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Pathology.pdf, Lecture notes of Pathology

Goldsmiths, University of LondonPathology

Pathology Report- SAMPLE 1 ... Provider: Any Laboratory or Pathology Provider. ' This is a summary of your visit to our office on08/13/2014.

Typology: Lecture notes

2021/2022

Uploaded on 09/27/2022

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Pathology Report- SAMPLE 1
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John Doe
Provider: Any Laboratory or Pathology Provider
'
This is a summary of your visit to our office on08/13/2014
Your ProblemList:
•
Benign Prostatic Hypertrophy with ObstructiveSymptoms
•
Prostate Gland NeoplasmMalignant
•
Serology Prostate-specific Antigen (psa)Elevated
Your CurrentMedication List:
•
Allopurinol 300 MG TABS, once a day, 30 days, Orefills
•
Cyclobenzaprine HCI 10 MG TABS, as needed, 30 days, Orefills
•
Lisinopril5 MG TABS, once a day, 30 days, O refills
·
•
Meloxicam 7.5 MG TABS, once a day, O days,
OrefillsMedication listreviewed.
Your Vital signswere:
• Vitals taken 08/13/201'4 09:
07am
BP-SittingL
PulseRate-
SittingHeight
Weight
Body
Mass
Index
Body
Surface
Area
141/95 mmHg
63
bpm
701n
20B lbs
29.8kg/m2
2.12
m2
Your Diagnosis on thisvisit:
•
Malignant neoplasm of the prostategland
2nd opinion on pathology from Johns Hopkins showed a focus of Gleason 3+3 adenocarcinoma In the leftapex. ·
Management options reviewed including surgery, radiation, and activesurveillance
Your plan of careIncludes:
BoneScan
See In 2weeks
O
Arrive with fullbladder
O
Bring films with you to next a p po in t m e nt
Return on at with at the 21st Century Oncology - ZUG7451-A GladiolusDroffice.
pf3

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Pathology Report- SAMPLE 1

John Doe

Provider: Any Laboratory or Pathology Provider

' This is a summary of your visit to our office on08/13/

Your ProblemList:

  • Benign Prostatic Hypertrophy with ObstructiveSymptoms
  • Prostate Gland NeoplasmMalignant
  • Serology Prostate-specific Antigen (psa)Elevated

Your CurrentMedication List:

  • Allopurinol 300 MG TABS, once a day, 30 days, Orefills
  • Cyclobenzaprine HCI 10 MG TABS, as needed, 30 days, Orefills
  • Lisinopril5 MG TABS, once a day, 30 days, O refills ·
  • Meloxicam 7.5 MG TABS, once a day, O days,

OrefillsMedication listreviewed.

Your Vital signswere:

  • Vitals taken 08/13/201'4 09: 07am BP-SittingL PulseRate- SittingHeight Weight Body Mass IndexBody SurfaceArea

141/95 mmHg

63 bpm

701n 20B lbs 29.8kg/m 2.12 m

Your Diagnosis on thisvisit:

  • Malignant neoplasm of the prostategland

2nd opinion on pathology from Johns Hopkins showed a focus of Gleason 3+3 adenocarcinoma In the leftapex. · Management options reviewed including surgery, radiation, and activesurveillance

Your plan of careIncludes:

BoneScan See In 2weeks

O Arrive with fullbladder

O Bring films with you to next a p p o i n t m e n t

Return on at with at the 21st Century Oncology - ZUG7451-A GladiolusDroffice.

[Di gitalSignatureValidated]

Pathology Report SAMPLE 2

[IHC-Lab-Pathology J [Doe, Jane][] [9/29/2014] Page 1 of

IHC-Lab-Pathology

Specimen #: DXS-12-

Patient Information:

ReportStatus: FinalResults

Name:

Address:

Doe, Jane Patient ID:

Phone#:

Sex: Female

SSN: #####-

DOB: 08/09/

DateofSpecimen: 09/09/

DateReported: 09/11/201414:

Date Received: 09/09/

Physician: Myers, Mike Information:

TestName

SurgicalProcedure

NAME: Doe, Jane DOB:08/09/ SEX:F C ASE#;DXS-12- 123456 HOSP#: 12345678 ACCT#: 123456 PATHOLOGIST#:Gingell,Dana PHYSICIA N: Myers. MIke PROCEDURE DATE:09/09/2014ACCESSION DATE:09/09/2014REPORTDATE:09/11/ 14 REPORTSTATUS:Final SPECIMENDESCRIPTION:Peripancreatictissue Peripancreatictissue choledocholymphno de

REPORT:

CASE:DXS-12-123456PATIENT:Doe, Jane

SURGICAL PATHOLOGYREPORT

Specimen Submitted As: A. PERIPANCREATICTISSUE; B. CHOLEDOCHO LYMPH NODE; c. PERIPANCREATIC TISSUE Pre-opDiagnosis: PANCREATICMASS Post-opDiagnosis: ClinicalHistory: Special ExamsRequested:

FINALDIAGNOSIS:

A. Peripancreatictissue, biopsy-

Poorlydifferentiatedadenocarcinoma

B. choledocholymph node, exc1s1on-

Onelymphnodenegativeformetastaticcarcinoma

c.Peripancreatictissue,biopsy- Poorlydifferentiatedadenocarcinoma

GROSSEXAMINATION:

Receivedarethreecontainers. ContainerA:Receivedfreshforfrozensectionlabeled"LisaJackson,peripancreatictissue"isa1X 0.9xO.Scmpieceofredfirmtissue.Itisallsubmittedforfrozensection. Frozen sectiondiagnosis calledintoDr.Myers: POSITIVE FORADENOCARCINOMA. ContainerB:Receivedfreshforfrozensectionlabeled"LisaJackson,choledocholymphnode"isa2.5x 2X0.7cmpieceof nodaltissue.Thetissueisbisectedandsubmittedi n twocassettes. Frozensection