MGH: CoPath coded comments
| Code | Output | Subspecialty |
|---|---|---|
| Code | Output | Subspecialty |
| ADH | Atypical ductal hyperplasia | BR |
| ALH | Lobular neoplasia (atypical lobular hyperplasia) | BR |
| BDA | Blunt duct adenosis | BR |
| BRADS | The results of immunohistochemical staining for estrogen receptor, progesterone receptor, and Her2/neu protein expression and of fluorescence in‐situ hybridization studies for Her2/neu gene amplification will be reported in an addendum. | BR |
| CALC | Calcifications | BR |
| DCIS | Ductal carcinoma in‐situ | BR |
| DCIS1 | Ductal carcinoma in‐situ, grade 1 | BR |
| DCIS2 | Ductal carcinoma in‐situ, grade 2 | BR |
| DCIS3 | Ductal carcinoma in‐situ, grade 2 | BR |
| EEEEE | This case does not contain all the coding components for CMS PQRI measure #99. | BR |
| ERPR | Note: The results of immunohistochemical staining for estrogen and progesterone receptors will be reported in an addendum. | BR |
| FBA | Fibroadenoma | BR |
| FCC | Fibrocystic changes | BR |
| FEA | Flat epithelial atypia | BR |
| GRDNR | The tumor grade in this limited sample may not be representative of the entire lesion. | BR |
| HBX | Healing biopsy site | BR |
| IDC | Invasive ductal carcinoma | BR |
| ILC | Invasive lobular carcinoma | BR |
| ITC | Isolated tumor cells | BR |
| KER1 | Immunostained slides for cytokeratin AE1.3/Cam5.2, cytokeratin 7, and cytokeratin MNF116 were examined on tissue levels. | BR |
| KER2 | Immunostained slides for cytokeratin AE1.3/Cam5.2, cytokeratin 7, and cytokeratin MNF116 were examined on tissue levels from each of 2 blocks. | BR |
| KER3 | Immunostained slides for cytokeratin AE1.3/Cam5.2, cytokeratin 7, and cytokeratin MNF116 were examined on tissue levels from each of 3 blocks. | BR |
| LCIS | Lobular neoplasia (lobular carcinoma in‐situ) | BR |
| MARG | NOTE: The resection margins of the specimen(s) were inked and microscopically evaluated; see individual gross descriptions. | BR |
| MARG1 | NOTE: The resection margins of the specimen were inked and microscopically evaluated. | BR |
| MARG2 | NOTE: The resection margins of the specimens were inked and microscopically evaluated. | BR |
| MULTI | The patient’s chart and available radiographs were reviewed at the MGH Breast Center multidisciplinary conference. | BR |
| PASH | Pseudoangiomatous stromal hyperplasia | BR |
| RADS | Radial scar | BR |
| SCA | Sclerosing adenosis | BR |
| UDH | Usual ductal hyperplasia | BR |
| BTFX | ACUTE HEMORRHAGE WITH DISRUPTION OF BONY TRABECULAE CONSISTENT WITH RECENT FRACTURE | BST |
| CPCD | CALCIUM PYROPHOSPHATE CRYSTAL DEPOSITS | BST |
| DSK1 | FRAGMENTS OF DEGENERATED FIBROCARTILAGE (DISC) AND ATTACHED HYALINE CARTILAGE ENDPLATE | BST |
| DSK2 | FRAGMENTS OF DEGENERATED FIBROCARTILAGE (DISC) AND ATTACHED HYALINE CARTILAGE ENDPLATE WITH HISTOLOGIC EVIDENCE OF PROLAPSE | BST |
| HRN1 | FIBROFATTY TISSUE CONSISTENT WITH HERNIA SAC | BST |
| HRN2 | HERNIA SAC | BST |
| MNSC1 | FRAGMENTS OF DEGENERATED FIBROCARTILAGE (MENISCUS) | BST |
| MNSC2 | FRAGMENTS OF DEGENERATED FIBROCARTILAGE (MENISCUS) AND ARTICULAR HYALINE CARTILAGE | BST |
| MNSC3 | FRAGMENTS OF DEGENERATED FIBROCARTILAGE (MENISCUS), ARTICULAR HYALINE CARTILAGE AND PIECES OF SYNOVIUM | BST |
| OSPHT1 | OSTEOARTHRITIS WITH OSTEOPHYTES | BST |
| OSPHT2 | SEVERE OSTEOARTHRITIS WITH EBURNATION, SUBCHONDRAL SCLEROSIS AND CYSTS AND OSTEOPHYTES. | BST |
| PVNS | PIGMENTED VILLONODULAR SYNOVITIS | BST |
| SNL1 | SYNOVIAL-LIKE TISSUE WITH A PROMINENT MONO AND MULTINUCLEATED HISTIOCYTIC REACTION TO POLYETHYLENE FIBERS AND METAL PARTICLES | BST |
| SNL2 | SYNOVIAL-LIKE TISSUE WITH A PROMINENT MONO AND MULTINUCLEATED HISTIOCYTIC REACTION TO POLYETHYLENE FIBERS, BARIUM IMPREGNATED METHYLMETHACRYLATE AND METAL PARTICLES | BST |
| THYROSEQ | Genetic testing with ThyroSeq® Genomic Classifier (CBLPath, UPMC, Pittsburgh, PA) is pending. Results will be available in the electronic medical record (EPIC) under the Media tab of Chart Review in approximately two weeks. | CYT |
| AFIRMA | Genetic testing with Afirma® Genomic Sequencing Classifier (Veracyte™, South San Francisco, CA) is pending. Results will be available in the electronic medical record (EPIC) under the Media tab of Chart Review in approximately two weeks. | CYT |
| AFIRMAAD | Afirma testing will be performed, and the results reported in an addendum. | CYT |
| ORO | "Lipid laden macrophage index of #. Note: An Oil Red O stain is performed for the purposes of calculating a lipid laden macrophage index. A lipid laden index less than 40 is not indicative of aspiration; an index between 40 and 90 is borderline and essentially indeterminate, and an index greater than 90 is suggestive of aspiration." | CYT |
| OROI | Note: An Oil Red O stain was performed for the purposes of calculating a lipid laden macrophage index, but a lipid laden macrophage index could not be performed due to too few pulmonary macrophages. | CYT |
| CBTP | There are [ <50 / 50-500 / >500 ] tumor cells present on cell block preparation. Tumor cells comprise [ <15% / 15-50% / >50% ] of the nucleated cells. | CYT |
| CFL | Note: The lymphoid population appears polymorphous and reactive; however, cytologic interpretation alone may be insensitive to some lymphoproliferative processes due to the overlap in morphological features. To better characterize the lymphoid population, flow cytometry is being performed, the results of which may change this diagnosis. The results will be reported in an addendum and if not supportive of a reactive node, an amended diagnosis will follow. | CYT |
| FCRC | The lymphoid population appears polymorphous and reactive; however, cytologic interpretation alone may be insensitive to some lymphoproliferative processes due to the overlap in morphological features. If a lymphoproliferative process is of clinical concern, repeat sampling with tissue for flow cytometry warrants clinical consideration. | CYT |
| SATNEG | Satisfactory, negative… | CYT |
| SATATY | Satisfactory, atypical… | CYT |
| SATSUS | Satisfactory, suspicious… | CYT |
| SATPOS | Satisfactory, positive… | CYT |
| SATFLUS | Satisfactory, FLUS… | CYT |
| LIMNEG | Evaluation limited by scant cellularity, negative… | CYT |
| LIMATY | Evaluation limited by scant cellularity, atypical… | CYT |
| LIMSUS | Evaluation limited by scant cellularity, suspicious… | CYT |
| LIMPOS | Evaluation limited by scant cellularity, positive… | CYT |
| LIMFLUS | Evaluation limited by scant cellularity, FLUS… | CYT |
| NSCCR | Note: Due to the non-specific nature of the findings, clinical correlation is required to ensure that the sample is representative of the lesion in question. | CYT |
| ACP | Structures consistent with amoebic cysts are present. Pathogenic and non-pathogenic amoebas cannot be distinguished on cytology, and clinical correlation with additional studies for parasites (e.g., stool examination) may be warranted if clinically indicated. | CYT |
| AA | ALOPECIA AREATA | DP |
| AAK | ACANTHOLYTIC ACTINIC KERATOSIS. | DP |
| AAKPAM | ACANTHOLYTIC ACTINIC KERATOSIS, PRESENT AT MARGIN. | DP |
| ACI | ACUTE AND CHRONIC INFLAMMATION | DP |
| ACIU | ACUTE AND CHRONIC INFLAMMATION AND ULCERATION. | DP |
| ACRO | ACROCHORDON. | DP |
| AFX | ATYPICAL FIBROXANTHOMA. | DP |
| AFXPAM | ATYPICAL FIBROXANTHOMA, PRESENT AT MARGIN. | DP |
| AGEP | ACUTE GENERALIZED EXANTHEMATOUS PUSTULOSIS | DP |
| AHAKSCC | CONSISTENT WITH ACANTHOLYTIC HYPERTROPHIC ACTINIC KERATOSIS (SEE NOTE). Note: This atypical keratinocytic proliferation extends to the base of the biopsy specimen, invasive squamous cell carcinoma cannot be entirely excluded. | DP |
| AI | ACUTE INFLAMMATION | DP |
| AIEC | WITH # CYTOLOGIC ATYPIA OF THE INTRAEPIDERMAL COMPONENT. | DP |
| AIEDC | WITH # CYTOLOGIC ATYPIA OF THE INTRAEPIDERMAL AND DERMAL COMPONENTS. | DP |
| AK | ACTINIC KERATOSIS. | DP |
| AKASCC | CONSISTENT WITH ACTINIC KERATOSIS, ACANTHOLYTIC TYPE (SEE NOTE). Note: This atypical keratinocytic proliferation extends to the base of the biopsy specimen, invasive squamous cell carcinoma cannot be entirely excluded. | DP |
| AKASCCMLE | CONSISTENT WITH ACTINIC KERATOSIS, ACANTHOLYTIC TYPE, MULTIPLE LEVELS EXAMINED (SEE NOTE). Note: This atypical keratinocytic proliferation extends to the base of the biopsy specimen, invasive squamous cell carcinoma cannot be entirely excluded. | DP |
| AKCE | ACTINIC KERATOSIS, COMPLETELY EXCISED. | DP |
| AKPAM | ACTINIC KERATOSIS, PRESENT AT MARGIN. | DP |
| AKSCC | CONSISTENT WITH ACTINIC KERATOSIS (SEE NOTE). Note: This atypical keratinocytic proliferation extends to the base of the biopsy specimen, invasive squamous cell carcinoma cannot be entirely excluded. | DP |
| AKSCCMLE | CONSISTENT WITH ACTINIC KERATOSIS, MULTIPLE LEVELS EXAMINED (SEE NOTE). Note: This atypical keratinocytic proliferation extends to the base of the biopsy specimen, invasive squamous cell carcinoma cannot be entirely excluded. | DP |
| ALSO | This case was also reviewed by Dr. # who agrees with the above diagnosis. | DP |
| AMP | ATYPICAL MELANOCYTIC PROLIFERATION. | DP |
| AVH | ARTERIOVENOUS HEMANGIOMA. | DP |
| BCC | BASAL CELL CARCINOMA | DP |
| BCCI | BASAL CELL CARCINOMA, INFILTRATIVE TYPE. | DP |
| BCCICE | BASAL CELL CARCINOMA, INFILTRATIVE TYPE, COMPLETELY EXCISED. | DP |
| BCCICEMLE | BASAL CELL CARCINOMA, INFILTRATIVE TYPE, COMPLETELY EXCISED, MULTIPLE LEVELS EXAMINED. | DP |
| BCCIMEMLE | BASAL CELL CARCINOMA, INFILTRATIVE AND METATYPICAL TYPES, MULTIPLE LEVELS EXAMINED. | DP |
| BCCIPAM | BASAL CELL CARCINOMA, INFILTRATIVE TYPE, PRESENT AT MARGIN. | DP |
| BCCIPAMMLE | BASAL CELL CARCINOMA, INFILTRATIVE TYPE, PRESENT AT MARGIN, MULTIPLE LEVELS EXAMINED. | DP |
| BCCM | BASAL CELL CARCINOMA, MICRONODULAR TYPE. | DP |
| BCCMCE | BASAL CELL CARCINOMA, MICRONODULAR TYPE, COMPLETELY EXCISED. | DP |
| BCCMCEMLE | BASAL CELL CARCINOMA, MICRONODULAR TYPE, COMPLETELY EXCISED, MULTIPLE LEVELS EXAMINED. | DP |
