FRONTIERS IN BIOSCIENCE;
PATHOLOGY REPORT



PATHOLOGY REPORT; OVARY

Department of Pathology

Date of Submission

Date of Operation

Clinical History

Clinical Diagnosis

Previous Surgical Number(s)

Previous Cytology Number(s)

Name of the Clinician

Patient Name

Patient Identification number

Patient Social Security Number

Surgical Pathology Number

Surgical Specimen

Operation type

- Biospsy

- Excisional biopsy

- Resection

- Other

Gross Description

Microscopic Description

Special staining findings


Non-applicable

Immunohistochemical findings


Non-applicable

Ultrastructrual findings


Non-applicable

Additional studies


Non-applicable

Non-applicable

Final Diagnosis

Tumor Type

Histological Grade

Uni or Bilateral Tumors

Ovarian Surface

Residual Ovary

Contralateral Ovary

Endometrium

Myometrium

Uterine Serosa

Cervix

Lymph Nodes

Comments

Pathologist
M.D.

I am the pathologist who has reviewed this case
and rendered the above diagnosis.

Date