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Skip to main content menu Search * Anatomic Pathology Anatomic Path... * Clinical Pathology Clinical Path... * Molecular Pathology/Genomics Molecular Path... * Transfusion Medicine/Blood Center Transfusion Medicine/Blood Center * Reference Lab Testing Reference Lab Testing * Test Directory Tests * Autopsy Pathology * Cytopathology * Dermatopathology * Hematopathology * Neuropathology * Ophthalmic Pathology * Pediatric Pathology * Surgical Pathology * Breast * Cardiovascular * Gastrointestinal * Genitourinary * Gynecologic * Head & Neck * Liver * Pediatric & Perinatal * Pulmonary & Thoracic * Renal * Soft Tissue & Bone * Consulting Services * Ancillary Testing * Immunohistochemistry * Cytogenetics/FISH * Electron Microscopy * Immunofluorescence * Clinical Genomics * Molecular Pathology * Flow Cytometry * -------------------------------------------------------------------------------- View All Info * Biochemical Genetics * Clinical Chemistry * Flow Cytometry * Hematology * Hematopathology * Histocompatibility and Immunogenetics Lab (HLA) * Immunology & Special Chemistry * Microbiology * Special Coagulation * Virology * COVID-19 Resource Center * COVID-19 Specimen Collection & Handling * -------------------------------------------------------------------------------- View All Info * Biochemical Genetics * Molecular Genetic Pathology * Cytogenetics/FISH * Clinical Genomics * View All Info * Transfusion Medicine * Histocompatibility and Immunogenetics Lab (HLA) * Stanford Blood Center * View All Info Home Close Anatomic Pathology Clinical Pathology Molecular Pathology/Genomics Transfusion Medicine/Blood Center Reference Lab Testing Test Directory -------------------------------------------------------------------------------- Submit a Case/Specimen -------------------------------------------------------------------------------- Contact Us About Us Careers Billing Patient Information Clear * All Results All * Doctors & Providers * Conditions & Treatments * Clinics * More * Clinical Trials * Stories * Events * BREAST PATHOLOGY A SUBSPECIALTY OF ANATOMIC PATHOLOGY About Breast Pathology Stanford’s Breast Pathology offers a full range of evaluation and diagnosis for breast pathology. Our team of experts provide state-of-the-art diagnostic services focused on precise diagnoses of benign, atypical and malignant breast lesions. Submit A Specimen Contact Us tabs false OUR SERVICES SUBMIT A SPECIMEN OUR FACULTY ANCILLARY TESTING Stanford’s Breast Pathology Service specializes in interpreting and evaluating core needle breast biopsies, incisional and excisional biopsies, lumpectomy and mastectomy specimens, sentinel lymph nodes, axillary dissections, prophylactic and oncoplastic reduction mammoplasty, and neoadjuvant breast cases. Our services include: Primary Pathology Diagnosis All breast biopsies and surgeries taking place at Stanford Hospital undergo gross and microscopic pathology examination and reporting by the breast pathology service. We also accept wet tissue consult cases from clients outside of the Stanford system. CONSULTATIVE OPINIONS & CASE REVIEWS When a pathologist, clinician or patient not being treated at Stanford has a challenging breast pathology case, a specific question or just wants confirmation of the diagnosis, their pathology material can be sent for review to the Consult Service at Stanford Pathology and one of our breast pathologists will provide their consultative opinion on the case. This service includes assignment of a specialty pathology fellow to each case for individualized service, including call-backs with updates and final results. The Stanford Breast Pathology Service sets high standards to ensure the most accurate diagnosis. Our faculty are involved in setting national and international standards in breast pathology including for the WHO, CAP, ASCO/CAP Testing Guidelines, International Collaboration on Cancer Reporting and AJCC Staging. In addition to having faculty with specialty expertise in breast pathology, some additional ways we ensure high quality, accurate breast pathology diagnoses