| BCCME | BASAL CELL CARCINOMA, METATYPICAL TYPE. | DP |
| BCCMECE | BASAL CELL CARCINOMA, METATYPICAL TYPE, COMPLETELY EXCISED. | DP |
| BCCMECEMLE | BASAL CELL CARCINOMA, METATYPICAL TYPE, COMPLETELY EXCISED, MULTIPLE LEVELS EXAMINED. | DP |
| BCCMEMLE | BASAL CELL CARCINOMA, METATYPICAL TYPE, MULTIPLE LEVELS EXAMINED. | DP |
| BCCMEPAM | BASAL CELL CARCINOMA, METATYPICAL TYPE, PRESENT AT MARGIN. | DP |
| BCCMEXNEGBCC | BASAL CELL CARCINOMA, MICRONODULAR TYPE, EXAMINED INKED MARGINS ARE FREE OF BASAL CELL CARCINOMA. | DP |
| BCCMI | BASAL CELL CARCINOMA, MICRONODULAR AND INFILTRATIVE TYPES. | DP |
| BCCMIEXNEGBCC | BASAL CELL CARCINOMA, MICRONODULAR AND INFILTRATIVE TYPES. EXAMINED INKED MARGINS ARE FREE OF BASAL CELL CARCINOMA. | DP |
| BCCMIMLE | BASAL CELL CARCINOMA, MICRONODULAR AND INFILTRATIVE TYPES, MULTIPLE LEVELS EXAMINED. | DP |
| BCCMIPAMMLE | BASAL CELL CARCINOMA, MICRONODULAR AND INFILTRATIVE TYPES, PRESENT AT MARGIN, MULTIPLE LEVELS EXAMINED. | DP |
| BCCMLE | BASAL CELL CARCINOMA, MULTIPLE LEVELS EXAMINED. | DP |
| BCCMMLE | BASAL CELL CARCINOMA, MICRONODULAR TYPE, MULTIPLE LEVELS EXAMINED. | DP |
| BCCMO | BASAL CELL CARCINOMA, MORPHEA TYPE. | DP |
| BCCMOCE | BASAL CELL CARCINOMA, MORPHEA TYPE, COMPLETELY EXCISED. | DP |
| BCCMOME | BASAL CELL CARCINOMA, MORPHEA AND METATYPICAL TYPES. | DP |
| BCCMOMLE | BASAL CELL CARCINOMA, MORPHEA TYPE, MULTIPLE LEVELS EXAMINED. | DP |
| BCCMPAM | BASAL CELL CARCINOMA, MICRONODULAR TYPE, PRESENT AT MARGIN. | DP |
| BCCMPAMMLE | BASAL CELL CARCINOMA, MICRONODULAR TYPE, PRESENT AT MARGIN, MULTIPLE LEVELS EXAMINED. | DP |
| BCCN | BASAL CELL CARCINOMA, NODULAR TYPE. | DP |
| BCCNCE | BASAL CELL CARCINOMA, NODULAR TYPE, COMPLETELY EXCISED. | DP |
| BCCNCEMLE | BASAL CELL CARCINOMA, NODULAR TYPE, COMPLETELY EXCISED, MULTIPLE LEVELS EXAMINED. | DP |
| BCCNEXNEGBCC | BASAL CELL CARCINOMA, NODULAR TYPE. EXAMINED INKED MARGINS ARE FREE OF BASAL CELL CARCINOMA. | DP |
| BCCNEXNEGBCCMLE | BASAL CELL CARCINOMA, NODULAR TYPE. EXAMINED INKED MARGINS ARE FREE OF BASAL CELL CARCINOMA, MULTIPLE LEVELS EXAMINED. | DP |
| BCCNI | BASAL CELL CARCINOMA, NODULAR AND INFILTRATIVE TYPES. | DP |
| BCCNICE | BASAL CELL CARCINOMA, NODULAR AND INFILTRATIVE TYPES, COMPLETELY EXCISED. | DP |
| BCCNICEMLE | BASAL CELL CARCINOMA, NODULAR AND INFILTRATIVE TYPES, COMPLETELY EXCISED, MULTIPLE LEVELS EXAMINED. | DP |
| BCCNIEXNEGBCC | BASAL CELL CARCINOMA, NODULAR AND INFILTRATIVE TYPES. EXAMINED INKED MARGINS ARE FREE OF BASAL CELL CARCINOMA. | DP |
| BCCNIEXNEGBCCMLE | BASAL CELL CARCINOMA, NODULAR AND INFILTRATIVE TYPES. EXAMINED INKED MARGINS ARE FREE OF BASAL CELL CARCINOMA, MULTIPLE LEVELS EXAMINED. | DP |
| BCCNIMEMLE | BASAL CELL CARCINOMA, NODULAR, INFILTRATIVE, AND METATYPICAL TYPES, MULTIPLE LEVELS EXAMINED. | DP |
| BCCNIMLE | BASAL CELL CARCINOMA, NODULAR AND INFILTRATIVE TYPES, MULTIPLE LEVELS EXAMINED. | DP |
| BCCNIPAM | BASAL CELL CARCINOMA, NODULAR AND INFILTRATIVE TYPES, PRESENT AT MARGIN. | DP |
| BCCNIPAMMLE | BASAL CELL CARCINOMA, NODULAR AND INFILTRATIVE TYPES, PRESENT AT MARGIN, MULTIPLE LEVELS EXAMINED. | DP |
| BCCNM | BASAL CELL CARCINOMA, NODULAR AND MICRONODULAR TYPES. | DP |
| BCCNMCEMLE | BASAL CELL CARCINOMA, NODULAR AND MICRONODULAR TYPES, COMPLETELY EXCISED, MULTIPLE LEVELS EXAMINED. | DP |
| BCCNME | BASAL CELL CARCINOMA, NODULAR AND METATYPICAL TYPES. | DP |
| BCCNMEMLE | BASAL CELL CARCINOMA, NODULAR AND METATYPICAL TYPES, MULTIPLE LEVELS EXAMINED. | DP |
| BCCNMEXNEGBCC | BASAL CELL CARCINOMA, NODULAR AND MICRONODULAR TYPES. EXAMINED INKED MARGINS ARE FREE OF BASAL CELL CARCINOMA. | DP |
| BCCNMI | BASAL CELL CARCINOMA, NODULAR, MICRONODULAR, AND INFILTRATIVE TYPES. | DP |
| BCCNMLE | BASAL CELL CARCINOMA, NODULAR TYPE, MULTIPLE LEVELS EXAMINED. | DP |
| BCCNMMLE | BASAL CELL CARCINOMA, NODULAR AND MICRONODULAR TYPES, MULTIPLE LEVELS EXAMINED. | DP |
| BCCNMO | BASAL CELL CARCINOMA, NODULAR AND MORPHEA TYPES. | DP |
| BCCNMPAMMLE | BASAL CELL CARCINOMA, NODULAR AND MICRONODULAR TYPES, PRESENT AT MARGIN, MULTIPLE LEVELS EXAMINED. | DP |
| BCCS | BASAL CELL CARCINOMA, SUPERFICIAL TYPE. | DP |
| BCCSCE | BASAL CELL CARCINOMA, SUPERFICIAL TYPE, COMPLETELY EXCISED. | DP |
| BCCSCEMLE | BASAL CELL CARCINOMA, SUPERFICIAL TYPE, COMPLETELY EXCISED, MULTIPLE LEVELS EXAMINED. | DP |
| BCCSEXNEGBCC | BASAL CELL CARCINOMA, SUPERFICIAL TYPE. EXAMINED INKED MARGINS ARE FREE OF BASAL CELL CARCINOMA. | DP |
| BCCSEXNEGBCCMLE | BASAL CELL CARCINOMA, SUPERFICIAL TYPE. EXAMINED INKED MARGINS ARE FREE OF BASAL CELL CARCINOMA, MULTIPLE LEVELS EXAMINED. | DP |
| BCCSI | BASAL CELL CARCINOMA, SUPERFICIAL AND INFILTRATIVE TYPES. | DP |
| BCCSICE | BASAL CELL CARCINOMA, SUPERFICIAL AND INFILTRATIVE TYPES, COMPLETELY EXCISED. | DP |
| BCCSIEXNEGBCC | BASAL CELL CARCINOMA, SUPERFICIAL AND INFILTRATIVE TYPES. EXAMINED INKED MARGINS ARE FREE OF BASAL CELL CARCINOMA. | DP |
| BCCSIMLE | BASAL CELL CARCINOMA, SUPERFICIAL AND INFILTRATIVE TYPES, MULTIPLE LEVELS EXAMINED. | DP |
| BCCSIPAM | BASAL CELL CARCINOMA, SUPERFICIAL AND INFILTRATIVE TYPES, PRESENT AT MARGIN. | DP |
| BCCSIPAMMLE | BASAL CELL CARCINOMA, SUPERFICIAL AND INFILTRATIVE TYPES, PRESENT AT MARGIN, MULTIPLE LEVELS EXAMINED. | DP |
| BCCSM | BASAL CELL CARCINOMA, SUPERFICIAL AND MICRONODULAR TYPES. | DP |
| BCCSMCE | BASAL CELL CARCINOMA, SUPERFICIAL AND MICRONODULAR TYPES, COMPLETELY EXCISED. | DP |
| BCCSME | BASAL CELL CARCINOMA, SUPERFICIAL AND METATYPICAL TYPES. | DP |
| BCCSMEI | BASAL CELL CARCINOMA, SUPERFICIAL, METATYPICAL, AND INFILTRATIVE TYPES. | DP |
| BCCSMEMLE | BASAL CELL CARCINOMA, SUPERFICIAL AND METATYPICAL TYPES, MULTIPLE LEVELS EXAMINED. | DP |
| BCCSMI | BASAL CELL CARCINOMA, SUPERFICIAL, MICRONODULAR, AND INFILTRATIVE TYPES. | DP |
| BCCSMIMLE | BASAL CELL CARCINOMA, SUPERFICIAL, MICRONODULAR AND INFILTRATIVE TYPES, MULTIPLE LEVELS EXAMINED. | DP |
| BCCSMLE | BASAL CELL CARCINOMA, SUPERFICIAL TYPE, MULTIPLE LEVELS EXAMINED. | DP |
| BCCSMMLE | BASAL CELL CARCINOMA, SUPERFICIAL AND MICRONODULAR TYPES, MULTIPLE LEVELS EXAMINED. | DP |
| BCCSMPAMMLE | BASAL CELL CARCINOMA, SUPERFICIAL AND MICRONODULAR TYPES, PRESENT AT MARGIN, MULTIPLE LEVELS EXAMINED. | DP |
| BCCSN | BASAL CELL CARCINOMA, SUPERFICIAL AND NODULAR TYPES. | DP |
| BCCSNCE | BASAL CELL CARCINOMA, SUPERFICIAL AND NODULAR TYPES, COMPLETELY EXCISED. | DP |
| BCCSNCEMLE | BASAL CELL CARCINOMA, SUPERFICIAL AND NODULAR TYPES, COMPLETELY EXCISED, MULTIPLE LEVELS EXAMINED. | DP |
| BCCSNEXNEGBCC | BASAL CELL CARCINOMA, SUPERFICIAL AND NODULAR TYPES. EXAMINED INKED MARGINS ARE FREE OF BASAL CELL CARCINOMA. | DP |
| BCCSNEXNEGBCCMLE | BASAL CELL CARCINOMA, SUPERFICIAL AND NODULAR TYPES. EXAMINED INKED MARGINS ARE FREE OF BASAL CELL CARCINOMA, MULTIPLE LEVELS EXAMINED. | DP |
| BCCSNI | BASAL CELL CARCINOMA, SUPERFICIAL, NODULAR, AND INFILTRATIVE TYPES. | DP |
| BCCSNICE | BASAL CELL CARCINOMA, SUPERFICIAL, NODULAR, AND INFILTRATIVE TYPES, COMPLETELY EXCISED. | DP |
| BCCSNICEMLE | BASAL CELL CARCINOMA, SUPERFICIAL, NODULAR, AND INFILTRATIVE TYPES, COMPLETELY EXCISED, MULTIPLE LEVELS EXAMINED. | DP |
| BCCSNIEXNEGBCCMLE | BASAL CELL CARCINOMA, SUPERFICIAL, NODULAR, AND INFILTRATIVE TYPES. EXAMINED INKED MARGINS ARE FREE OF BASAL CELL CARCINOMA, MULTIPLE LEVELS EXAMINED. | DP |
| BCCSNIME | BASAL CELL CARCINOMA, SUPERFICIAL, NODULAR, INFILTRATIVE AND METATYPICAL TYPES. | DP |
| BCCSNIMLE | BASAL CELL CARCINOMA, SUPERFICIAL, NODULAR, AND INFILTRATIVE TYPES, MULTIPLE LEVELS EXAMINED. | DP |
| BCCSNIPAM | BASAL CELL CARCINOMA, SUPERFICIAL, NODULAR, AND INFILTRATIVE TYPES, PRESENT AT MARGIN. | DP |
| BCCSNIPAMMLE | BASAL CELL CARCINOMA, SUPERFICIAL, NODULAR, AND INFILTRATIVE TYPES, PRESENT AT MARGIN, MULTIPLE LEVELS EXAMINED. | DP |
| BCCSNM | BASAL CELL CARCINOMA, SUPERFICIAL, NODULAR AND MICRONODULAR TYPES. | DP |
| BCCSNMLE | BASAL CELL CARCINOMA, SUPERFICIAL AND NODULAR TYPES, MULTIPLE LEVELS EXAMINED. | DP |
| BCCSNPAM | BASAL CELL CARCINOMA, SUPERFICIAL AND NODULAR TYPES, PRESENT AT MARGIN. | DP |
| BCCSNPAMMLE | BASAL CELL CARCINOMA, SUPERFICIAL AND NODULAR TYPES, PRESENT AT MARGIN, MULTIPLE LEVELS EXAMINED. | DP |
| BCCSPAMMLE | BASAL CELL CARCINOMA, SUPERFICIAL TYPE, PRESENT AT MARGIN, MULTIPLE LEVELS EXAMINED. | DP |
| BN | BLUE NEVUS. | DP |
| BNCEMLE | BLUE NEVUS, COMPLETELY EXCISED, MULTIPLE LEVELS EXAMINED. | DP |
| BNPAM | BLUE NEVUS, PRESENT AT MARGIN. | DP |
| BNPAMMLE | BLUE NEVUS, PRESENT AT MARGIN, MULTIPLE LEVELS EXAMINED. | DP |
| BP | bullous pemphigoid. | DP |
| BPEH | BENIGN PAPILLARY EPIDERMAL HYPERPLASIA | DP |
| BXO | BALANITIS XEROTICA OBLITERANS. | DP |
| CBEE | cannot be entirely excluded. | DP |
| CCA | CLEAR CELL ACANTHOMA. | DP |
| CCAMLE | CLEAR CELL ACANTHOMA, MULTIPLE LEVELS EXAMINED. | DP |
| CCIR | Clinical correlation is recommended. | DP |
| CCN | CONGENITAL COMPOUND NEVUS. | DP |
| CCNCE | CONGENITAL COMPOUND NEVUS, COMPLETELY EXCISED. | DP |
| CCNMLE | CONGENITAL COMPOUND NEVUS, MULTIPLE LEVELS EXAMINED. | DP |
| CCNPAM | CONGENITAL COMPOUND NEVUS, PRESENT AT MARGIN. | DP |
| CCNPAMMLE | CONGENITAL COMPOUND NEVUS, PRESENT AT MARGIN, MULTIPLE LEVELS EXAMINED. | DP |
| CDN | CONGENITAL DERMAL NEVUS. | DP |
| CDNAIEC | CONGENITAL DERMAL NEVUS WITH # CYTOLOGIC ATYPIA OF THE INTRAEPIDERMAL COMPONENT. | DP |
| CDNAIECCE | CONGENITAL DERMAL NEVUS WITH # CYTOLOGIC ATYPIA OF THE INTRAEPIDERMAL COMPONENT, COMPLETELY EXCISED. | DP |
| CDNAIECCEMLE | CONGENITAL DERMAL NEVUS WITH # CYTOLOGIC ATYPIA OF THE INTRAEPIDERMAL COMPONENT, COMPLETELY EXCISED, MULTIPLE LEVELS EXAMINED. | DP |
| CDNAIECMLE | CONGENITAL DERMAL NEVUS WITH # CYTOLOGIC ATYPIA OF THE INTRAEPIDERMAL COMPONENT, MULTIPLE LEVELS EXAMINED. | DP |
| CDNAIECPAM | CONGENITAL DERMAL NEVUS WITH # CYTOLOGIC ATYPIA OF THE INTRAEPIDERMAL COMPONENT, PRESENT AT MARGIN. | DP |
| CDNMLE | CONGENITAL DERMAL NEVUS, MULTIPLE LEVELS EXAMINED. | DP |
