O Stoma Mia wrote:dallasdog wrote:Here is the Pathology for colonoscopy....
What else was in the pathologist's report. You only cited the finding from SPECIMEN #3. Where was this specimen taken from? From the stalk of the polyp? From the head of the polyp? From the outside surface only, or from the interior of the polyp? What did the GI's colonosvopy repott say about the number and location of the biopsy samples?
This is the whole thing:
SMALL BOWEL, TERMINAL ILEUM, BIOPSY:
BENIGN SMALL BOWEL MUCOSA WITH BENIGN REACTIVE LYMPHOID FOLLICLES
2. COLON, RANDOM BIOPSIES:
FRAGMENTS OF COLONIC MUCOSA; NO SIGNIFICANT INFLAMMATION; NEGATIVE FOR
LYMPHOCYTIC OR COLLAGENOUS COLITIS
3. COLON, SIGMOID, BIOPSIES:
FRAGMENTS OF TUBULOVILLOUS ADENOMA
(WGR)
COMMENT
COMMENT: THE BIOPSIES IN SPECIMEN #3 (SIGMOID) APPEAR TO HAVE BEEN TAKEN
FROM THE SURFACE OF A LESION. THE BIOPSIES ARE FRAGMENTED, BUT ARE
COMPOSED OF TUBULOVILLOUS ADENOMA. IN PLACES, THE DYSPLASIA IS MORE
PRONOUNCED THAN THAT TYPICALLY SEEN IN AN ADENOMA, BUT IN THESE
BIOPSIES, DYSPLASIA IS NOT SEVERE ENOUGH TO WARRANT A DIAGNOSIS OF HIGH
GRADE DYSPLASIA. NO DEFINITE CARCINOMA IS IDENTIFIED IN THESE BIOPSIES.
DR. AHMAD HAS REVIEWED. #3 AND IS IN AGREEMENT.
CLINICAL INFORMATION
IMPRESSIONS: THE EXAMINED PORTION OF ILEUM WAS NORMAL. LIKELY MALIGNANT
PARTIALLY OBSTRUCTING TUMOR IN THE SIGMOID COLON AND AT 30 CM PROXIMAL
TO THE ANUS. THE DISTAL RECTUM AND ANAL VERGE ARE NORMAL RETROFLEXION
VIEW.
SPECIMEN
1. TERMINAL ILEUM-BIOPSY
2. COLON-RANDOM BIOPSY
3. COLON, SIGMOID-BIOPSY
GROSS DESCRIPTION
1. RECEIVED IN FORMALIN LABELED WITH THE PATIENT'S NAME AND DOB, AND
ALSO LABELED AS TERMINAL ILEUM. ARE 2 TAN SOFT TISSUE FRAGMENT
MEASURING 0.3 CM, ALL IN ONE. ES
2. RECEIVED IN FORMALIN LABELED WITH THE PATIENT'S NAME AND DOB, AND
ALSO LABELED AS RANDOM COLON. ARE MULTIPLE TAN SOFT TISSUE FRAGMENTS
MEASURING UP TO 0.3 CM, ALL IN ONE. ES
3. DESTROYED IN THERECEIVED IN FORMALIN LABELED WITH THE PATIENT'S NAME
AND DOB, AND ALSO LABELED AS SIGMOID. ARE MULTIPLE TAN SOFT TISSUE
FRAGMENTS MEASURING UP TO 0.3 CM, ALL IN ONE. ES
(CAT/ELS)
THE ABOVE DIAGNOSIS IS BASED ON PERFORMANCE OF THOROUGH GROSS AND/OR
MICROSCOPIC EVALUATIONS. IMMUNOPEROXIDASE PROCEDURES WERE DEVELOPED AND
PERFORMANCE CHARACTERISTICS DETERMINED BY PATHOLOGISTS DIAGNOSTIC
LABORATORY. NOT ALL HAVE BEEN CLEARED OR APPROVED BY THE U.S. FOOD AND
DRUG ADMINISTRATION.