FRONTIERS IN BIOSCIENCE;
PATHOLOGY REPORT



PATHOLOGY REPORT; WHIPPLE(PANCREATIC,BILIARY,AMPULLARY)

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

Tumor Location

Tumor Subtype (for tumors of ampulla only)

Histologic Grade

Tumor Size

Direct Extension

Vascular Invasion

Perineurial Invasion

Extrapancreatic Extension (for tumors of pancreas only)

Surgical Margins

Non-Neoplastic Pancreas

Lymph Nodes

Comments

Pathologist
M.D.

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

Date