| CDNPAM | CONGENITAL DERMAL NEVUS, PRESENT AT MARGIN. | DP |
| CDNPAMMLE | CONGENITAL DERMAL NEVUS, PRESENT AT MARGIN, MULTIPLE LEVELS EXAMINED. | DP |
| CEMLE | COMPLETELY EXCISED, MULTIPLE LEVELS EXAMINED. | DP |
| CESNN | COMPLETELY EXCISED (SEE NOTE). Note: | DP |
| CLIN | The clinician has been notified by page/e-mail of the findings on #. | DP |
| CN | COMPOUND NEVUS. | DP |
| CNCE | COMPOUND NEVUS, COMPLETELY EXCISED. | DP |
| CNCEMLE | COMPOUND NEVUS, COMPLETELY EXCISED, MULTIPLE LEVELS EXAMINED. | DP |
| CNFOC | COMPOUND NEVUS WITH FEATURES OF CONGENITAL ONSET. | DP |
| CNFOCCEMLE | COMPOUND NEVUS WITH FEATURES OF CONGENITAL ONSET, COMPLETELY EXCISED, MULTIPLE LEVELS EXAMINED. | DP |
| CNFOCMLE | COMPOUND NEVUS WITH FEATURES OF CONGENITAL ONSET, MULTIPLE LEVELS EXAMINED. | DP |
| CNFOCPAM | COMPOUND NEVUS WITH FEATURES OF CONGENITAL ONSET, PRESENT AT MARGIN. | DP |
| CNH | CHONDRODERMATITIS NODULARIS HELICIS. | DP |
| CNHMLE | CHONDRODERMATITIS NODULARIS HELICIS, MULTIPLE LEVELS EXAMINED. | DP |
| CNMLE | COMPOUND NEVUS, MULTIPLE LEVELS EXAMINED. | DP |
| CNN | COMPOUND NEVUS, NEUROTIZED. | DP |
| CNNMLE | COMPOUND NEVUS, NEUROTIZED, MULTIPLE LEVELS EXAMINED. | DP |
| CNNPAM | COMPOUND NEVUS, NEUROTIZED, PRESENT AT MARGIN. | DP |
| CNPAM | COMPOUND NEVUS, PRESENT AT MARGIN. | DP |
| CNPAMMLE | COMPOUND NEVUS, PRESENT AT MARGIN, MULTIPLE LEVELS EXAMINED. | DP |
| COND | condyloma acuminatum. | DP |
| CONDMLE | CONDYLOMA ACUMINATUM, MULTIPLE LEVELS EXAMINED. | DP |
| CONS | This case has been reviewed by Drs. Lyn M. Duncan, Mai P. Hoang, Rosalynn M. Nazarian, Martin C. Mihm, Adriano Piris, and Stefan Kraft at the Dermatopathology Consensus Conference on # and all are in agreement with the above interpretation. | DP |
| CPC | Clinicopathologic correlation is recommended. | DP |
| CTCL | cutaneous T-cell lymphoma | DP |
| CTD | connective tissue disease | DP |
| CWAA | CONSISTENT WITH ALOPECIA AREATA. | DP |
| CWAK | CONSISTENT WITH ACTINIC KERATOSIS. | DP |
| CWAKMLE | CONSISTENT WITH ACTINIC KERATOSIS, MULTIPLE LEVELS EXAMINED. | DP |
| CWEIC | CONSISTENT WITH EPIDERMAL INCLUSION CYST. | DP |
| CWEICR | CONSISTENT WITH RUPTURED EPIDERMAL INCLUSION CYST. | DP |
| DDX | The differential diagnosis includes | DP |
| DEJ | DERMO-EPIDERMAL JUNCTION | DP |
| DF | DERMATOFIBROMA. | DP |
| DFCEMLE | DERMATOFIBROMA, COMPLETELY EXCISED, MULTIPLE LEVELS EXAMINED. | DP |
| DFMLE | DERMATOFIBROMA, MULTIPLE LEVELS EXAMINED. | DP |
| DFPAM | DERMATOFIBROMA, PRESENT AT MARGIN. | DP |
| DFSP | DERMATOFIBROSARCOMA PROTUBERANS. | DP |
| DH | DERMATITIS HERPETIFORMIS. | DP |
| DIC | DISSEMINATED INTRAVASCULAR COAGULATION. | DP |
| DIF | direct immunofluorescence | DP |
| DIFGROSS | Received in Zeuss fixative is a punch biopsy of skin. It is washed with buffered saline and frozen entirely. | DP |
| DLE | DISCOID LUPUS ERYTHEMATOSUS. | DP |
| DM | DERMATOMYOSITIS | DP |
| DN | DERMAL NEVUS | DP |
| DNCE | DERMAL NEVUS, COMPLETELY EXCISED. | DP |
| DNCEMLE | DERMAL NEVUS, COMPLETELY EXCISED, MULTIPLE LEVELS EXAMINED. | DP |
| DNEXNEG | DERMAL NEVUS. THE EXAMINED INKED MARGINS ARE FREE. | DP |
| DNFOC | DERMAL NEVUS WITH FEATURES OF CONGENITAL ONSET. | DP |
| DNFOCMLE | DERMAL NEVUS WITH FEATURES OF CONGENITAL ONSET, MULTIPLE LEVELS EXAMINED. | DP |
| DNFOCPAM | DERMAL NEVUS WITH FEATURES OF CONGENITAL ONSET, PRESENT AT MARGIN. | DP |
| DNMLE | DERMAL NEVUS, MULTIPLE LEVELS EXAMINED. | DP |
| DNN | DERMAL NEVUS, NEUROTIZED. | DP |
| DNNFOC | DERMAL NEVUS, NEUROTIZED, WITH FEATURES OF CONGENITAL ONSET. | DP |
| DNNFOCMLE | DERMAL NEVUS, NEUROTIZED, WITH FEATURES OF CONGENITAL ONSET, MULTIPLE LEVELS EXAMINED. | DP |
| DNNMLE | DERMAL NEVUS, NEUROTIZED, MULTIPLE LEVELS EXAMINED. | DP |
| DNPAM | DERMAL NEVUS, PRESENT AT MARGIN. | DP |
| DSAP | DISSEMINATED SUPERFICIAL ACTINIC POROKERATOSIS. | DP |
| DSAPMLE | DISSEMINATED SUPERFICIAL ACTINIC POROKERATOSIS, MULTIPLE LEVELS EXAMINED. | DP |
| DYSN | DYSPLASTIC NEVUS | DP |
| EAC | ERYTHEMA ANNULARE CENTRIFUGUM. | DP |
| EACMLE | ERYTHEMA ANNULARE CENTRIFUGUM, MULTIPLE LEVELS EXAMINED. | DP |
| EBA | EPIDERMOLYSIS BULLOSA ACQUISITA. | DP |
| ECZD | eczematous dermatitis. | DP |
| EIC | EPIDERMAL INCLUSION CYST | DP |
| EICR | EPIDERMAL INCLUSION CYST, RUPTURED. | DP |
| EICRMLE | EPIDERMAL INCLUSION CYST, RUPTURED, MULTIPLE LEVELS EXAMINED. | DP |
| EM | erythema multiforme. | DP |
| EMPD | EXTRAMAMMARY PAGET'S DISEASE | DP |
| ENSURE | Clinical correlation is recommended to help insure the biopsy is representative of the underlying lesion. | DP |
| ETDM | EXTENDING TO THE DEEP MARGIN | DP |
| ETLM | EXTENDING TO THE LATERAL MARGIN | DP |
| ETLMMLE | EXTENDING TO THE LATERAL MARGIN, MULTIPLE LEVELS EXAMINED. | DP |
| ETM | EXTENDING TO THE MARGIN. | DP |
| ETTE | EXTENDING TO THE TISSUE EDGES | DP |
| ETTEMLE | EXTENDING TO THE TISSUE EDGES, MULTIPLE LEVELS EXAMINED. | DP |
| ETWM | EXTENDS TO WITHIN # MM OF THE # MARGIN. | DP |
| EXNEG | THE EXAMINED INKED MARGINS ARE FREE. | DP |
| EXNEGBCC | EXAMINED INKED MARGINS ARE FREE OF BASAL CELL CARCINOMA. | DP |
| EXNEGMLE | THE EXAMINED INKED MARGINS ARE FREE, MULTIPLE LEVELS EXAMINED. | DP |
| EXNEGMM | EXAMINED INKED MARGINS ARE FREE OF MALIGNANT MELANOMA. | DP |
| EXNEGMMIS | THE EXAMINED INKED MARGINS ARE FREE OF MALIGNANT MELANOMA IN SITU. | DP |
| EXNEGNEV | EXAMINED INKED MARGINS ARE FREE OF ATYPICAL NEVOMELANOCYTES. | DP |
| EXNEGSCC | EXAMINED INKED MARGINS ARE FREE OF SQUAMOUS CELL CARCINOMA. | DP |
| FAD | FOCAL ACANTHOLYTIC DYSKERATOSIS | DP |
| FADMLE | FOCAL ACANTHOLYTIC DYSKERATOSIS, MULTIPLE LEVELS EXAMINED. | DP |
| FCW | The findings are consistent with | DP |
| FDE | FIXED DRUG ERUPTION | DP |
| FEVDX | may be helpful in further evaluation and diagnosis. | DP |
| FFPE | formalin-fixed, paraffin-embedded tissue | DP |
| FIC | FOLLICULOINFUNDIBULAR CYST. | DP |
| FICMLE | FOLLICULOINFUNDIBULAR CYST, MULTIPLE LEVELS EXAMINED. | DP |
| FIP | FIBROUS PAPULE. | DP |
| FIPMLE | FIBROUS PAPULE, MULTIPLE LEVELS EXAMINED. | DP |
| FOC | WITH FEATURES OF CONGENITAL ONSET | DP |
| FOCCEMLE | WITH FEATURES OF CONGENITAL ONSET, COMPLETELY EXCISED, MULTIPLE LEVELS EXAMINED. | DP |
| FOCPAM | WITH FEATURES OF CONGENITAL ONSET, PRESENT AT MARGINS. | DP |
| FOCPAMMLE | WITH FEATURES OF CONGENITAL ONSET, PRESENT AT MARGINS, MULTIPLE LEVELS EXAMINED. | DP |
| FRO | FRAGMENTS OF | DP |
| GAMLE | GRANULOMA ANNULARE, MULTIPLE LEVELS EXAMINED. | DP |
| GRAD | GRANULOMATOUS DERMATITIS. | DP |
| GVHD | GRAFT-VERSUS-HOST DISEASE. | DP |
| HAK | HYPERTROPHIC ACTINIC KERATOSIS. | DP |
| HAKMLE | HYPERTROPHIC ACTINIC KERATOSIS, MULTIPLE LEVELS EXAMINED. | DP |
| HAKPAM | HYPERTROPHIC ACTINIC KERATOSIS, PRESENT AT MARGIN. | DP |
| HAKSCC | CONSISTENT WITH HYPERTROPHIC ACTINIC KERATOSIS (SEE NOTE). Note: This atypical keratinocytic proliferation extends to the base of the biopsy specimen, invasive squamous cell carcinoma cannot be entirely excluded. | DP |
| HAKSCCMLE | CONSISTENT WITH HYPERTROPHIC ACTINIC KERATOSIS, MULTIPLE LEVELS EXAMINED (SEE NOTE). Note: This atypical keratinocytic proliferation extends to the base of the biopsy specimen, invasive squamous cell carcinoma cannot be entirely excluded. | DP |
| HAKSCCPAMMLE | CONSISTENT WITH HYPERTROPHIC ACTINIC KERATOSIS, PRESENT AT MARGIN, MULTIPLE LEVELS EXAMINED (SEE NOTE). Note: This atypical keratinocytic proliferation extends to the base of the biopsy specimen, invasive squamous cell carcinoma cannot be entirely excluded. | DP |
| HIDS | HIDRADENITIS SUPPURATIVA. | DP |
| HK | HYPERKERATOSIS | DP |
| HLP | HYPERTROPHIC LICHEN PLANUS. | DP |
| HM | HEMANGIOMA. | DP |
| HMLE | HEMANGIOMA, MULTIPLE LEVELS EXAMINED. | DP |
| HPV | HUMAN PAPILLOMAVIRUS. | DP |
| HRX | hypersensitivity reaction. | DP |
| HRXA | hypersensitivity reaction, as to arthropod bite or infestation. | DP |
| HRXC | hypersensitivity reaction, as to contactant. | DP |
| HRXD | hypersensitivity reaction, such as to drug. | DP |
| HRXDA | a hypersensitivity reaction, such as to drug or arthropod bite or infestation. | DP |
| HRXDC | hypersensitivity reaction, such as to drug or contactant. | DP |
| HRXDCA | hypersensitivity reaction, such as to drug, contactant, or arthropod bite or infestation. | DP |
| IFK | INVERTED FOLLICULAR KERATOSIS. | DP |
| IFKMLE | INVERTED FOLLICULAR KERATOSIS, MULTIPLE LEVELS EXAMINED. | DP |
| IHCREV | Immunohistochemical studies performed at the referring laboratory and reviewed at Massachusetts General Hospital reveal | DP |
| ILVEN | INFLAMMATORY LINEAR VERRUCOUS EPIDERMAL NEVUS | DP |
| INTD | INTERFACE DERMATITIS | DP |
| ITAN | INVERTED TYPE-A NEVUS. | DP |
| ITANMLE | INVERTED TYPE-A NEVUS, MULTIPLE LEVELS EXAMINED. | DP |
| JN | JUNCTIONAL NEVUS. | DP |
| JNCEMLE | JUNCTIONAL NEVUS, COMPLETELY EXCISED, MULTIPLE LEVELS EXAMINED. | DP |
| JNMLE | JUNCTIONAL NEVUS, MULTIPLE LEVELS EXAMINED. | DP |
| JNPAM | JUNCTIONAL NEVUS, PRESENT AT MARGIN. | DP |
| JXG | JUVENILE XANTHOGRANULOMA. | DP |
| KA | KERATOACANTHOMA. | DP |
| KS | KAPOSI'S SARCOMA | DP |
| KSMLE | KAPOSI'S SARCOMA, MULTIPLE LEVELS EXAMINED. | DP |
| LAK | LICHENOID ACTINIC KERATOSIS. | DP |
| LAKCE | LICHENOID ACTINIC KERATOSIS, COMPLETELY EXCISED. | DP |
| LAKMLE | LICHENOID ACTINIC KERATOSIS, MULTIPLE LEVELS EXAMINED. | DP |
| LAKSCC | CONSISTENT WITH LICHENOID ACTINIC KERATOSIS (SEE NOTE). Note: This atypical keratinocytic proliferation extends to the base of the biopsy specimen, invasive squamous cell carcinoma cannot be entirely excluded. | DP |
| LCDNAIEC | LENTIGINOUS COMPOUND DYSPLASTIC NEVUS WITH # CYTOLOGIC ATYPIA OF THE INTRAEPIDERMAL COMPONENT. | DP |
| LCDNAIECCE | LENTIGINOUS COMPOUND DYSPLASTIC NEVUS WITH # CYTOLOGIC ATYPIA OF THE INTRAEPIDERMAL COMPONENT, COMPLETELY EXCISED. | DP |
| LCDNAIECCEMLE | LENTIGINOUS COMPOUND DYSPLASTIC NEVUS WITH # CYTOLOGIC ATYPIA OF THE INTRAEPIDERMAL COMPONENT, COMPLETELY EXCISED, MULTIPLE LEVELS EXAMINED. | DP |
