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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


* SPECIMEN SITE - GASTRIC BIOPSY

GROSS DESCRIPTION


Received is a single fragment of tan soft tissue measuring 4 x 2 x
1 mm. Totally submitted in one cassette with a request for levels and special stains (Warthin-Starry).

MICROSCOPIC DESCRIPTION


Sections show benign appearing gastric mucosa with acute and chronic inflammatory cells within the lamina propria. The surface and pit-lining epithelium are also infiltrated with neutrophils. There is no dysplasia or malignancy. Special stains for H. pylori are positive.


FINAL DIAGNOSIS


Stomach, biopsy
- CHRONIC ACTIVE GASTRITIS.
- WARTHIN-STARRY STAIN POSITIVE FOR H. PYLORI.
- NEGATIVE FOR INTESTINAL METAPLASIA, DYSPLASIA, OR MALIGNANCY.



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