17/08/2016 5:35 PM Suffix - Tissue Types HI021983T/16
1 - Gastric Biopsy 2 - Gastric Biopsy
Report sequence 1 Authorised 25/08/2016 10:11
By Dr T Bracey CELLPATH (Tim's laptop)
NATURE OF SPECIMEN:
1. Gastric fundus biopsy x3.
2. Proximal stomach biopsy x2.
CLINICAL DETAILS:
Vomiting.
GROSS DESCRIPTION:
1. Three biopsies, the largest measuring 4mmm and the smallest 3mm.
S3 1B NS RA
2. Two biopsies, the larger measuring 3mm and the smaller 2mm.
S2 1B NS RA
HISTOLOGY:
1. Several biopsies of gastric fundus type mucosa showing mild micro-architectural distortion and non-specific chronic inactive gastritis.
2. Biopsies of squamous oesophageal mucosa and ulcerated poorly differentiated diffuse type adenocarcinoma showing loosely cohesive groups and individual infiltrating malignant signet ring-like cells.
Medical Codes
** T-57000 - Stomach, NOS
BAND3 - Recharging BAND3
M-81403 - Adenocarcinoma, NOS
P1-03100 - Biopsy, NOS
2016-08-25_0001.jpg
Author: Dr Tim Bracey
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most of these have E-cadherin mutations or epigenetic alteration in cadherin and other cell adhesion molecule genes
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classical Lauren diffuse type “signet ring cell adenocarcinoma"
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