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PATIENT INFORMATION

JOHN DOE

Age: 46 years
Date of Birth: 01/31/61

Location/ID: PRIVATE OFFICE

PHYSICIAN

JOHN SMITH, MD

1234 FIRST ST. #101
SOME CITY, CA 99999

Copies sent to: Dr. Jack Smith MD

SPECIMEN INFORMATION

Accession # WCC-08-99999


Collected:01/06/2008
Received:01/06/2008
Reported:01/20/2008


Specimen Site: URINE FOR CYTOLOGY AND FOR FISH

CYTOLOGY


Fluorescence In Situ Hybridization


 

Karyotypic Mutation Listing
Nuclei CEP 3 CEP 7 CEP 17 9p21 del
15 8 7 7 3

MICROSCOPY

CYTOLOGY:

GROSS: 50 ccs of slightly cloudy yellow fluid in a urocyte container. ThinPrep and residual fluid submitted for FISH testing. MICROSCOPIC: Review of the ThinPrep prepared from this urine for FISH testing shows scattered atypical urothelial cells with increased nuclear cytoplasmic ratios and features suggesting advanced dysplasia suspicious for malignancy.

FISH:

Review of the FISH reaction on cytology from this urine specimen shows increased numbers of mutations associated with transitional and urothelial cell malignancy. The combination of increased numbers of nuclear mutations as well as the cytology is consistent with a malignant diagnosis.

DIAGNOSIS

1. Urine for cytology, ThinPrep
- ATYPICAL UROTHELIAL CELLS SUSPICIOUS FOR MALIGNANCY.
2. FISH testing
- INCREASED MUTATIONS ASSOCIATED WITH UROTHELIAL MALIGNANCY, CONSISTENT WITH NEOPLASTIC TRANSFORMATION.


John Compagno, M.D.
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