| LCDNAIECPAM | LENTIGINOUS COMPOUND DYSPLASTIC NEVUS WITH # CYTOLOGIC ATYPIA OF THE INTRAEPIDERMAL COMPONENT, PRESENT AT MARGIN. | DP |
| LCDNAIECPAMMLE | LENTIGINOUS COMPOUND DYSPLASTIC NEVUS WITH # CYTOLOGIC ATYPIA OF THE INTRAEPIDERMAL COMPONENT, PRESENT AT MARGIN, MULTIPLE LEVELS EXAMINED. | DP |
| LCDNAIEDC | LENTIGINOUS COMPOUND DYSPLASTIC NEVUS WITH # CYTOLOGIC ATYPIA OF THE INTRAEPIDERMAL AND DERMAL COMPONENTS. | DP |
| LCDNAIEDCCE | LENTIGINOUS COMPOUND DYSPLASTIC NEVUS WITH # CYTOLOGIC ATYPIA OF THE INTRAEPIDERMAL AND DERMAL COMPONENTS, COMPLETELY EXCISED. | DP |
| LCDNAIEDCCEMLE | LENTIGINOUS COMPOUND DYSPLASTIC NEVUS WITH # CYTOLOGIC ATYPIA OF THE INTRAEPIDERMAL AND DERMAL COMPONENTS, COMPLETELY EXCISED, MULTIPLE LEVELS EXAMINED. | DP |
| LCDNAIEDCMLE | LENTIGINOUS COMPOUND DYSPLASTIC NEVUS WITH # CYTOLOGIC ATYPIA OF THE INTRAEPIDERMAL AND DERMAL COMPONENTS, MULTIPLE LEVELS EXAMINED. | DP |
| LCDNAIEDCPAM | LENTIGINOUS COMPOUND DYSPLASTIC NEVUS WITH # CYTOLOGIC ATYPIA OF THE INTRAEPIDERMAL AND DERMAL COMPONENTS, PRESENT AT MARGIN. | DP |
| LCDNAIEDCPAMMLE | LENTIGINOUS COMPOUND DYSPLASTIC NEVUS WITH # CYTOLOGIC ATYPIA OF THE INTRAEPIDERMAL AND DERMAL COMPONENTS, PRESENT AT MARGINS, MULTIPLE LEVELS EXAMINED. | DP |
| LCDNCE | LENTIGINOUS COMPOUND DYSPLASTIC NEVUS WITH # CYTOLOGIC ATYPIA, COMPLETELY EXCISED. | DP |
| LCDNCEMLE | LENTIGINOUS COMPOUND DYSPLASTIC NEVUS WITH # CYTOLOGIC ATYPIA, COMPLETELY EXCISED, MULTIPLE LEVELS EXAMINED. | DP |
| LCDNMLE | LENTIGINOUS COMPOUND DYSPLASTIC NEVUS WITH # CYTOLOGIC ATYPIA, MULTIPLE LEVELS EXAMINED. | DP |
| LCDNPAM | LENTIGINOUS COMPOUND DYSPLASTIC NEVUS WITH # CYTOLOGIC ATYPIA, PRESENT AT MARGIN. | DP |
| LCDNPAMMLE | LENTIGINOUS COMPOUND DYSPLASTIC NEVUS WITH # CYTOLOGIC ATYPIA, PRESENT AT MARGIN, MULTIPLE LEVELS EXAMINED. | DP |
| LCH | LOBULAR CAPILLARY HEMANGIOMA (PYOGENIC GRANULOMA). | DP |
| LCHMLE | LOBULAR CAPILLARY HEMANGIOMA (PYOGENIC GRANULOMA), MULTIPLE LEVELS EXAMINED. | DP |
| LCN | LENTIGINOUS COMPOUND NEVUS. | DP |
| LCNAIEC | LENTIGINOUS COMPOUND NEVUS WITH # CYTOLOGIC ATYPIA OF THE INTRAEPIDERMAL COMPONENT. | DP |
| LCNAIECCE | LENTIGINOUS COMPOUND NEVUS WITH # CYTOLOGIC ATYPIA OF THE INTRAEPIDERMAL COMPONENT, COMPLETELY EXCISED. | DP |
| LCNAIECCEMLE | LENTIGINOUS COMPOUND NEVUS WITH # CYTOLOGIC ATYPIA OF THE INTRAEPIDERMAL COMPONENT, COMPLETELY EXCISED, MULTIPLE LEVELS EXAMINED. | DP |
| LCNAIECEXNEGMLE | LENTIGINOUS COMPOUND NEVUS WITH # CYTOLOGIC ATYPIA OF THE INTRAEPIDERMAL COMPONENT. EXAMINED INKED MARGINS ARE FREE, MULTIPLE LEVELS EXAMINED. | DP |
| LCNAIECPAM | LENTIGINOUS COMPOUND NEVUS WITH # CYTOLOGIC ATYPIA OF THE INTRAEPIDERMAL COMPONENT, PRESENT AT MARGIN. | DP |
| LCNAIECPAMMLE | LENTIGINOUS COMPOUND NEVUS WITH # CYTOLOGIC ATYPIA OF THE INTRAEPIDERMAL COMPONENT, PRESENT AT MARGIN, MULTIPLE LEVELS EXAMINED. | DP |
| LCNAIEDC | LENTIGINOUS COMPOUND NEVUS WITH # CYTOLOGIC ATYPIA OF THE INTRAEPIDERMAL AND DERMAL COMPONENTS. | DP |
| LCNCE | LENTIGINOUS COMPOUND NEVUS WITH # CYTOLOGICAL ATYPIA, COMPLETELY EXCISED. | DP |
| LCNCEMLE | LENTIGINOUS COMPOUND NEVUS, COMPLETELY EXCISED, MULTIPLE LEVELS EXAMINED. | DP |
| LCNEXNEGMLE | LENTIGINOUS COMPOUND NEVUS WITH # CYTOLOGIC ATYPIA, EXAMINED INKED MARGINS ARE FREE, MULTIPLE LEVELS EXAMINED. | DP |
| LCNFOC | LENTIGINOUS COMPOUND NEVUS WITH FEATURES OF CONGENITAL ONSET. | DP |
| LCNFOCCE | LENTIGINOUS COMPOUND NEVUS WITH FEATURES OF CONGENITAL ONSET, COMPLETELY EXCISED. | DP |
| LCNFOCCEMLE | LENTIGINOUS COMPOUND NEVUS WITH FEATURES OF CONGENITAL ONSET, COMPLETELY EXCISED, MULTIPLE LEVELS EXAMINED. | DP |
| LCNFOCMLE | LENTIGINOUS COMPOUND NEVUS WITH FEATURES OF CONGENITAL ONSET, MULTIPLE LEVELS EXAMINED. | DP |
| LCNFOCPAM | LENTIGINOUS COMPOUND NEVUS WITH FEATURES OF CONGENITAL ONSET, PRESENT AT MARGIN. | DP |
| LCNFOCPAMMLE | LENTIGINOUS COMPOUND NEVUS WITH FEATURES OF CONGENITAL ONSET, PRESENT AT MARGINS, MULTIPLE LEVELS EXAMINED. | DP |
| LCNMLE | LENTIGINOUS COMPOUND NEVUS, MULTIPLE LEVELS EXAMINED. | DP |
| LCNPAM | LENTIGINOUS COMPOUND NEVUS, PRESENT AT MARGIN. | DP |
| LCV | LEUKOCYTOCLASTIC VASCULITIS. | DP |
| LCVMLE | LEUKOCYTOCLASTIC VASCULITIS, MULTIPLE LEVELS EXAMINED. | DP |
| LHAK | LICHENOID HYPERTROPHIC ACTINIC KERATOSIS. | DP |
| LHAKMLE | LICHENOID HYPERTROPHIC ACTINIC KERATOSIS, MULTIPLE LEVELS EXAMINED. | DP |
| LHAKSCC | CONSISTENT WITH LICHENOID HYPERTROPHIC ACTINIC KERATOSIS (SEE NOTE). Note: This atypical keratinocytic proliferation extends to the base of the biopsy specimen, invasive squamous cell carcinoma cannot be entirely excluded. | DP |
| LJDN | LENTIGINOUS JUNCTIONAL DYSPLASTIC NEVUS WITH # CYTOLOGIC ATYPIA. | DP |
| LJDNCEMLE | LENTIGINOUS JUNCTIONAL DYSPLASTIC NEVUS WITH # CYTOLOGIC ATYPIA, COMPLETELY EXCISED, MULTIPLE LEVELS EXAMINED. | DP |
| LJDNMLE | LENTIGINOUS JUNCTIONAL DYSPLASTIC NEVUS WITH # CYTOLOGIC ATYPIA, MULTIPLE LEVELS EXAMINED. | DP |
| LJDNPAM | LENTIGINOUS JUNCTIONAL DYSPLASTIC NEVUS WITH # CYTOLOGIC ATYPIA, PRESENT AT MARGIN. | DP |
| LJN | LENTIGINOUS JUNCTIONAL NEVUS. | DP |
| LJNCE | LENTIGINOUS JUNCTIONAL NEVUS WITH # CYTOLOGIC ATYPIA, COMPLETELY EXCISED. | DP |
| LJNCEMLE | LENTIGINOUS JUNCTIONAL NEVUS, COMPLETELY EXCISED, MULTIPLE LEVELS EXAMINED. | DP |
| LJNEXNEGMLE | LENTIGINOUS JUNCTIONAL NEVUS WITH # CYTOLOGIC ATYPIA, EXAMINED INKED MARGINS ARE FREE, MULTIPLE LEVELS EXAMINED. | DP |
| LJNMLE | LENTIGINOUS JUNCTIONAL NEVUS, MULTIPLE LEVELS EXAMINED. | DP |
| LJNPAM | LENTIGINOUS JUNCTIONAL NEVUS WITH # CYTOLOGIC ATYPIA, PRESENT AT MARGIN. | DP |
| LJNPAMMLE | LENTIGINOUS JUNCTIONAL NEVUS, PRESENT AT MARGINS, MULTIPLE LEVELS EXAMINED. | DP |
| LK | LICHENOID KERATOSIS. | DP |
| LKMLE | LICHENOID KERATOSIS, MULTIPLE LEVELS EXAMINED. | DP |
| LM | LENTIGO MALIGNA. | DP |
| LMH | LENTIGINOUS MELANOCYTIC HYPERPLASIA. | DP |
| LMLE | LENTIGO, MULTIPLE LEVELS EXAMINED. | DP |
| LMMIS | LENTIGO MALIGNA MELANOMA IN SITU. | DP |
| LMMLE | LENTIGO MALIGNA, MULTIPLE LEVELS EXAMINED. | DP |
| LMS | LEIOMYOSARCOMA. | DP |
| LNB | LYMPH NODE (), BIOPSY: | DP |
| LND | LYMPH NODES (), DISSECTION: | DP |
| LNE | LYMPH NODE (), EXCISION: | DP |
| LNEB | LYMPH NODE (), EXCISIONAL BIOPSY: | DP |
| LP | LICHEN PLANUS. | DP |
| LPD | LYMPHOPROLIFERATIVE DISORDER. | DP |
| LPLK | LICHEN-PLANUS-LIKE KERATOSIS (SEE NOTE). Note: The differential diagnosis includes lichen planus pigmentosa, and, less likely, a fixed drug eruption. | DP |
| LPMLE | LICHEN PLANUS, MULTIPLE LEVELS EXAMINED. | DP |
| LPP | LICHEN PLANOPILARIS. | DP |
| LPPMLE | LICHEN PLANOPILARIS, MULTIPLE LEVELS EXAMINED. | DP |
| LSA | LICHEN SCLEROSUS. | DP |
| LSAMLE | LICHEN SCLEROSUS, MULTIPLE LEVELS EXAMINED. | DP |
| LSC | LICHEN SIMPLEX CHRONICUS. | DP |
| LSCMLE | LICHEN SIMPLEX CHRONICUS, MULTIPLE LEVELS EXAMINED. | DP |
| LVI | LYMPHOVASCULAR INVASION | DP |
| MANIAC | MELANOCYTIC ACRAL NEVUS WITH INTRAEPIDERMAL ASCENT OF CELLS. | DP |
| MEAS | MEASUREMENT TO CLOSEST SIDE RESECTION MARGIN, # MM | DP |
| MELH | melanocytic hyperplasia | DP |
| MF | MYCOSIS FUNGOIDES | DP |
| MFMLE | MYCOSIS FUNGOIDES, MULTIPLE LEVELS EXAMINED. | DP |
| MMIS | MALIGNANT MELANOMA IN SITU. | DP |
| MMISCE | MALIGNANT MELANOMA IN SITU, COMPLETELY EXCISED. | DP |
| MMISCEMLE | MALIGNANT MELANOMA IN SITU, COMPLETELY EXCISED, MULTIPLE LEVELS EXAMINED. | DP |
| MMISMLE | MALIGNANT MELANOMA IN SITU, MULTIPLE LEVELS EXAMINED. | DP |
| MMISPAM | MALIGNANT MELANOMA IN SITU, PRESENT AT MARGIN. | DP |
| MMM | METASTATIC MALIGNANT MELANOMA. | DP |
| MMMPAM | METASTATIC MALIGNANT MELANOMA, PRESENT AT MARGIN. | DP |
| MMRGP | MALIGNANT MELANOMA
TYPE: # ANATOMIC LEVEL: # GREATEST THICKNESS: # MM MITOSES: # PER SQUARE MM ULCERATION: ABSENT RADIAL GROWTH PHASE: PRESENT VERTICAL GROWTH PHASE: ABSENT PRECURSOR LESION: NOT IDENTIFIED MARGINS: # | DP |
| MMVGP | MALIGNANT MELANOMA
TYPE: # ANATOMIC LEVEL: # GREATEST THICKNESS: # MM MITOSES: # PER SQUARE MM ULCERATION: ABSENT RADIAL GROWTH PHASE: # VERTICAL GROWTH PHASE: PRESENT: PRECURSOR LESION: NOT IDENTIFIED MARGINS: # TUMOR INFILTRATING LYMPHOCYTES: ABSENT NEURAL INVASION: ABSENT VASCULAR INVASION: ABSENT REGRESSION: ABSENT MICROSATELLITES: ABSENT | DP |
| MNGC | MULTINUCLEATE GIANT CELLS | DP |
| MOLC | MOLLUSCUM CONTAGIOSUM. | DP |
| MOLCMLE | MOLLUSCUM CONTAGIOSUM, MULTIPLE LEVELS EXAMINED. | DP |
| NACL | NAIL (#), CLIPPINGS: | DP |
| NACLON | NAIL (#), CLIPPINGS: ONYCHOMYCOSIS. | DP |
| NDAR | NO DIAGNOSTIC ABNORMALITY RECOGNIZED. | DP |
| NDARMLE | NO DIAGNOSTIC ABNORMALITY RECOGNIZED, MULTIPLE LEVELS EXAMINED. | DP |
| NEVS | NEVUS SEBACEUS. | DP |
| NF | NEUROFIBROMA. | DP |
| NFMLE | NEUROFIBROMA, MULTIPLE LEVELS EXAMINED. | DP |
| NFPAM | NEUROFIBROMA, PRESENT AT MARGIN. | DP |
| NFPAMMLE | NEUROFIBROMA, PRESENT AT MARGINS, MULTIPLE LEVELS EXAMINED. | DP |
| NLD | NECROBIOSIS LIPOIDICA. | DP |
| NLDMLE | NECROBIOSIS LIPOIDICA, MULTIPLE LEVELS EXAMINED. | DP |
| NLS | NEVUS LIPOMATOSUS SUPERFICIALIS. | DP |
| NLSMLE | NEVUS LIPOMATOSIS SUPERFICIALIS, MULTIPLE LEVELS EXAMINED. | DP |
| NOFUN | No fungal organisms are identified with PASD stain. | DP |
| NOFUNU | NO FUNGAL ORGANISMS ARE IDENTIFIED WITH PASD STAIN. | DP |
| NSID | No specific immunoreactants are detected with regents for IgA, IgG, IgG(whole), IgM, C3, albumin, nor fibrinogen/fibrinogen split products. | DP |
| OAKN | SKIN (RIGHT DISTAL LEG), BIOPSY:
NO DIAGNOSTIC ABNORMALITY RECOGNIZED (SEE NOTE). Note: A Congo red stain is negative for the presence of amyloid. | DP |
| ONY | ONYCHOMYCOSIS. | DP |
| ONYMLE | ONYCHOMYCOSIS, MULTIPLE LEVELS EXAMINED. | DP |
| ONYPAS | NAIL (), CLIPPING:
ONYCHOMYCOSIS (SEE NOTE). Note: A PAS stain confirms the presence of microorganisms. | DP |
| OSH | outside hospital | DP |
| PADLM | PRESENT AT THE DEEP AND LATERAL MARGINS. | DP |
| PADM | PRESENT AT THE DEEP MARGIN. | DP |
| PAEM | PRESENT AT END MARGIN. | DP |
| PAIM | PRESENT AT INKED MARGINS. | DP |
