Laboratory Report

Patient Betty Black
Date of birth November 28, 1953 Gender Female
Reporting Laboratory
Laboratory ABC
Patient IDs 123456888
Document Id 607d59b6-28f4-4890-9b49-2c5de6f851d2
Document Created: March 24, 2014
Author Dr. Sunny Grey
Information recipient: Dr. Mark Red
Document maintained by 456789
Confidentiality Normal

Anatomical Pathology

Surgical Pathology Report

Date Observation: Feb 27, 2014
Date Requested: Feb 26, 2014
Ordering Phys: Grey, Sunny
Copies To: Red, Mark(555666888)
Specimen: Endometrium
Status: Final

Microscopic Description

The polyp is of mixed type and could be arising from lower uterine segment/upper endocervix. It is difficult to assess if the polyp has been completely removed.

Gross Description

One container bearing the patient's name and labeled "endometrial biopsy"

Diagnosis

BEGIGN ENDOMETRIAL POLYP FRAGMENTS

Clinical Information

None given