Document kDyj6VR2KGKm0X5pkXYErg4VO

min.iani lor... r.i 1< v. Jau. 1 .*.: iTouiiilBslPi My Murvau of thr lljilrrt Orculur A --3-' CLINICAL RECORD SPECIMEN SUBMITTED BY SPECIMEN nSt^Aiv ? |^|J TISSUE EXAMINATION DATE OBTAINED awo 4:J --IG --81434-1 BRIEF CLINICAL HISTORY Undude duration of lesion and rapidity of grovdh, if o neoplasm) Part of Louisville Mortality Study. PREOPERATIVE DIAGNOSIS OPERATIVE FINDINGS POSTOPERATIVE DIAGNOSIS SIGNATURE AND TITLE PATHOLOGICAL REPORT____________________________________________________________ ______ NAME OF LABORATORY _ Surgical Pathology SectionjS74-2380 1 ACCESSION NO(S). (Gross description, histologic domination end diagnoses/ Gross: The specimen consists of 11 submitted slides each bearing label of SS. Mary & Elizabeth Hosp. (Louisville, Ky.) and the accession number S-1968-811 (See attached records of Surgical Pathology report,. Also clinical records show patient died on 3/23/68). Microscopic: Lung: Sections show a carcinoma which involves large bronchi and replaces bronchial mucosa. The junction between normal respiratory type mucous membrane and the carcinoma is abrupt. In areas the large, polyhedral tumor cells form nests separated by fibrous bands infiltrated by lymphocytes. In other areas, the tumor cells are very anaplastic with many bizarre multinucleated cells with vacuolated cytoplasm and in a few foci strands of smaller, elongated tumor cells appear to lie in inter cellular mucus. OVER SIGNATURE OF PATHOLOGIST reverse side) `v, -------7^ -- Carolyn H. Lingeman, M. D. 52 PATIENT'S IDENTIFICATION (For typed or written entries lire; Nemo--lest, first, middle, grade, dete, hospital or medical facility) M | RACE i W REGISTER NO. 00-00-00 j DATE I 10/8/74 j IDENTIFICATION NO. i WARD NO. TISSUE EXAMINATION HtHiidnrrt Form sis 5n-io> BFG67237 Lymph nodes: The tracheobronchial lymph nodes are large and con tain moderate amounts of anthracotic pigment. There is marked hyper plasia of lymphoid nodules with large reaction centers and also marked hyperplasia of reticuloendothelial cells in the lymph node sinuses. Diagnoses; 1. Anaplastic, undifferentiated carcinoma, right lung. 2. Follicular hyperplasia and reticuloendothelial cell hyperplasia, tracheobronchial lymph nodes. Louis B. Thomas, M. D BFG67238 MinmtnrU Form flift l;-v. Jan. rj.'.T J'romulpitNt Uv Jinrrui nf tin- Hu'ii'Pt <`<rcul:ir A --3- CLINICAL RECORD SPECIMEN SUBMITTED BY SPECIMEN TISSUE EXAMINATION DATE OBTAINED BRIEF CLINICAL HISTORY (include duration oflesion and rapidity of growth, if a neop/osm) Part of Louisville Mortality Study; see attached records HI4H 1 PREOPERATIVE DIAGNOSIS OPERATIVE FINDINGS POSTOPERATIVE DIAGNOSIS SIGNATURE AND TITLE PATHOLOGICAL REPORT NAME OF LABORATORY ; ACCESSION NO(S). Surgical Pathology SectionjS74-2375 (Gross description, histologic examination and diagnoses i Gross: The specimen consists of two submitted slides bearing label of Methodist Evangelical Hospital (Louisville, Ky.) and the accession number S-63-2160. Microscopic: The duplicate sections show fragments of a brain tumor composed of neoplastic-appearing astrocytes. The well preserved tumor cells have plump, elongated nuclei which exhibit moderate variation in size and shape and are separated by fibrillar material. Marked vascular and endothelial cell proliferation are noted together with areas of edema, hemorrhage and necrosis. Mitoses are not seen. Diagnosis: Astrocytoma (Grade III), right parieto-temporal lobe. SIGNATURE OF FATHOUOOlST {Continue on reverse fide) ^ Louis B. Thomas, M. D. DATE Carolyn H. Lingeman, M. D. 10/8/74 1 AGE 1 | SEX 44| M RACE W IDENTIFICATION NO. PATIENT'S IDENTIFICATION (For typed or written entries jive: Nome--tost, first. middle: grade; data: hospital or medical facility) | REGISTER NO. j ^ ^ qq | WARD NO. l TISSUE EXAMINATION Htunctaru Form {15 MV 105 BFG67239