surg path

来源: 于 2015-10-21 14:35:58 [博客] [旧帖] [给我悄悄话] 本文已被阅读：次
Order Details
  • Status: Final
  • Placer Order #:6806027
  • Visit #: 710931247
  • Encounter #: 710931247
  • Ordering Provider: WALTER KLEIN
  • Result Copied To: WALTER KLEIN - Attending provider
  • NOVOPT EHMC
  •  

  •  
  • Observation/Collection: Oct 14, 2015
Surg Path
Surg Path - Final
Result/Status Change:
SURGICAL PATHOLOGY REPORT
PATIENT:    RICHMOND, ROBERT              ACCESSION #:  S15-009100
MR #:       10153577     SEX:  M          DATE          10/14/2015
COLLECTED:
D.O.B:      11/16/1956   AGE:  58         DATE          10/14/2015
RECEIVED:
PHYSICIAN:  Walter Klein, M.D.            DATE          10/15/2015
REPORTED:
COPY TO:    Steven Brower M.D.            LOCATION:     ENDO^O
Clinical       Admission Dx: History of cancer; Pre-Op Dx: Ascending
History:       colon mass; Post-Op Dx: Colon cancer; Distal ascending
colon cancer with known lung metastasis
SPECIMEN:      Ascending colon cancer biopsy
DIAGNOSIS (gross and microscopic):
1.   Serrated adenoma with focal high grade dysplasia.
2.   No carcinoma is seen.
mt/mc
GROSS DESCRIPTION:
The specimen consists of multiple fragments of tissue measuring from
0.1 to 0.5 cm. in greatest dimension. TE-1 CI:PS
CODE  1
:
Mikhail Tismenetsky, M.D.