including the following: * Careful correlation of the pathology findings with the available clinical and imaging findings, including digital X-ray evaluation of most surgical cases grossed at Stanford to ensure that all lesions are appropriately sampled. * Synoptic reporting for all primary diagnoses and breast cancer prognostic/predictive markers according to CAP/ASCO and Stanford guidelines. * Correlation of all ancillary tests with primary histology to ensure that the results are concordant and accurate. * A policy requiring that two breast pathologists review all breast biopsies in which a diagnosis of atypical ductal hyperplasia or low grade ductal carcinoma in situ is being considered as the primary diagnosis in order to ensure diagnostic agreement on these challenging diagnoses. * Quality assurance policies on diagnostic agreement for breast cancers and for ancillary testing (including for unusual HER2 FISH testing results and Low Positive ER results). * Turn-around time standards adhered to for the fastest, most accurate reporting consistent with optimal patient care. * In addition to many cases being reviewed by multiple members of the faculty, cases get multiple reviews by pathologists-in-training including resident and fellow-level trainees, with preliminary fellow-level “hot-seat” diagnoses available before final reporting. * Adherence to CAP guidelines for hormone receptor and HER2 testing, including proficiency testing by all faculty on the breast service. CONSULT CASES To submit slides for case review, please fill out a Stanford requisition and include all slides, relevant reports, and ancillary testing materials and reports. If possible, please include a block, as it will greatly speed the finalization of the case should additional testing be necessary. Package all materials securely and send via a padded envelope. Wet Tissue Specimens Please submit materials in proper transport media. All samples should be labeled with the patient information (name, DOB and one other unique identifier) and sealed in a biohazard bag. Please submit a signed Stanford requisition with each sample. Samples and consult materials should be shipped or delivered via courier to: Stanford Surgical Pathology Attn: Breast Pathology 300 Pasteur Drive, Room H2110 Stanford, CA 94305 Telephone: 650-723-7211 Fax (650) 725-7409 Breast Pathology Requisition NEW CLIENT INQUIRIES To arrange to be set up as a new client, please contact: ClinOpsContracts@stanfordhealthcare.org. CONTACT US To submit a specimen to Stanford Breast Pathology, please complete a requisition and send with sample to: Stanford Breast Pathology 300 Pasteur Drive, Room H2110 Stanford, CA 94305 Phone: 650-723-7211 Fax: (650) 725-7409 breastpathology@ stanfordhealthcare.org Do not send patient info to this email. Medical Director: Kimberly Allison, MD To arrange to be set up as a new client, please contact: ClinOpsContracts@ stanfordhealthcare.org Download Breast Pathology Requisition SAMPLE SUBMISSION LOGISTICS For more information on submitting cases, see the links below: All Requisitions Download Stanford Requisitions for specimen submission. Account Set-up Information on personalized requisitions, supplies, shipping and courier pick-up. Pricing Inquiries Pricing inquiries and contract information. Billing Billing policies, information and questions. Results Web Portal Request access or log-in to our client results portal. Specimen Collection and Handling Specifications for Specimen Collection and Handling. Consult Service FAQ's Get answers to Frequently Asked Questions. KIMBERLY ALLISON, MD APPOINTMENTS * Professor of Pathology * Program Director for Anatomic and Clinical Residency Training Program * Director of Breast Pathology Service and Breast Pathology Fellowship Program PRACTICE AREAS * Breast Pathology * Anatomic and Clinical Pathology CONTACT Email: allisonk@stanford.edu Phone: (650) 723-7211 More information about Kimberly Allison: https://med.stanford.edu/profiles/kimberly-allison https://profiles.stanford.edu/kimberly-allison GREGORY BEAN, MD, PHD APPOINTMENTS * Assistant Professor of Pathology (Breast