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PATIENT INFORMATION

JOHN DOE

Age: 74 years
Date of Birth: 03/22/33

Location/ID: XYZ Medical Group

PHYSICIAN

JOHN SMITH, M.D

1234 JOHN WAY
HERCULES, CA 94547

SPECIMEN INFORMATION

Accession # WCS-08-99999
Collected:01/07/2008
Received:01/07/2008
Reported:01/08/2008

SPECIMEN SITE / COMMENTS


* SPECIMEN SITE - GASTRIC BIOPSY

GROSS DESCRIPTION


Gastric Biopsy: Received in formalin, the specimen consists of two fragments of gray-brown mucosa, each measuring approximately 0.3 centimeters in diameter. Totally submitted for routine and special stains and additional levels.


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

Gastric 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
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