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DLL3 Pathology Assessment & Reporting Checklist

This checklist guides pathologists through practical delta-like ligand 3 (DLL3) assessment and reporting, from confirming neuroendocrine carcinoma diagnosis and specimen adequacy to immunohistochemistry interpretation and scoring. The checklist emphasizes tissue stewardship, assay-specific assessment, distinguishing “DLL3-positive” from “DLL3-high,” documenting testing limitations, and reporting methodology and thresholds clearly to support accurate clinical interpretation and biomarker-directed care.

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