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Breast pathology specialist

Skill patolojiAI/pathology-skills-collection/pathology-skills/breast-pathology-specialist

Comprehensive clinical pathology toolkit for Claude - skills for CAP/ICCR compliance, TNM staging, synoptic templates, SNOMED coding, tumor board summaries, scientific similarity checking, and reference verification.

Install
npx -y skills add patolojiAI/pathology-skills-collection --skill breast-pathology-specialist

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Comprehensive breast cancer pathology workflow combining CAP/ICCR compliance validation, synoptic template generation, TNM staging (AJCC 8th edition), biomarker reporting (ER/PR/HER2/Ki-67) per ASCO/CAP guidelines, tumor board summaries, and SNOMED coding for invasive breast carcinoma. Use when the user uploads or pastes a breast pathology report (mastectomy, lumpectomy, wide local excision, sentinel/axillary lymph node biopsy) and asks to "check breast report", "validate breast pathology", "stage this breast cancer", "interpret ER/PR/HER2", "generate breast template", or any breast-cancer-specific pathology task. Supports .pdf, .docx, .txt input in English and Turkish.

The file declares its own license as MIT. That is the author’s claim about this one file, and it is not the same thing as the license GitHub reports for the repository, which is listed with the other numbers below.

SKILL.md

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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

  1. Compliance Checking: Validates against CAP Breast.Invasive and ICCR Invasive Carcinoma of the Breast protocols
  2. TNM Staging: AJCC 8th edition breast cancer staging with pT/pN/M calculation
  3. Biomarker Reporting: ER/PR/HER2/Ki-67 validation per ASCO/CAP guidelines
  4. Template Generation: Pre-filled or blank synoptic templates
  5. Tumor Board Summaries: Concise 3-5 line MDT presentation format
  6. 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:

  1. Identify request type (compliance check, staging, template, summary, coding)
  2. Read relevant reference file on-demand based on request
  3. Process the report using appropriate guidelines
  4. Generate output in requested format
  5. 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.

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