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

1- Ulcerated gastric mucosal fragments infiltrated by malignant tumor formed of diffuse solid sheets and irregular groups of malignant epithelial cells exhibiting marked nuclear atypia, with active mitosis. The tumor cells are embedded within a desmoplastic stroma associated with a mixed inflammatory infiltrate and focal tumor necrosis. Possibilities of this tumor include; poorly differentiated adenocarcinoma, Neuroendocrine carcinoma and NL, large cell type. Marker study (CK, LCA, CD20, Synaptophysin and Ki-67) is needed for definitive typing.2- Gastric mucosa showing moderate infiltration by lymphocytes and plasma cells. Neutrophils are seen infiltrating glands thus indicating activity. H. pylori characteristic forms are present. Areas of intestinal metaplasia are noted, however, no evidence of atypia or malignancy.3- Superficial material of esophageal mucosa showing a marked acanthosis of the non-keratinizing stratified squamous epithelium with preserved surface maturation. No evidence of atypia or malignancy.

Image Width (px)

Image Height (px)

Image Position

Template

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

Generate PDF