A. Esophagus, biopsy: Squamous mucosa with no significant pathologic abnormality.
B. Ascending colon, polyps, biopsy:
1. Fragments of tubular adenoma.
2. Fragments of sessile serrated adenoma.
Specimen(s) Received
A. Esophagus bx
B. Ascending colon polyps
Clinical History
The patient is a 81-year-old male with history of Barrett's, HGD, and cancer, status post endoscopic therapy, and colorectal cancer. Endoscopy showed three sessile polyps (5-8mm) in the ascending colon but was normal in the esophagus.
Gross Description
The case is received in two parts, each labeled with the patient's name and medical record number.
Part A is received in formalin and additionally labeled "esophagus," and consists of four white-pink, irregular, soft tissue fragments (1.3x0.2x0.1cm in aggregate). The specimen is entirely submitted in cassette A1.(lds)
Part B is received in formalin and additionally labeled "ascending colon polyps," and consists of multiple tan-red pink-tan, irregular, soft tissue fragments (1.8x1x0.2cm in aggregate). The specimen is entirely submitted in cassette B1. (lds)
The diagnosis may have been rendered in whole, or in part, using whole slide digital images of the glass slides on Philips' FDA-approved (21CFR864.3700) PIPS-based platform validated at UCSF.
If immunofluorescence, immunohistochemistry or in-situ hybridization was performed with the stains reported above reacted appropriately. These stains were developed and their performance characteristics determined by the UCSF Medical Center Department of Pathology. They have not been cleared or approved by the U.S. Food and Drug Administration. The FDA has determined that such clearance or approval is not necessary. These tests are used for clinical purposes. They should not be regarded as investigational or for research. This laboratory is certified under the Clinical Laboratory Improvement Amendments of 1988 ("CLIA") as qualified to perform high-complexity clinical testing.
Diagnosis based on microscopic and/or gross examinations. Final Diagnosis made by attending pathologist following review of all pathology slides (histochemical quality is satisfactory). The attending pathologist has reviewed all dictations, including prosector work, and preliminary interpretations performed by any resident involved in the case and performed all necessary edits before signing the final report.
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