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PATIENT INFORMATION

JANE DOE

Age: 25 years
Date of Birth: 03/22/81

Location/ID: 123456

PHYSICIAN

JOHN SMITH, M.D

1234 JOHN WAY
HERCULES, CA 94547

SPECIMEN INFORMATION

Accession # WCC-06-99999
Collected:09/19/2006
Received:09/20/2006
Reported:09/21/2006

SPECIMEN SITE / COMMENTS

1. SPECIMEN SITE - MID DORSAL NOSE
2. SPECIMEN SITE - RIGHT CHEEK
3. SPECIMEN SITE - RIGHT CLAVICLE

GROSS DESCRIPTION

1. Designated "mid dorsal nose" is a single skin fragment measuring 5 x 4 x 1 mm. Totally submitted in one cassette labeled "A."

2. Designated "right cheek" is a single skin fragment measuring 8 x 6 x 3 mm. Totally submitted in one cassette labeled "B."

3. Designated "right clavicle" is a single skin fragment measuring 8 x 5 x 3 mm. Totally submitted in one cassette labeled "C."

MICROSCOPIC DESCRIPTION

Sections of the skin of the mid dorsal nose as well as the right cheek both show traumatized seborrheic keratoses characterized by verrucous hyperplasia composed of basaloid cells with a mixture of squamoid cells. Keratin-filled invaginations and small horn cysts are seen. Nests of squamous eddies are present.

Sections of the skin of the right clavicle (Slides "C") show a well-differentiated invasive squamous cell carcinoma which extends to the lateral surgical margins of resection (see digital image). The latter neoplasm appears well-differentiated and forms keratin. No evidence anaplastic transformation is identified.

FINAL DIAGNOSIS

1. Skin, mid dorsal nose, biopsy
- TRAUMATIZED SEBORRHEIC KERATOSIS.
2. Skin, right cheek, biopsy
- TRAUMATIZED SEBORRHEIC KERATOSIS.
3. Skin, right clavicle, biopsy
- WELL-DIFFERENTIATED INVASIVE SQUAMOUS CELL CARCINOMA, ONE LATERAL MARGIN INVOLVED.



JOHN COMPAGNO M.D.,MEDICAL DIRECTOR
Original Report Reviewed and Verified
712 Alfred Nobel Drive . Hercules, CA 94547 . toll free 800.794.9737 . fax 510.662.5240 . www.wcpl.com . John Compagno, M.D., Medical Director
PATHOLOGY/CYTOPATHOLOGY CONSULTATION REPORT