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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