| PALM | PRESENT AT LATERAL MARGIN. | DP |
| PAM | PRESENT AT MARGIN. | DP |
| PAMMLE | PRESENT AT MARGIN, MULTIPLE LEVELS EXAMINED. | DP |
| PASM | PRESENT AT SIDE MARGIN. | DP |
| PCR | polymerase chain reaction (PCR) technique. | DP |
| PEH | PSEUDOEPITHELIOMATOUS HYPERPLASIA. | DP |
| PEN | PALISADED ENCAPSULATED NEUROMA. | DP |
| PENMLE | PALISADED ENCAPSULATED NEUROMA, MULTIPLE LEVELS EXAMINED. | DP |
| PG | PYODERMA GANGRENOSUM. | DP |
| PGMLE | PYOGENIC GRANULOMA, MULTIPLE LEVELS EXAMINED. | DP |
| PGRAN | PYOGENIC GRANULOMA | DP |
| PILC | SKIN (), EXCISION: PILAR CYST. | DP |
| PILCMLE | SKIN (), EXCISION: PILAR CYST, MULTIPLE LEVELS EXAMINED. | DP |
| PILCR | SKIN (), EXCISION: PILAR CYST, RUPTURED. | DP |
| PILI | PERINFUNDIBULAR LYMPHOCYTIC INFILTRATE | DP |
| PILOS | SKIN (), EXCISION: PILONIDAL SINUS. | DP |
| PIM | PRESENT IN MARGINS. | DP |
| PIMMLE | PRESENT IN MARGINS, MULTIPLE LEVELS EXAMINED. | DP |
| PIP | POST-INFLAMMATORY PIGMENTATION | DP |
| PIPMLE | POST-INFLAMMATORY PIGMENTATION, MULTIPLE LEVELS EXAMINED. | DP |
| PK | PARAKERATOSIS | DP |
| PLC | PITYRIASIS LICHENOIDES CHRONICA. | DP |
| PLCMLE | PITYRIASIS LICHENOIDES CHRONICA, MULTIPLE LEVELS EXAMINED. | DP |
| PLEVA | PITYRIASIS LICHENOIDES ET VARIOLIFORMIS ACUTA. | DP |
| PLM | PIGMENT-LADEN MACROPHAGES | DP |
| PMMLE | PILOMATRICOMA, MULTIPLE LEVELS EXAMINED. | DP |
| PMN | POLYMORPHONUCLEAR CELLS | DP |
| PNB | PRESENT, NON-BRISK | DP |
| PNI | PERINEURAL INVASION | DP |
| PR | PITYRIASIS ROSEA. | DP |
| PRMLE | PITYRIASIS ROSEA, MULTIPLE LEVELS EXAMINED. | DP |
| PRP | PITYRIASIS RUBRA PILARIS. | DP |
| PRPMLE | PITYRIASIS RUBRA PILARIS, MULTIPLE LEVELS EXAMINED. | DP |
| PSCN | PIGMENTED SPINDLE CELL NEVUS. | DP |
| PSCNCE | PIGMENTED SPINDLE CELL NEVUS, COMPLETELY EXCISED. | DP |
| PSCNCEMLE | PIGMENTED SPINDLE CELL NEVUS, COMPLETELY EXCISED, MULTIPLE LEVELS EXAMINED. | DP |
| PSCNMLE | PIGMENTED SPINDLE CELL NEVUS, MULTIPLE LEVELS EXAMINED. | DP |
| PSCNPAMMEL | PIGMENTED SPINDLE CELL NEVUS, PRESENT AT MARGINS, MULTIPLE LEVELS EXAMINED. | DP |
| PSOD | PSORIASIFORM DERMATITIS. | DP |
| PSOH | PSORIASIFORM HYPERPLASIA | DP |
| PX | PILOMATRICOMA. | DP |
| PXE | PSEUDOXANTHOMA ELASTICUM. | DP |
| RBCCS | RESIDUAL BASAL CELL CARCINOMA, SUPERFICIAL TYPE. | DP |
| RLM | RESIDUAL LENTIGO MALIGNA | DP |
| SCARC | SCAR, CONSISTENT WITH PRIOR SURGICAL PROCEDURE. | DP |
| SCARCMLE | SCAR, CONSISTENT WITH PRIOR SURGICAL PROCEDURE, MULTIPLE LEVELS EXAMINED. | DP |
| SCARCNRAMP | 1. SCAR, CONSISTENT WITH PRIOR SURGICAL PROCEDURE. 2. THERE IS NO EVIDENCE OF RESIDUAL ATYPICAL MELANOCYTIC PROLIFERATION. | DP |
| SCARCNRAMPMLE | 1. SCAR, CONSISTENT WITH PRIOR SURGICAL PROCEDURE. 2. THERE IS NO EVIDENCE OF RESIDUAL ATYPICAL MELANOCYTIC PROLIFERATION, MULTIPLE LEVELS EXAMINED. | DP |
| SCARCNRBCC | 1. SCAR, CONSISTENT WITH PRIOR SURGICAL PROCEDURE. 2. THERE IS NO EVIDENCE OF RESIDUAL BASAL CELL CARCINOMA. | DP |
| SCARCNRBCC | 1. SCAR, CONSISTENT WITH PRIOR SURGICAL PROCEDURE. 2. THERE IS NO EVIDENCE OF RESIDUAL BASAL CELL CARCINOMA. | DP |
| SCARCNRBCCMLE | 1. SCAR, CONSISTENT WITH PRIOR SURGICAL PROCEDURE. 2. THERE IS NO EVIDENCE OF RESIDUAL BASAL CELL CARCINOMA, MULTIPLE LEVELS EXAMINED. | DP |
| SCARCNRBCCMLE | 1. SCAR, CONSISTENT WITH PRIOR SURGICAL PROCEDURE. 2. THERE IS NO EVIDENCE OF RESIDUAL BASAL CELL CARCINOMA, MULTIPLE LEVELS EXAMINED. | DP |
| SCARCNRMM | 1. SCAR, CONSISTENT WITH PRIOR SURGICAL PROCEDURE. 2. THERE IS NO EVIDENCE OF RESIDUAL MALIGNANT MELANOMA. | DP |
| SCARCNRMMIS | 1. SCAR, CONSISTENT WITH PRIOR SURGICAL PROCEDURE. 2. THERE IS NO EVIDENCE OF RESIDUAL MALIGNANT MELANOMA IN SITU. | DP |
| SCARCNRMMISMLE | 1. SCAR, CONSISTENT WITH PRIOR SURGICAL PROCEDURE. 2. THERE IS NO EVIDENCE OF RESIDUAL MALIGNANT MELANOMA IN SITU, MULTIPLE LEVELS EXAMINED. | DP |
| SCARCNRMMMLE | 1. SCAR, CONSISTENT WITH PRIOR SURGICAL PROCEDURE. 2. THERE IS NO EVIDENCE OF RESIDUAL MALIGNANT MELANOMA, MULTIPLE LEVELS EXAMINED. | DP |
| SCARCNRSCC | 1. SCAR, CONSISTENT WITH PRIOR SURGICAL PROCEDURE. 2. THERE IS NO EVIDENCE OF RESIDUAL SQUAMOUS CELL CARCINOMA. | DP |
| SCARCNRSCCIS | 1. SCAR, CONSISTENT WITH PRIOR SURGICAL PROCEDURE. 2. THERE IS NO EVIDENCE OF RESIDUAL SQUAMOUS CELL CARCINOMA IN SITU. | DP |
| SCARCNRSCCMLE | 1. SCAR, CONSISTENT WITH PRIOR SURGICAL PROCEDURE. 2. THERE IS NO EVIDENCE OF RESIDUAL SQUAMOUS CELL CARCINOMA, MULTIPLE LEVELS EXAMINED. | DP |
| SCARCNSCC | 1. SCAR, CONSISTENT WITH PRIOR SURGICAL PROCEDURE. 2. THERE IS NO EVIDENCE OF SQUAMOUS CELL CARCINOMA. | DP |
| SCARCNSCCMLE | 1. SCAR, CONSISTENT WITH PRIOR SURGICAL PROCEDURE. 2. THERE IS NO EVIDENCE OF SQUAMOUS CELL CARCINOMA, MULTIPLE LEVELS EXAMINED. | DP |
| SCARCTINEM | 1. SCAR, CONSISTENT WITH PRIOR SURGICAL PROCEDURE. 2. THERE IS NO EVIDENCE OF MALIGNANCY. | DP |
| SCARCTINEMM | 1. SCAR, CONSISTENT WITH PRIOR SURGICAL PROCEDURE. 2. THERE IS NO EVIDENCE OF MALIGNANT MELANOMA. | DP |
| SCARCTINEMMIS | 1. SCAR, CONSISTENT WITH PRIOR SURGICAL PROCEDURE. 2. THERE IS NO EVIDENCE OF MALIGNANT MELANOMA IN SITU. | DP |
| SCARCTINEMMLE | 1. SCAR, CONSISTENT WITH PRIOR SURGICAL PROCEDURE. 2. THERE IS NO EVIDENCE OF MALIGNANCY IN MULTIPLE LEVELS EXAMINED. | DP |
| SCARCTINEMMMLE | 1. SCAR, CONSISTENT WITH PRIOR SURGICAL PROCEDURE. 2. THERE IS NO EVIDENCE OF METASTATIC MALIGNANT MELANOMA IN MULTIPLE LEVELS EXAMINED. | DP |
| SCCIS | SQUAMOUS CELL CARCINOMA IN SITU. | DP |
| SCCISCE | SQUAMOUS CELL CARCINOMA IN SITU, COMPLETELY EXCISED. | DP |
| SCCISCEMLE | SQUAMOUS CELL CARCINOMA IN SITU, COMPLETELY EXCISED, MULTIPLE LEVELS EXAMINED. | DP |
| SCCISEXNEGMLE | SQUAMOUS CELL CARCINOMA IN SITU EXAMINED INKED MARGINS ARE FREE OF SQUAMOUS CELL CARCINOMA, MULTIPLE LEVELS EXAMINED. | DP |
| SCCISEXNEGSCC | SQUAMOUS CELL CARCINOMA IN SITU, EXAMINED INKED MARGINS ARE FREE OF SQUAMOUS CELL CARCINOMA. | DP |
| SCCISMLE | SQUAMOUS CELL CARCINOMA IN SITU, MULTIPLE LEVELS EXAMINED. | DP |
| SCCISPAM | SQUAMOUS CELL CARCINOMA IN SITU, PRESENT AT MARGIN. | DP |
| SCCISPAMMLE | SQUAMOUS CELL CARCINOMA IN SITU, PRESENT AT MARGIN, MULTIPLE LEVELS EXAMINED. | DP |
| SCCISSCC | CONSISTENT WITH SQUAMOUS CELL CARCINOMA IN SITU (SEE NOTE). Note: This carcinoma extends to the base of the biopsy specimen, invasive squamous cell carcinoma cannot be entirely excluded. | DP |
| SCCISSCCMLE | CONSISTENT WITH SQUAMOUS CELL CARCINOMA IN SITU, MULTIPLE LEVELS EXAMINED (SEE NOTE). Note: This carcinoma extends to the base of the biopsy specimen, invasive squamous cell carcinoma cannot be entirely excluded. | DP |
| SCCISSCCPAM | CONSISTENT WITH SQUAMOUS CELL CARCINOMA IN SITU, PRESENT AT MARGIN (SEE NOTE). Note: This carcinoma extends to the base of the biopsy specimen, invasive squamous cell carcinoma cannot be entirely excluded. | DP |
| SCCISSCCPAMMLE | CONSISTENT WITH SQUAMOUS CELL CARCINOMA IN SITU PRESENT AT MARGIN, MULTIPLE LEVELS EXAMINED (SEE NOTE). Note: This carcinoma extends to the base of the biopsy specimen, invasive squamous cell carcinoma cannot be entirely excluded. | DP |
| SCCM | SQUAMOUS CELL CARCINOMA, MODERATELY DIFFERENTIATED, INVASIVE. | DP |
| SCCMCE | SQUAMOUS CELL CARCINOMA, MODERATELY DIFFERENTIATED, INVASIVE, COMPLETELY EXCISED. | DP |
| SCCMCEMLE | SQUAMOUS CELL CARCINOMA, MODERATELY DIFFERENTIATED, INVASIVE, COMPLETELY EXCISED, MULTIPLE LEVELS EXAMINED. | DP |
| SCCMEXNEGSCC | SQUAMOUS CELL CARCINOMA, MODERATELY DIFFERENTIATED, INVASIVE. EXAMINED INKED MARGINS ARE FREE OF SQUAMOUS CELL CARCINOMA. | DP |
| SCCMEXNEGSCCMLE | SQUAMOUS CELL CARCINOMA, MODERATELY DIFFERENTIATED, INVASIVE. EXAMINED INKED MARGINS ARE FREE OF SQUAMOUS CELL CARCINOMA, MULTIPLE LEVELS EXAMINED. | DP |
| SCCMLE | SQUAMOUS CELL CARCINOMA, MULTIPLE LEVELS EXAMINED. | DP |
| SCCMMLE | SQUAMOUS CELL CARCINOMA, MODERATELY DIFFERENTIATED, INVASIVE, MULTIPLE LEVELS EXAMINED. | DP |
| SCCMP | SQUAMOUS CELL CARCINOMA, MODERATELY TO POORLY DIFFERENTIATED, INVASIVE. | DP |
| SCCMPAM | SQUAMOUS CELL CARCINOMA, MODERATELY DIFFERENTIATED, INVASIVE, PRESENT AT MARGIN. | DP |
| SCCMPCEMLE | SQUAMOUS CELL CARCINOMA, MODERATELY TO POORLY DIFFERENTIATED, INVASIVE, COMPLETELY EXCISED, MULTIPLE LEVELS EXAMINED. | DP |
| SCCMPMLE | SQUAMOUS CELL CARCINOMA, MODERATELY TO POORLY DIFFERENTIATED, INVASIVE, MULTIPLE LEVELS EXAMINED. | DP |
| SCCMW | SQUAMOUS CELL CARCINOMA, MODERATELY TO WELL DIFFERENTIATED, INVASIVE. | DP |
| SCCMWCE | SQUAMOUS CELL CARCINOMA, MODERATELY TO WELL DIFFERENTIATED, INVASIVE, COMPLETELY EXCISED. | DP |
| SCCMWCEMLE | SQUAMOUS CELL CARCINOMA, MODERATELY TO WELL DIFFERENTIATED, INVASIVE, COMPLETELY EXCISED, MULTIPLE LEVELS EXAMINED. | DP |
| SCCMWEXNEGSCC | SQUAMOUS CELL CARCINOMA, MODERATELY TO WELL DIFFERENTIATED, INVASIVE. EXAMINED INKED MARGINS ARE FREE OF SQUAMOUS CELL CARCINOMA. | DP |
| SCCMWMLE | SQUAMOUS CELL CARCINOMA, MODERATELY TO WELL DIFFERENTIATED, INVASIVE, MULTIPLE LEVELS EXAMINED. | DP |
| SCCMWPAM | SQUAMOUS CELL CARCINOMA, MODERATELY TO WELL DIFFERENTIATED, INVASIVE, PRESENT AT MARGIN. | DP |
| SCCP | SQUAMOUS CELL CARCINOMA, POORLY DIFFERENTIATED, INVASIVE. | DP |
| SCCPMLE | SQUAMOUS CELL CARCINOMA, POORLY DIFFERENTIATED, INVASIVE, MULTIPLE LEVELS EXAMINED. | DP |
| SCCPPAMMLE | SQUAMOUS CELL CARCINOMA, POORLY DIFFERENTIATED, INVASIVE, PRESENT AT MARGINS, MULTIPLE LEVELS EXAMINED. | DP |
| SCCW | SQUAMOUS CELL CARCINOMA, WELL DIFFERENTIATED, INVASIVE. | DP |
| SCCWCE | SQUAMOUS CELL CARCINOMA, WELL DIFFERENTIATED, INVASIVE, COMPLETELY EXCISED. | DP |
| SCCWCEMLE | SQUAMOUS CELL CARCINOMA, WELL DIFFERENTIATED, INVASIVE, COMPLETELY EXCISED, MULTIPLE LEVELS EXAMINED. | DP |
| SCCWEXNEGSCCMLE | SQUAMOUS CELL CARCINOMA, WELL DIFFERENTIATED, INVASIVE, EXAMINED INKED MARGINS ARE FREE OF SQUAMOUS CELL CARCINOMA, MULTIPLE LEVELS EXAMINED. | DP |
| SCCWMLE | SQUAMOUS CELL CARCINOMA, WELL DIFFERENTIATED, INVASIVE, MULTIPLE LEVELS EXAMINED. | DP |
| SCCWPAM | SQUAMOUS CELL CARCINOMA, WELL DIFFERENTIATED, INVASIVE, PRESENT AT MARGIN. | DP |
