SEER Training Modules
11/27/12 - The NCI is working on updating materials.
Cytopathology Report Example 4
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Clinical Record - Tissue Examination
Name: Sid Pathe
Hospital No.: 000051
Age: 56
Sex: Male
Race: White
Reg. No.: 51
Ward: 13 East
- Specimen submitted by: ____________
- Date obtained: ______________
Specimen: Bronchial washing (cytology)
Brief Clinical History: RLL and RML collapse
Pre-operative diagnosis: Carcinoma
Operative findings: Same
Post-operative Diagnosis: __________________________________
Signature and Title: C.Hall
Name of Laboratory: Cytopathology Accession No(s).: L-91-34
Gross Description, Histologic Examination and Diagnoses:
The filter (1 ml. On Millipore), cell block sections (3) and smears (3) prepared from the bronchial washing show leukocytes, histiocytes (many pigmented), erythrocytes, fibrin, bacteria and proteinaceous material. There are numerous cells present showing radiation effects. There are other cells which appear viable, with enlarged irregular nuclei, clumped chromatin, prominent irregular nucleoli and orangeophilic cytoplasm.
Interpretation:
Bronchial washing: consistent with bronchogenic carcinoma
Date: 08/24/91
Maria Bronsky, M.D.
Pathologist