Pathology) PRACTICE AREAS * Anatomic Pathology * Breast Pathology * Molecular Pathology CONTACT Email: beang@stanford.edu Phone: (650) 723-7211 More information about Gregory Bean: https://med.stanford.edu/profiles/gregory-bean https://profiles.stanford.edu/gregory-bean RICHARD K. SIBLEY, MD APPOINTMENTS * Professor of Pathology PRACTICE AREAS * Anatomic Pathology * Pathology CONTACT Email: Richard.Sibley@stanford.edu Phone: (650) 723-8002 More information about Richard Sibley: https://med.stanford.edu/profiles/richard-sibley https://profiles.stanford.edu/richard-sibley MEGAN TROXELL, MD, PHD APPOINTMENTS * Professor of Pathology * Co-Director, Post-Sophomore Fellowship in Pathology * Program Director, Surgical Pathology Fellowship Program PRACTICE AREAS * Anatomic Pathology * Breast Pathology * Renal Pathology * Genitourinary Pathology * Transplant Pathology CONTACT Phone: (650) 723-1410 More information about Megan Troxell: https://med.stanford.edu/profiles/megan-troxell https://profiles.stanford.edu/megan-troxell ROBERT WEST, MD, PHD APPOINTMENTS * Professor of Pathology * Co-Director, Immunopathology Laboratory PRACTICE AREAS * Breast Cancer * Breast pathology * Anatomic Pathology * Pathology and Laboratory Medicine CONTACT Email: rbwest@stanford.edu Phone: (650) 736-2664 More information about Robert West: https://med.stanford.edu/profiles/robert-west https://profiles.stanford.edu/robert-west Ancillary Testing Stanford Pathology relies on a suite of ancillary testing offerings to support our expert diagnosis. Learn more about these offerings: Molecular Pathology * Selection by a breast pathologist of the most appropriate tissue block for requested send-out tests such as OncotypeDX. * The Stanford Molecular Diagnostic Laboratory also offers additional assays for the detection of potentially actionable mutations in cancer. CYTOGENETICS/FISH * HER2 testing: HER2 testing performed by both immunohistochemistry and fluorescence in situ hybridization (FISH) on invasive breast cancers to assess the likelihood of benefit from HER2 targeted therapies. Immunohistochemistry Immunohistochemistry stains aid in diagnosis including: myoepithelial markers (invasion vs non-invasive lesions), histologic subtype markers, metastatic carcinoma markers, etc. * Hormone receptor testing: Estrogen and progesterone receptor testing on both ductal carcinoma in situ and invasive breast cancers to assess the phenotype, provide prognostic information and to provide advice on the likelihood of response to hormone-based drug therapies. Androgen receptor testing is also available on request. * HER2 testing: HER2 testing performed by both immunohistochemistry and fluorescence insitu hybridization (FISH) on invasive breast cancers to assess the likelihood of benefit from HER2 targeted therapies. * Ki67: Provides an estimate of the proliferation index of invasive cancers. Our Services Stanford’s Breast Pathology Service specializes in interpreting and evaluating core needle breast biopsies, incisional and excisional biopsies, lumpectomy and mastectomy specimens, sentinel lymph nodes, axillary dissections, prophylactic and oncoplastic reduction mammoplasty, and neoadjuvant breast cases. Our services include: Primary Pathology Diagnosis All breast biopsies and surgeries taking place at Stanford Hospital undergo gross and microscopic pathology examination and reporting by the breast pathology service. We also accept wet tissue consult cases from clients outside of the Stanford system. CONSULTATIVE OPINIONS & CASE REVIEWS When a pathologist, clinician or patient not being treated at Stanford has a challenging breast pathology case, a specific question or just wants confirmation of the diagnosis, their pathology material can be sent for review to the Consult Service at Stanford Pathology and one of our breast pathologists will provide their consultative opinion on the case. This service includes assignment of a specialty pathology fellow to each case for individualized service, including call-backs with updates and final results. The Stanford Breast Pathology Service sets high standards to ensure the most