Medical Pathology Report Form

Basic Report Information

Patient Name

Specimen Number

Age

Gender

Male Female

Ref By

Received Date

Date Reported

Nature of Specimen

Report Status

Clinical Data

Gross Description

Microscopic Description

Diagnosis

<ul><li class="ql-align-justify">Gastric mucosa showing partial ulceration with moderate glandular atrophy and moderate infiltration by lymphocytes and plasma cells. Neutrophils are seen infiltrating glands thus indicating activity. H. pylori characteristic forms are seen colonizing glands. No evidence of intestinal metaplasia, atypia or malignancy.</li><li class="ql-align-justify">Duodenal mucosa showing active inflammatory ulceration with almost diffuse villous atrophy, as the intestinal villi are significantly shrunken or partially flattened (moderate atrophy). The crypts are elongated/deeper, consistent with crypt hyperplasia as the mucosa attempts to compensate for villous loss. There is a pathological increase in intraepithelial lymphocytes within the epithelial lining. No evidence of specific granulomas. No evidence of atypia or malignancy.</li><li class="ql-align-justify">Immunohistochemistry showed mixed CD20-positive B lymphocytes and CD3-positive T lymphocytes with dominance of T-cell staining and without aberrant distribution; CD43 highlighted reactive inflammatory lymphocytes, while CK highlighted the epithelial structures.</li></ul>

Image Width (px)

Image Height (px)

Image Position

Template

المسافة الفارغة من أعلى الصفحة عند عدم استخدام قالب Header Space (mm)

Generate PDF