We do a lot of backing-off on tumor diagnoses in FP. Fortunately not that many people completely fail to see a doctor before they die of cancer, and those that do may be among the older age group who don't necessarily have an autopsy performed even if they are a forensic case solely for lack of having their own physician to sign the death certificate (most FP's are willing to assume ASCVD in decedents over a certain age).
If they already have a well established diagnosis I probably wouldn't put a slide through. Those that get a slide I might only go as far as saying it's malignant, epithelial/carcinoma vs mesenchymal, etc. There's usually no benefit for splurging on immuno's which aren't in the budget. If there's a civil case brewing, I save enough tissue so the hired subspecialists can have at it if necessary. Families (and governments paying the bills) usually are satisfied to know whether a decedent had cancer or not, not what type/subtype it was or what molecular abnormality it carried. So, yeah.. we do a fair amount of "consistent with" or descriptive diagnoses, when it does come up. I will, however, occasionally use a special stain (PAS, mucin, oil-red-O, AFB/Z-N, iron/P-B, etc.) for some things, tumor or otherwise, as they're generally much cheaper. But I rather enjoy the primarily non-tumor pathology.