accurate diagnosis. Our faculty are involved in setting national and international standards in breast pathology including for the WHO, CAP, ASCO/CAP Testing Guidelines, International Collaboration on Cancer Reporting and AJCC Staging. In addition to having faculty with specialty expertise in breast pathology, some additional ways we ensure high quality, accurate breast pathology diagnoses including the following: * Careful correlation of the pathology findings with the available clinical and imaging findings, including digital X-ray evaluation of most surgical cases grossed at Stanford to ensure that all lesions are appropriately sampled. * Synoptic reporting for all primary diagnoses and breast cancer prognostic/predictive markers according to CAP/ASCO and Stanford guidelines. * Correlation of all ancillary tests with primary histology to ensure that the results are concordant and accurate. * A policy requiring that two breast pathologists review all breast biopsies in which a diagnosis of atypical ductal hyperplasia or low grade ductal carcinoma in situ is being considered as the primary diagnosis in order to ensure diagnostic agreement on these challenging diagnoses. * Quality assurance policies on diagnostic agreement for breast cancers and for ancillary testing (including for unusual HER2 FISH testing results and Low Positive ER results). * Turn-around time standards adhered to for the fastest, most accurate reporting consistent with optimal patient care. * In addition to many cases being reviewed by multiple members of the faculty, cases get multiple reviews by pathologists-in-training including resident and fellow-level trainees, with preliminary fellow-level “hot-seat” diagnoses available before final reporting. * Adherence to CAP guidelines for hormone receptor and HER2 testing, including proficiency testing by all faculty on the breast service. close Our Services Submit a Specimen CONSULT CASES To submit slides for case review, please fill out a Stanford requisition and include all slides, relevant reports, and ancillary testing materials and reports. If possible, please include a block, as it will greatly speed the finalization of the case should additional testing be necessary. Package all materials securely and send via a padded envelope. Wet Tissue Specimens Please submit materials in proper transport media. All samples should be labeled with the patient information (name, DOB and one other unique identifier) and sealed in a biohazard bag. Please submit a signed Stanford requisition with each sample. Samples and consult materials should be shipped or delivered via courier to: Stanford Surgical Pathology Attn: Breast Pathology 300 Pasteur Drive, Room H2110 Stanford, CA 94305 Telephone: 650-723-7211 Fax (650) 725-7409 Breast Pathology Requisition NEW CLIENT INQUIRIES To arrange to be set up as a new client, please contact: ClinOpsContracts@stanfordhealthcare.org. CONTACT US To submit a specimen to Stanford Breast Pathology, please complete a requisition and send with sample to: Stanford Breast Pathology 300 Pasteur Drive, Room H2110 Stanford, CA 94305 Phone: 650-723-7211 Fax: (650) 725-7409 breastpathology@ stanfordhealthcare.org Do not send patient info to this email. Medical Director: Kimberly Allison, MD To arrange to be set up as a new client, please contact: ClinOpsContracts@ stanfordhealthcare.org Download Breast Pathology Requisition SAMPLE SUBMISSION LOGISTICS For more information on submitting cases, see the links below: All Requisitions Download Stanford Requisitions for specimen submission. Account Set-up Information on personalized requisitions, supplies, shipping and courier pick-up. Pricing Inquiries Pricing inquiries and contract information. Billing Billing policies, information and questions. Results Web Portal Request access or log-in to our client results portal. Specimen Collection and Handling Specifications for Specimen Collection and Handling. Consult Service FAQ's Get answers to Frequently Asked Questions. close Submit a Specimen Our Faculty KIMBERLY ALLISON, MD APPOINTMENTS * Professor of Pathology * Program Director for Anatomic