| SCCWPAMMLE | SQUAMOUS CELL CARCINOMA, WELL DIFFERENTIATED, INVASIVE, PRESENT AT MARGIN, MULTIPLE LEVELS EXAMINED. | DP |
| SDPLEI | SUPERFICIAL AND DEEP PERIVASCULAR LYMPHOEOSINOPHILIC INFILTRATE | DP |
| SDPLI | SUPERFICIAL AND DEEP PERIVASCULAR LYMPHOCYTIC INFILTRATE | DP |
| SEBH | SEBACEOUS HYPERPLASIA | DP |
| SEBHMLE | SEBACEOUS HYPERPLASIA, MULTIPLE LEVELS EXAMINED. | DP |
| SK | SEBORRHEIC KERATOSIS. | DP |
| SKB | SKIN (#), BIOPSY: | DP |
| SKCI | SKIN (FORESKIN), CIRCUMCISION: | DP |
| SKCU | SKIN (), CURETTAGE: | DP |
| SKE | SKIN (), EXCISION: | DP |
| SKEB | SKIN (), EXCISIONAL BIOPSY: | DP |
| SKIF | SEBORRHEIC KERATOSIS, INFLAMED. | DP |
| SKIFMLE | SEBORRHEIC KERATOSIS, INFLAMED, MULTIPLE LEVELS EXAMINED. | DP |
| SKII | SEBORRHEIC KERATOSIS, IRRITATED AND INFLAMED. | DP |
| SKIIMLE | SEBORRHEIC KERATOSIS, IRRITATED AND INFLAMED, MULTIPLE LEVELS EXAMINED. | DP |
| SKIR | SEBORRHEIC KERATOSIS, IRRITATED. | DP |
| SKIRMLE | SEBORRHEIC KERATOSIS, IRRITATED, MULTIPLE LEVELS EXAMINED. | DP |
| SKMLE | SEBORRHEIC KERATOSIS, MULTIPLE LEVELS EXAMINED. | DP |
| SKPAM | SEBORRHEIC KERATOSIS, PRESENT AT MARGIN. | DP |
| SKPB | SKIN (), PUNCH BIOPSY: | DP |
| SKPE | SKIN (), PUNCH EXCISION: | DP |
| SKRE | SKIN (), RE-EXCISION: | DP |
| SKSB | SKIN (), SHAVE BIOPSY: | DP |
| SKSE | SKIN (), SHAVE EXCISION: | DP |
| SKWE | SKIN (), WIDE EXCISION: | DP |
| SLE | SYSTEMIC LUPUS ERYTHEMATOSUS. | DP |
| SLNN | LYMPH NODE (SENTINEL #), EXCISION: THERE IS NO EVIDENCE OF METASTATIC MELANOMA IN ONE LYMPH NODE (0/1) (SEE NOTE). Note: No evidence of metastatic melanoma is observed with levels and immunohistochemical stains for S100 and MART-1. | DP |
| SLNP | LYMPH NODE (SENTINEL #), EXCISION: METASTATIC MELANOMA IS OBSERVED IN ONE LYMPH NODE (1/1) (SEE NOTE). Note: Metastatic melanoma is identified with levels and immunohistochemical stains for S100 and MART-1. | DP |
| SOLE | SOLAR ELASTOSIS. | DP |
| SOLEMLE | SOLAR ELASTOSIS, MULTIPLE LEVELS EXAMINED. | DP |
| SPAK | SPREADING PIGMENTED ACTINIC KERATOSIS. | DP |
| SPAKCE | SPREADING PIGMENTED ACTINIC KERATOSIS, COMPLETELY EXCISED. | DP |
| SPAKMLE | SPREADING PIGMENTED ACTINIC KERATOSIS, MULTIPLE LEVELS EXAMINED. | DP |
| SPLEI | SUPERFICIAL PERIVASCULAR LYMPHOEOSINOPHILIC INFILTRATE | DP |
| SPLHEI | SUPERFICIAL PERIVASCULAR LYMPHOHISTIOCYTIC AND EOSINOPHILIC INFILTRATE | DP |
| SPLHI | SUPERFICIAL PERIVASCULAR LYMPHOHISTIOCYTIC INFILTRATE | DP |
| SPLI | SUPERFICIAL PERIVASCULAR LYMPHOCYTIC INFILTRATE | DP |
| SPLIMLE | SUPERFICIAL PERIVASCULAR LYMPHOCYTIC INFILTRATE, MULTIPLE LEVELS EXAMINED. | DP |
| SPOD | SPONGIOTIC DERMATITIS | DP |
| SPOID | SPONGIOTIC INTERFACE DERMATITIS | DP |
| SPOPSOD | SPONGIOTIC PSORIASIFORM DERMATITIS. | DP |
| SSNS | Special stains are not a sensitive means of detecting microorganisms. Culture is recommended. | DP |
| SSSS | STAPHYLOCOCCUS SCALDED SKIN SYNDROME | DP |
| STAD | STASIS DERMATITIS. | DP |
| STADMLE | STASIS DERMATITIS, MULTIPLE LEVELS EXAMINED. | DP |
| STM | SLIGHT TO MODERATE | DP |
| TEN | TOXIC EPIDERMAL NECROLYSIS. | DP |
| TEPI | TRICHOEPITHELIOMA. | DP |
| TEPIMLE | TRICHOEPITHELIOMA, MULTIPLE LEVELS EXAMINED. | DP |
| TIFD | TISSUE INSUFFICIENT FOR DIAGNOSIS. | DP |
| TINEAMP | THERE IS NO EVIDENCE OF ATYPICAL MELANOCYTIC PROLIFERATION. | DP |
| TINEBCC | THERE IS NO EVIDENCE OF BASAL CELL CARCINOMA. | DP |
| TINEDYSN | THERE IS NO EVIDENCE OF DYSPLASTIC NEVUS. | DP |
| TINELM | THERE IS NO EVIDENCE OF LENTIGO MALIGNA. | DP |
| TINELMMLE | THERE IS NO EVIDENCE OF LENTIGO MALIGNA, MULTIPLE LEVELS EXAMINED. | DP |
| TINEMM | THERE IS NO EVIDENCE OF MALIGNANT MELANOMA. | DP |
| TINEMMLE | THERE IS NO EVIDENCE OF MALIGNANCY IN MULTIPLE LEVELS EXAMINED. | DP |
| TINEMMMLE | THERE IS NO EVIDENCE OF MALIGNANT MELANOMA IN MULTIPLE LEVELS EXAMINED. | DP |
| TINER | THERE IS NO EVIDENCE OF RESIDUAL | DP |
| TINERAMP | THERE IS NO EVIDENCE OF RESIDUAL ATYPICAL MELANOCYTIC PROLIFERATION. | DP |
| TINERAMPMLE | THERE IS NO EVIDENCE OF RESIDUAL ATYPICAL MELANOCYTIC PROLIFERATION, MULTIPLE LEVELS EXAMINED. | DP |
| TINERBCC | THERE IS NO EVIDENCE OF RESIDUAL BASAL CELL CARCINOMA. | DP |
| TINERBCCMLE | THERE IS NO EVIDENCE OF RESIDUAL BASAL CELL CARCINOMA, MULTIPLE LEVELS EXAMINED. | DP |
| TINERLCDN | THERE IS NO EVIDENCE OF RESIDUAL LENTIGINOUS COMPOUND DYSPLASTIC NEVUS. | DP |
| TINERLM | THERE IS NO EVIDENCE OF RESIDUAL LENTIGO MALIGNA. | DP |
| TINERMM | THERE IS NO EVIDENCE OF RESIDUAL MALIGNANT MELANOMA. | DP |
| TINERSCC | THERE IS NO EVIDENCE OF RESIDUAL SQUAMOUS CELL CARCINOMA. | DP |
| TINESCCMLE | THERE IS NO EVIDENCE OF SQUAMOUS CELL CARCINOMA, MULTIPLE LEVELS EXAMINED. | DP |
| TLEM | TRICHOLEMMOMA. | DP |
| TLEMMLE | TRICHOLEMMOMA, MULTIPLE LEVELS EXAMINED. | DP |
| TMEP | TELANGIECTASIA MACULARIS ERUPTIVA PERSTANS. | DP |
| UP | URTICARIA PIGMENTOSA | DP |
| VV | VERRUCA VULGARIS. | DP |
| VVMLE | VERRUCA VULGARIS, MULTIPLE LEVELS EXAMINED. | DP |
| XG | XANTHOGRANULOMATOUS | DP |
| ADENOIDS | Adenoids; gross exam only (see note). Note: gross only (GODIS) note. | ENT |
| CDC | Chronic dacryocystitis | ENT |
| CONNEG | Connective tissue; negative for malignancy. | ENT |
| CRS | Chronic rhinosinusitis. | ENT |
| CRSE | Chronic rhinosinusitis with abundant eosinophils. | ENT |
| CRSEN | Chronic rhinosinusitis with abundant eosinophils and allergic mucin (see note). Note: GMS (silver) stain to assess for fungus is being performed, and the results will be reported in an addendum. | ENT |
| FATI | Fibroadipose tissue | ENT |
| NEFO | Negative for malignancy. | ENT |
| NEFOC | Negative for carcinoma. | ENT |
| NEFOMD | Negative for malignancy or dysplasia. | ENT |
| NEFOP | Negative for papilloma. | ENT |
| NENE | Negative for neoplasia. | ENT |
| OSS | Consistent with ossicle; gross exam only (see note). NOTE: gross only (GODIS) note. | ENT |
| PCRS | Polypoid chronic rhinosinusitis. | ENT |
| PCRSE | Polypoid chronic rhinosinusitis with eosinophils. | ENT |
| PCRSEN | Polypoid chronic rhinosinusitis with eosinophils and allergic mucin (see note). Note: A GMS (silver) stain is being performed, and the results will be reported in an addendum. | ENT |
| SEPTUM | Bone and cartilage; gross exam only (see note). NOTE: gross only (GODIS) note. | ENT |
| SKEFO | Skeletal muscle and fibroconnective tisssue; negative for malignancy. | ENT |
| SKENO | Skeletal muscle; negative for malignancy. | ENT |
| SPCRS | Slightly polypoid chronic rhinosinusitis. | ENT |
| SQUEFO | Squamous mucosa; negative for malignancy. | ENT |
| SQUEFOC | Squamous mucosa; negative for carcinoma. | ENT |
| TINEP | There is no evidence of papilloma. | ENT |
| TONAD | Tonsils and adenoids; gross exam only (see note). NOTE: gross only (GODIS) note. | ENT |
| TONSIL | Tonsils; gross exam only (see note). NOTE: gross only (GODIS) note. | ENT |
| TONSILS | Tonsils; gross exam only (see note). NOTE: gross only (GODIS) note. | ENT |
| ACI | Acute and chronic inflammation | GEN |
| ACMI | Adenocarcinoma, moderately differentiated, invasive | GEN |
| ACPI | Adenocarcinoma, poorly differentiated, invasive | GEN |
| ACWI | Adenocarcinoma, well differentiated, invasive | GEN |
| ADCA | Adenocarcinoma | GEN |
| AFBAD | An AFB stain will be reported in an addendum. | GEN |
| AFBN | An AFB stain is negative for acid fast bacilli. | GEN |
| AI | Acute inflammation | GEN |
| AIS | Adenocarcinoma in situ | GEN |
| BHAD | A Brown Hopps stain for bacteria will be reported in an addendum. | GEN |
| BHN | A Brown Hopps stain for bacteria is negative. | GEN |
| BHP | A Brown Hopps stain for bacteria is positive. | GEN |
| CAUT | Cautery artifact precludes definitive interpretation | GEN |
| CCR | Clinical correlation is recommended | GEN |
| CE | completely excised | GEN |
| CHMNS | The changes are mild and non-specific. | GEN |
| CHNS | The changes are non-specific. | GEN |
| CI | Chronic inflammation | GEN |
| CLINCO | Clinical correlation is suggested. | GEN |
| CMV | cytomegalovirus | GEN |
| CMVAD | An immunohistochemical stain for CMV will be reported in an addendum. | GEN |
| CMVN | An immunohistochemical stain for CMV is negative. | GEN |
| CMVP | An immunohistochemical stain for CMV is positive | GEN |
| COMP | Comparison to the prior biopsy | GEN |
| CW | consistent with | GEN |
| EBV | Epstein-Barr virus | GEN |
| FBGCR | foreign body giant cell reaction | GEN |
| FBGCRP | Foreign body giant cell reaction to polarizing material. | GEN |
| FEP | FIBROEPITHELIAL POLYP. | GEN |
| FO | fragment of | GEN |
| FPE | fibrinopurulent exudate | GEN |
| FSDAC | The frozen section diagnoses are confirmed. | GEN |
| FSDIC | The frozen section diagnosis is confirmed. | GEN |
| FSO | fragments of | GEN |
| GMSAD | A GMS stain for fungus will be reported in an addendum. | GEN |
| GMSAFBED | GMS and AFB stains will be reported in an addendum. | GEN |
| GMSAFBN | GMS and AFB stains are negative. | GEN |
| GMSN | A GMS stain is negative for fungus. | GEN |
| GMSP | A GMS stain is positive | GEN |
| GODIS | Note: This specimen has been subjected to a gross examination only. If it is desired that this specimen be processed for additional studies, particularly microscopic examination, please contact the case pathologist. Requests must be received within two weeks of the date of this report, as these specimens are routinely discarded after a prescribed period of time. | GEN |
| GRDNR | The tumor grade in this limited sample may not be representative of the entire lesion | GEN |
| GT | Granulation tissue | GEN |
| GTAC | Granulation tissue with acute and chronic inflammation | GEN |
| HLM | Hemosiderin laden macrophages | GEN |
| HPV | human papillomavirus | GEN |
| HSV | herpes simplex virus | GEN |
| HSVAD | An immunohistochemical stain for HSV will be reported in an addendum. | GEN |
