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Cytopathology Report Example 2

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Patient No.: 000049
Date: 10/06/91
Cytopathology Report: #03166

Name: Hy Nix
Clinical Findings: Ca hypopharynx and larynx

• [ ] Routine
• [ ] Stat
• [ ] Today
• [ ] Other

Date or time: ______________
Time ordered: ______________
Ordered by: ______________

• 194 [x] - Cytology - Routine
• 195 [ ] - Cytology and Cell Block
• 196 [ ] - Cytology - Special

Slide No.: 03166

Source of Specimen

• [ ] Vagina
• [x] Bronchus (washings)
• [ ] Sputum
• [ ] Cervix
• [ ] Gastric
• [ ] Urine
• [ ] Pleural Fl.
• [ ] Peritoneal Fl.
• [ ] ___________

Comments:

Very suspicious of epidermoid carcinoma

J. Marx, M.D.
Pathologist

• [ ] Class I - No Evidence of Malignancy
• [ ] Class II - Atypical Benign Epithelial Changes
• [x] Class III - Suspicious for Malignancy
• [ ] Class IV - Strongly Suggestive for Malignancy
• [ ] Class V - Positive Evidence for Malignancy

Estrogen Activity

• [ ] Low
• [ ] Normal
• [ ] High

• Trichomonads ________
• Yeast ________
• Doderlein B ________
• Polyps ________

Cytopathology
Date: 10/06/91 Tech