N1 M0 for pancreas using pancreas-pathology-specialist"
# Create template
claude "Generate Whipple specimen template using pancreas-pathology-specialist"
# Margin interpretation
claude "How to report anterior surface margin 0.5mm using pancreas-pathology-specialist"
Processing Instructions
When analyzing pancreatic pathology reports:
- Identify request type (compliance check, staging, template, margin interpretation, 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, SMA margin, nodes): -15 points each
- Major elements (LVI, PNI, surface involvement, bile duct margin): -5 points each
- Minor elements (tumor location, distance from margins): -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 and extension
- pN category vs positive node count
- Stage group vs pT/pN/M combination
- R status vs margin measurements
- SMA margin vs arterial involvement
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.
1---2name: pancreas-pathology-specialist3description: Comprehensive pancreatic cancer pathology workflow combining CAP/ICCR compliance validation, synoptic template generation, TNM staging (AJCC 8th edition for exocrine pancreas), Whipple/distal-pancreatectomy specimen dissection guidance, axial slicing and margin assessment (SMA, SMV, posterior, anterior, pancreatic neck, bile duct), tumor board summaries, and SNOMED coding. Use when the user uploads or pastes a pancreatic pathology report (Whipple, distal pancreatectomy, total pancreatectomy, pancreatic biopsy) and asks to "check pancreas report", "validate CAP Panc.Exo protocol", "stage this pancreatic cancer", "assess Whipple margins", or any pancreatic-cancer-specific pathology task. Supports .pdf, .docx, .txt input in English and Turkish.4license: MIT5---67# Pancreatic Pathology Specialist89Complete pancreatic cancer pathology workflow toolkit combining compliance checking, staging, margin assessment, and coding.1011## When to Use This Skill1213Use this skill for:14- Pancreatic cancer pathology report validation15- Exocrine pancreas carcinoma specimens (Whipple, distal pancreatectomy, total pancreatectomy)16- CAP/ICCR compliance checking with severity scoring17- TNM staging calculation (AJCC 8th edition)18- Complex margin assessment (anterior/posterior surface, SMA, portal vein, bile duct)19- Whipple specimen dissection guidance20- Tumor board summary generation21- SNOMED CT coding assistance2223## Supported Specimen Types2425- Whipple procedure (pancreaticoduodenectomy)26- Distal pancreatectomy27- Total pancreatectomy28- Enucleation29- Core needle biopsy3031## Key Features32331. **Compliance Checking**: Validates against CAP Panc.Exo and ICCR Carcinoma of the Exocrine Pancreas protocols342. **TNM Staging**: AJCC 8th edition pancreas staging with pT/pN/M calculation353. **Margin Assessment**: Anterior surface, posterior surface, SMA, portal vein groove, bile duct, pancreatic neck364. **Whipple Dissection**: Step-by-step guidance for proper specimen sampling375. **Template Generation**: Whipple and distal pancreatectomy synoptic templates386. **Tumor Board Summaries**: Concise 3-5 line MDT presentation format397. **SNOMED Coding**: Pancreas-specific code suggestions4041## Reference Files4243When processing reports, reference these files on-demand (DO NOT load at startup):4445- **Diagnosis guidelines**: `references/diagnosis/exocrine_pancreas.md`46- **Macroscopy guidelines**: `references/macroscopy/pancreas_macroscopy.md`47- **TNM staging**: `../../shared-references/staging/tnm_stage_calculator.md`48- **Synoptic templates**: `../../shared-references/templates/synoptic_templates.md`49- **SNOMED codes**: `../../shared-references/coding/snomed_ct_codes.md`5051## Usage Examples5253```bash54# Validate report compliance55claude "Check this pancreas report using pancreas-pathology-specialist" < report.txt5657# Generate staging58claude "What stage is pT2 N1 M0 for pancreas using pancreas-pathology-specialist"5960# Create template61claude "Generate Whipple specimen template using pancreas-pathology-specialist"6263# Margin interpretation64claude "How to report anterior surface margin 0.5mm using pancreas-pathology-specialist"65```6667## Processing Instructions6869When analyzing pancreatic pathology reports:70711. **Identify request type** (compliance check, staging, template, margin interpretation, summary, coding)722. **Read relevant reference file** on-demand based on request733. **Process the report** using appropriate guidelines744. **Generate output** in requested format755. **DO NOT load all reference files** upfront7677## Compliance Scoring7879Use severity-based weighting:80- Critical elements (tumor size, grade, margins, SMA margin, nodes): -15 points each81- Major elements (LVI, PNI, surface involvement, bile duct margin): -5 points each82- Minor elements (tumor location, distance from margins): -2 points each8384Scoring: 90-100 (Compliant) | 70-89 (Minor issues) | 50-69 (Major issues) | <50 (Critical)8586## Cross-Validation Checks8788Always validate:89- pT category vs tumor size and extension90- pN category vs positive node count91- Stage group vs pT/pN/M combination92- R status vs margin measurements93- SMA margin vs arterial involvement9495## Language Support9697Supports English and Turkish - detect from user prompt and use appropriate template file.9899---100101**Note**: This is a minimal skill definition. Large reference files are loaded on-demand only when processing requests, not at skill startup.
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