and Clinical Residency Training Program * Director of Breast Pathology Service and Breast Pathology Fellowship Program PRACTICE AREAS * Breast Pathology * Anatomic and Clinical Pathology CONTACT Email: allisonk@stanford.edu Phone: (650) 723-7211 More information about Kimberly Allison: https://med.stanford.edu/profiles/kimberly-allison https://profiles.stanford.edu/kimberly-allison GREGORY BEAN, MD, PHD APPOINTMENTS * Assistant Professor of Pathology (Breast Pathology) PRACTICE AREAS * Anatomic Pathology * Breast Pathology * Molecular Pathology CONTACT Email: beang@stanford.edu Phone: (650) 723-7211 More information about Gregory Bean: https://med.stanford.edu/profiles/gregory-bean https://profiles.stanford.edu/gregory-bean RICHARD K. SIBLEY, MD APPOINTMENTS * Professor of Pathology PRACTICE AREAS * Anatomic Pathology * Pathology CONTACT Email: Richard.Sibley@stanford.edu Phone: (650) 723-8002 More information about Richard Sibley: https://med.stanford.edu/profiles/richard-sibley https://profiles.stanford.edu/richard-sibley MEGAN TROXELL, MD, PHD APPOINTMENTS * Professor of Pathology * Co-Director, Post-Sophomore Fellowship in Pathology * Program Director, Surgical Pathology Fellowship Program PRACTICE AREAS * Anatomic Pathology * Breast Pathology * Renal Pathology * Genitourinary Pathology * Transplant Pathology CONTACT Phone: (650) 723-1410 More information about Megan Troxell: https://med.stanford.edu/profiles/megan-troxell https://profiles.stanford.edu/megan-troxell ROBERT WEST, MD, PHD APPOINTMENTS * Professor of Pathology * Co-Director, Immunopathology Laboratory PRACTICE AREAS * Breast Cancer * Breast pathology * Anatomic Pathology * Pathology and Laboratory Medicine CONTACT Email: rbwest@stanford.edu Phone: (650) 736-2664 More information about Robert West: https://med.stanford.edu/profiles/robert-west https://profiles.stanford.edu/robert-west close Our Faculty Ancillary Testing Ancillary Testing Stanford Pathology relies on a suite of ancillary testing offerings to support our expert diagnosis. Learn more about these offerings: Molecular Pathology * Selection by a breast pathologist of the most appropriate tissue block for requested send-out tests such as OncotypeDX. * The Stanford Molecular Diagnostic Laboratory also offers additional assays for the detection of potentially actionable mutations in cancer. CYTOGENETICS/FISH * HER2 testing: HER2 testing performed by both immunohistochemistry and fluorescence in situ hybridization (FISH) on invasive breast cancers to assess the likelihood of benefit from HER2 targeted therapies. Immunohistochemistry Immunohistochemistry stains aid in diagnosis including: myoepithelial markers (invasion vs non-invasive lesions), histologic subtype markers, metastatic carcinoma markers, etc. * Hormone receptor testing: Estrogen and progesterone receptor testing on both ductal carcinoma in situ and invasive breast cancers to assess the phenotype, provide prognostic information and to provide advice on the likelihood of response to hormone-based drug therapies. Androgen receptor testing is also available on request. * HER2 testing: HER2 testing performed by both immunohistochemistry and fluorescence insitu hybridization (FISH) on invasive breast cancers to assess the likelihood of benefit from HER2 targeted therapies. * Ki67: Provides an estimate of the proliferation index of invasive cancers. close Ancillary Testing RESIDENCIES AND FELLOWSHIPS ANATOMIC PATHOLOGY RESIDENCY PROGRAMS Stanford Pathology offers a 3-year Anatomic Pathology residency and 4 year combination residencies in Anatomic Pathology/Clinical Pathology and Anatomic Pathology/Neuropathology. BREAST PATHOLOGY FELLOWSHIPS Stanford offers an ACGME-accredited Fellowship in Breast Pathology. * PATHOLOGY CONSULTATIONS & REFERENCE LAB TESTING * Requisitions * Client Logistics * Billing * Program FAQ’s * Web Results Portal * ABOUT US * Contact Us * Licensure * NEWS * CAREERS * FIND A TEST * PATIENT INFO * Stanford Medicine * Stanford Health Care Website Terms of Use & Privacy Policy | © 2024 Stanford Health Care. All Rights Reserved. Close Replay Icon Is this site helpful?