| HSVN | An immunohistochemical stain for HSV is negative. The stain is a cocktail of antibodies directed against HSV 1 and HSV 2. | GEN |
| HSVP | An immunohistochemical stain for HSV is positive. This test is an antibody cocktail that detects both HSV1 and HSV2. | GEN |
| ICE | incompletely excised | GEN |
| IHC | Immunohistochemistry | GEN |
| IHCAD | The following immunohistochemical stain is pending and will be reported in an addendum: | GEN |
| IHCMGH | Immunohistochemical studies performed at Massachusetts General Hospital reveal | GEN |
| IHCSAD | The following immunohistochemical stains are pending and will be reported in an addendum: | GEN |
| IMC | Intramucosal carcinoma | GEN |
| ISH | In-situ hybridization | GEN |
| KEEP | No unstained slides or paraffin blocks were received with this case. Because it is essential for a consultant to retain representative material for future reference, we are keeping one H&E slide for our files. If recuts are sent for representative blocks, we will return the original slides. | GEN |
| LAP | lamina propria | GEN |
| LEVAD | Additional levels will be performed and the result reported in an addendum. | GEN |
| MACA | metastatic adenocarcinoma | GEN |
| MGHIHC | Immunohistochemical stains performed at Massachusetts General Hospital reveal the following profile in the lesional cells: | GEN |
| MLE | multiple levels examined. | GEN |
| MM | malignant melanoma | GEN |
| MREVCASE | have reviewed the case, and agree with the diagnosis above. | GEN |
| MREVREP | have reviewed representative slides from this case, and agree with the diagnosis above. | GEN |
| MTM | mild to moderate | GEN |
| MTS | moderate to severe | GEN |
| NDAR | No diagnostic abnormality recognized. | GEN |
| NOREV | Not reviewed because not medically indicated | GEN |
| OMIF | The overal morphologic and immunophenotypic findings | GEN |
| OSHIHC | Immunohistochemical stains performed at the outside institution and reviewed at Massachusetts General Hospital reveal the following profile in the lesional cells: | GEN |
| PASDFAD | A PASd stain for fungus will be reported in an addendum. | GEN |
| PASDFN | A PASd stain for fungus is negative. | GEN |
| PASDFP | A PASd stain for fungus is positive. | GEN |
| PASFAD | A PAS stain for fungus will be reported in an addendum. | GEN |
| PASFN | A PAS stain for fungus is negative. | GEN |
| PASFP | A PAS stain for fungus is positive. | GEN |
| PREP | Prepared in our laboratory | GEN |
| PREPMGH | Prepared at Massachusetts General Hospital | GEN |
| PREPOSH | Prepared at the outside hospital or laboratory | GEN |
| PREPREF | Prepared at the referring institution | GEN |
| RAD | Changes consistent with radiation effect. | GEN |
| REA | reactive epithelial atypia | GEN |
| REF | This case is a reference case for additional studies performed on a prior specimen; please refer to the addendum of that case for the results ( | GEN |
| REVCASE | has reviewed the case, and agrees with the diagnosis above. | GEN |
| REVREP | has reviewed representative slides from this case, and agrees with the diagnosis above. | GEN |
| SCC | Squamous cell carcinoma | GEN |
| SN | (see note). | GEN |
| SO | suggestive of | GEN |
| SSR | (see synoptic report) | GEN |
| TINE | There is no evidence | GEN |
| TINECL | There is no evidence of carcinoma. | GEN |
| TINEDA | There is no evidence of dysplasia in any of the biopsies. | GEN |
| TINEDC | There is no evidence of dysplasia or carcinoma. | GEN |
| TINEM | There is no evidence of malignancy. | GEN |
| TINEMD | There is no evidence of malignancy or dysplasia. | GEN |
| TINEN | There is no evidence of neoplasia. | GEN |
| TINME | There is no morphologic evidence of | GEN |
| ULC | ulceration/erosion | GEN |
| VINCN | Viral inclusions are not seen. | GEN |
| WNDA | with no diagnostic abnormality | GEN |
| XRT | Changes consistent with prior irradiation | GEN |
| ABOD | Acidophil bodies are | GI |
| ACC | Active chronic colitis | GI |
| ACCH | Acute and chronic cholecystitis. | GI |
| ACCHCH | Acute and chronic cholecystitis and cholelithiasis. | GI |
| ACG | Active chronic gastritis | GI |
| AESO | Active esophagitis | GI |
| AHPOL | Hyperplastic polyp with atypical features (see note). Note: Some features are suggestive but not diagnostic of a sessile serrated polyp/adenoma. | GI |
| AIN1 | Low grade squamous intraepithelial lesion (AIN 1) | GI |
| AIN2 | High grade squamous intraepithelial lesion (AIN 2) | GI |
| AIN3 | High grade squamous intraepithelial lesion (AIN 3) | GI |
| ANM | Anal mucosa | GI |
| ANUS | Note: Ki67 and p16 immunostains were evaluated and support the diagnosis. | GI |
| APCM | Architecturally preserved colonic mucosa | GI |
| APX | Acute appendicitis | GI |
| ARM | Ano-rectal mucosa | GI |
| ASAP | Acute suppurative appendicitis and periappendicitis | GI |
| BARR | Glandular mucosa with focal intestinal metaplasia consistent with Barrett's esophagus. | GI |
| BARRC | Glandular mucosa with focal intesinal metaplasia. See note. Note: The morphology is consistent with Barrett's esophagus in the appropriate clinical setting. | GI |
| BCH | Basal cell hyperplasia | GI |
| BCHA | Basal cell hyperplasia is absent. | GI |
| BCHMA | Basal cell hyperplasia is marked. | GI |
| BCHMI | Basal cell hyperplasia is mild. | GI |
| BEIM | Barrett's esophagus with intestinal metaplasia | GI |
| BEIND | Barrett's esophagus with intestinal metaplasia and epithelial atypia, indefinite for dysplasia. | GI |
| BEND | Barrett's esophagus with intestinal metaplasia; no dysplasia is seen. | GI |
| BESO | Barrett's esophagus | GI |
| BGH | Brunner's gland hyperplasia | GI |
| CAG | Chronic antral gastritis | GI |
| CAT | Chronic atrophic gastritis | GI |
| CBBE | Note: If the biopsy was taken from the tubular esophagus and there is endoscopic evidence of esophageal columnar metaplasia extending at least 1 cm proximal to the GE junction, then the presence of intestinal metaplasia confirms the diagnosis of Barrett’s esophagus. | GI |
| CCH | Chronic cholecystitis | GI |
| CCHCH | Chronic cholecystitis and cholelithiasis | GI |
| CCHCHCH | Chronic cholecystitis with cholesterolosis and cholelithiasis. | GI |
| CCIB | Clinical correlation with distribution of disease is necessary to distinguish Crohn's disease from ulcerative colitis. | GI |
| CELD1 | Mild villous atrophy with marked intraepithelial lymphocytosis consistent with celiac disease. | GI |
| CELD2 | Moderate villous atrophy with marked intraepithelial lymphocytosis consistent with celiac disease. | GI |
| CELD3 | Total villous atrophy with intraepithelial lymphocytosis consistent with celiac disease. | GI |
| CEP | The cauterized stalk/base appears free of adenomatous epithelium. | GI |
| CGAS | Chemical gastritis | GI |
| CHD | Crohn's disease | GI |
| CHEP | Mildly active chronic hepatitis with bridging fibrosis/evolving cirrhosis/cirrhosis consistent with hepatitis C. | GI |
| CHIC | Chronic inactive colitis | GI |
| CILP | Colonic mucosa with increased cellularity of the lamina propria. | GI |
| CLITH | cholelithiasis | GI |
| CMCD | Colonic mucosa with crypt architectural disarray | GI |
| CMH | Colonic mucosa with hyperplastic features. | GI |
| CMHC | Colonic mucosa with subtle hyperplastic changes. | GI |
| CMHLA | Colonic mucosa with hyperplastic lymphoid aggregate. | GI |
| CMLA | Colonic mucosa with lymphoid aggregate. | GI |
| CMMCD | Colonic mucosa with mild crypt architectural disarray | GI |
| COCA | Colocutaneous anastomosis | GI |
| COLM | Colonic mucosa | GI |
| CONF | Confluent necrosis is present; the presence of confluent necrosis in the setting of chronic viral hepatitis raises the possibility of HBeAg to Ab seroconversion, HCV acute exacerbation, HDV superinfection on HBV, HIV co-infection, or superimposed drug toxicity. | GI |
| COPAD | A histochemical stain for copper is pending and will be reported in an addendum. | GI |
| COPN | A histochemical stain for copper is negative. | GI |
| CQC | Chronic quiescent colitis | GI |
| CWEE | In a patient on adequate proton pump inhibition or with normal ph monitoring, the histological findings support the diagnosis of Eosinophilic Esophagitis (EoE). | GI |
| CWGERD | Presence of a sharp inflammatory gradient from proximal to distal esophagus suggests an element of injury secondary to gastroesophageal reflux disease (GERD). | GI |
| DALM | Dysplasia associated lesion or mass | GI |
| DIV | Diverticular disease | GI |
| DMIL | Duodenal mucosa with normal villous architecture and increased intraepithelial lymphocytes (see note). Note: the differential diagnosis includes gluten sensitivity or family history of gluten sensitivity, allergy to other food antigens, post-viral gastroenteritis, autoimmune enteropathy, bacterial overgrowth, immunodeficiency syndromes (CVID, IgA deficiency), and tropical sprue. These features have also been described in patients with a history of Crohn's disease, H. pylori gastritis, collagen vascular disease, or NSAID use. | GI |
| DMNV | Duodenal mucosa with normal villous architecture | GI |
| DMSIL | Duodenal mucosal with slight increase in intraepithelial lymphocytes. See note. Note: The presence of slightly increased intraepithelial lymphocytes is not specific, but correlation with clinical data and serologies is suggested to rule out celiac disease. | GI |
| DPOR | Portal tracts show XXX ductular duplication. | GI |
| DTIS | Diverticulitis | GI |
| DUM | Duodenal mucosa | GI |
| ECM | Edematous colonic mucosa | GI |
| EE10 | Active esophagitis with peak intraepithelial eosinophil count of 10 per HPF. | GI |
| EE11 | Active esophagitis with peak intraepithelial eosinophil count of 11 per HPF. | GI |
| EE12 | Active esophagitis with peak intraepithelial eosinophil count of 12 per HPF. | GI |
| EE13 | Active esophagitis with peak intraepithelial eosinophil count of 13 per HPF. | GI |
| EE14 | Active esophagitis with peak intraepithelial eosinophil count of 14 per HPF. | GI |
