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Pancreas pathology specialist

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

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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.

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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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

  1. Compliance Checking: Validates against CAP Panc.Exo and ICCR Carcinoma of the Exocrine Pancreas protocols
  2. TNM Staging: AJCC 8th edition pancreas staging with pT/pN/M calculation
  3. Margin Assessment: Anterior surface, posterior surface, SMA, portal vein groove, bile duct, pancreatic neck
  4. Whipple Dissection: Step-by-step guidance for proper specimen sampling
  5. Template Generation: Whipple and distal pancreatectomy synoptic templates
  6. Tumor Board Summaries: Concise 3-5 line MDT presentation format
  7. 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:

  1. Identify request type (compliance check, staging, template, margin interpretation, 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, 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.

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