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CLINICAL RECORD
SPECIMEN SUBMITTED bv
SPFCIWEN
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TISSUE EXAMINATION
DAT;* OBTAINED
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bpiet cl INICal HISTORY f include filtration of lerton anil rapidity of groinh. if nropUi.irn
See also autopsy report, A74-229.
PREOPERATIVE DIAGNOSIS
OPERATIVE FINDINGS POSTOPERATIVE DIAGNOSIS
1 SIGNATURE AND TITLE
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_____
_
PATHOLOGICAL REPORT___________
____________________ _
NAME OF LABORATORY
ACCESSION NO|S).
____ Surgical Pathology Section;S74-2376
lOross dt'^ription, hintoiogic examination and diagnose*)
Gross; Submitted slides from several surgical procedures were received. All
bear the label of St. Anthony Hospital, Louisville, Ky. and some labels bear the patient's name, Fehribach. The slides are listed according to accession numbers of Path. Dept, of St. Anthony's Hospital:
(a) S61-1522 - 4 slides (b) S72-3348 - 3 slides (c) S73-1920 - 7 slides (d) S73-4690 - 19 slides
Microscopic: S61-1522: Sections of the lip show erosion, ulceration, chronic
inflammation and a focal area where strands of stratified squamous epi thelium extend below the mucous membrane into adjacent tissue. The epithelial cells vary in size and shape and form small epithelial pearls.
OVER
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SIGNATURE OF PATHOLOGIST
Carolyn H. Lingeman , M. D.
DATE
10/9/74
AGE
! SEX
62 |
M
RACE
W
IDENTIFICATION NO.
PATIENT'S IDENTIFICATION (For typed or written entries Hive, fimtnv -hist. first, middle, if rede, dote: hospital or medicai facility)
i REGISTER NO.
00-00-00
i WARD NO.
I
TISSUE EXAMINATION Htimiliiril Form Ain
M s- \us
BFG67262
L _
572-3348: Another section of lip which shows only hyperkeratosis.
573-1920: Sections show typical features of gynecomastia with ducts lined by hyperplastic epithelium, sometimes exhibiting intra luminal papillary tufts.
S73-4690: There are fragments of carcinoma cells in the sections of the block of the pleural exudate.
Diagnoses; 1. Superficial squamous cell carcinoma, 2. Hyperkeratosis, lip. 3. Gynecomastia. 4. Carcinoma cells in pleural fluid.
lip.
Louis B. Thomas, M. D
BFG67263