| EE15 | Active esophagitis with peak intraepithelial eosinophil count of 15 per HPF. | GI |
| EE16 | Active esophagitis with peak intraepithelial eosinophil count of 16 per HPF. | GI |
| EE17 | Active esophagitis with peak intraepithelial eosinophil count of 17 per HPF. | GI |
| EE18 | Active esophagitis with peak intraepithelial eosinophil count of 18 per HPF. | GI |
| EE19 | Active esophagitis with peak intraepithelial eosinophil count of 19 per HPF. | GI |
| EE2 | Active esophagitis with peak intraepithelial eosinophils less than 3 per HPF. | GI |
| EE20 | Active esophagitis with peak intraepithelial eosinophil count of 20 per HPF. | GI |
| EE21 | Active esophagitis with peak intraepithelial eosinophil count of 21 per HPF. | GI |
| EE22 | Active esophagitis with peak intraepithelial eosinophil count of 22 per HPF. | GI |
| EE23 | Active esophagitis with peak intraepithelial eosinophil count of 23 per HPF. | GI |
| EE24 | Active esophagitis with peak intraepithelial eosinophil count of 24 per HPF. | GI |
| EE25 | Active esophagitis with peak intraepithelial eosinophil count of 25 per HPF. | GI |
| EE26 | Active esophagitis with peak intraepithelial eosinophil count of 26 per HPF. | GI |
| EE27 | Active esophagitis with peak intraepithelial eosinophil count of 27 per HPF. | GI |
| EE28 | Active esophagitis with peak intraepithelial eosinophil count of 28 per HPF. | GI |
| EE29 | Active esophagitis with peak intraepithelial eosinophil count of 29 per HPF. | GI |
| EE3 | Active esophagitis with peak intraepithelial eosinophil count of 3 per HPF. | GI |
| EE30 | Active esophagitis with peak intraepithelial eosinophil count of 30 per HPF. | GI |
| EE31 | Active esophagitis with peak intraepithelial eosinophil count of 31 per HPF. | GI |
| EE32 | Active esophagitis with peak intraepithelial eosinophil count of 32 per HPF. | GI |
| EE33 | Active esophagitis with peak intraepithelial eosinophil count of 33 per HPF. | GI |
| EE34 | Active esophagitis with peak intraepithelial eosinophil count of 34 per HPF. | GI |
| EE35 | Active esophagitis with peak intraepithelial eosinophil count of 35 per HPF. | GI |
| EE36 | Active esophagitis with peak intraepithelial eosinophil count of 36 per HPF. | GI |
| EE37 | Active esophagitis with peak intraepithelial eosinophil count of 37 per HPF. | GI |
| EE38 | Active esophagitis with peak intraepithelial eosinophil count of 38 per HPF. | GI |
| EE39 | Active esophagitis with peak intraepithelial eosinophil count of 39 per HPF. | GI |
| EE4 | Active esophagitis with peak intraepithelial eosinophil count of 4 per HPF. | GI |
| EE40 | Active esophagitis with peak intraepithelial eosinophil count exceeding 40 per HPF. | GI |
| EE5 | Active esophagitis with peak intraepithelial eosinophil count of 5 per HPF. | GI |
| EE6 | Active esophagitis with peak intraepithelial eosinophil count of 6 per HPF. | GI |
| EE7 | Active esophagitis with peak intraepithelial eosinophil count of 7 per HPF. | GI |
| EE8 | Active esophagitis with peak intraepithelial eosinophil count of 8 per HPF. | GI |
| EE9 | Active esophagitis with peak intraepithelial eosinophil count of 9 per HPF. | GI |
| EEAE | Eosinophilic esophagitis/allergic esophagitis | GI |
| EERE | Esophageal squamous mucosa with very rare intraepithelial eosinophils. | GI |
| EMAA | Eosinophilic microabscesses are absent. | GI |
| EMAP | Eosinophilic microabscesses are present. | GI |
| EOG | Eosinophilic gastritis | GI |
| ESM | Esophageal squamous mucosa | GI |
| ESON | A PASd is negative for fungi. A CMV stain is negative. An HSV stain is negative. | GI |
| ESONS | The findings are non-specific. Possible etiologies include chemical (including peptic), mechanical, or thermal injury. | GI |
| ESVINE | Immunohistochemical stains for CMV, HSV1, and HSV2 are negative. | GI |
| FAC | Focal active colitis. | GI |
| FACC | Focal active chronic colitis. | GI |
| FATM | Mild to moderate steatosis is present in a pattern consistent with HCV. | GI |
| FATT | Moderate to marked steatosis is present; concomitant toxic or metabolic injury cannot be excluded. | GI |
| FCM | Fragment of colonic mucosa | GI |
| FCRI | Focal cryptitis | GI |
| FGP | Fundic gland polyp | GI |
| FHPOL | Fragments of hyperplastic polyp | GI |
| FIB0 | Trichrome stain shows no fibrosis (Ishak stage 0 of 6). | GI |
| FIB1 | Trichrome stain shows fibrous expansion of some portal areas, with or without short fibrous septa (Ishak stage 1 of 6). | GI |
| FIB2 | Trichrome stain shows fibrous expansion of most portal areas, with or without short fibrous septa (Ishak stage 2 of 6). | GI |
| FIB3 | Trichrome stain shows fibrous expansion of most portal areas, with occasional portal to portal bridging (Ishak stage 3 of 6). | GI |
| FIB4 | Trichrome stain shows fibrous expansion of most portal areas, with marked portal to portal bridging as well as portal to central bridging (Ishak stage 4 of 6). | GI |
| FIB5 | Trichrome stain shows marked bridging fibrosis with occasional nodules (incomplete cirrhosis) (Ishak stage 5 of 6). | GI |
| FIB6 | Trichrome stain shows probable or definite cirrhosis (Ishak stage 6 of 6). | GI |
| FLD | Fatty liver disease | GI |
| FOHYP | Foveolar hyperplasia | GI |
| FOMET | Foveolar metaplasia | GI |
| FSCM | Fragments of colonic mucosa | GI |
| FSSA | Fragments of sessile serrated adenoma/polyp. | GI |
| FTAD | Fragments of tubular adenoma | GI |
| FTVA | Fragments of tubulovillous adenoma | GI |
| FUCM | Fragments of unremarkable colonic mucosa | GI |
| FVAD | Fragments of villous adenoma | GI |
| GABTM | Gastric antral-body transitional mucosa | GI |
| GACA | Gastrocutaneous anastomosis | GI |
| GAM | Gastric antral mucosa | GI |
| GAMPC | Gastric antral mucosa with slight increase in lamina propria plasma cells. | GI |
| GASM | Gastric mucosa | GI |
| GAVE | Gastric antral vascular ectasia | GI |
| GBFM | Gastric body/fundic type mucosa | GI |
| GBOM | Gastric body mucosa | GI |
| GCM | Gastric cardiac-type mucosa | GI |
| GEJCC | Gastroesophageal junctional mucosa with chronic carditis. No intestinal metaplasia seen. | GI |
| GEJFIM | Gastroesophageal junctional mucosa with focal intestinal metaplasia. | GI |
| GEJIM | Gastroesophageal junctional mucosa with intestinal metaplasia. | GI |
| GEJM | Gastroesophageal junctional mucosa | GI |
| GENI | Investigation for a genetic iron disorder is suggested. | GI |
| GFIM | Glandular mucosa with focal intestinal metaplasia. Note: Could be Barrett's. No dysplasia. | GI |
| GFM | Gastric fundic mucosa | GI |
| GGL | Ground glass hepatocytes are present. | GI |
| GIM | Glandular mucosa with intestinal metaplasia. Note: Could be Barrett's. No dysplasia. | GI |
| GLAP | Granulation tissue in the lamina propria | GI |
| GLFIM | Glandular mucosa with focal intestinal metaplasia. | GI |
| GLIM | Glandular mucosa with intestinal metaplasia. | GI |
| GLYN | Glycogenated nuclei are | GI |
| HBAL | Hepatocyte ballooning is | GI |
| HGD | High grade dysplasia | GI |
| HIRS | Hirschsprung disease | GI |
| HPG | Helicobacter pylori gastritis | GI |
| HPHEN | No organisms consistent with Helicobacter pylori are seen on hematoxylin and eosin stained slides. | GI |
| HPHEP | Organisms consistent with Helicobacter pylori are seen on hematoxylin and eosin stained slides. | GI |
| HPIAD | An immunohistochemical stain for Helicobacter pylori is pending and will be reported in an addendum. | GI |
| HPIN | An immunohistochemical stain for H. pylori is negative. | GI |
| HPIP | An immunostain for H. pylori is positive. | GI |
| HPOL | Hyperplastic polyp | GI |
| IBD | inflammatory bowel disease | GI |
| IBDN | All tissue fragments are affected. No granulomas are seen and no dysplasia is present. The findings are consistent with inflammatory bowel disease if specific etiologies are excluded clinically. | GI |
| IDEF | NOTE: The fragmented nature of the specimen precludes evaluation for completeness of excision. | GI |
| IDES | NOTE: The completeness of excision cannot be determined because the polyp base/stalk is not visualized. | GI |
| IEEO | Intraepithelial eosinophils | GI |
| IEL | Intraepithelial lymphocytes | GI |
| IEN | Intraepithelial neutrophils | GI |
| IFP | Inflammatory fibroid polyp | GI |
| ILCA | Ileocutaneous anastomosis | GI |
| ILCOA | Ileocolonic anastomosis | GI |
| ILHPP | Ileal mucosa with hyperplastic Peyer's patches. | GI |
| ILM | Ileal mucosa | GI |
| ILOB | Lobular inflammation is XXX the inflammation consists of | GI |
| IM | Intestinal metaplasia | GI |
| IMHV | Immunohistochemical stains for HBsAg and HBcAg are pending and will be reported in an addendum. | GI |
| IND | Intestinal neuronal dysplasia | GI |
| INDEE | The histological features are indeterminate with respect to the etiology of this patient's esophagitis. Correlation with clinical data and treatment status is required to differentiate gastroesophageal reflux disease (GERD) from Eosinophilic Esophagitis (EoE). | GI |
| INDY | Indefinite for dysplasia | GI |
| INFP | Inflammatory polyp | GI |
| IPOR | Portal tracts show XXX inflammation. | GI |
| IPP | Inflammatory pseudopolyp | GI |
| IRON1 | Iron stain shows 1+ iron in hepatocytes. | GI |
| IRON2 | Iron stain shows 2+ iron in hepatocytes. | GI |
| IRON3 | Iron stain shows 3+ iron in hepatocytes. | GI |
| IRON4 | Iron stain shows 4+ iron in hepatocytes. | GI |
| IRONK | Iron stain shows increased iron in Kupffer cells. | GI |
| IRONN | Iron stain is negative. | GI |
| ISCH | Ischemic colitis | GI |
| ISCHN | Note: The differential diagnosis includes mesenteric vascular disease, embolic disease, vasoactive and/or volume-depleting drug effect, vasculitis, shock and other low flow states, and infection by Shiga-like toxin-producing organisms such as enterohemorrhagic E. coli. No cholesterol emboli or small vessel vasculitis is seen. | GI |
| JPOL | Juvenile polyp | GI |
| LAP | Lamina propria | GI |
| LCOL | Lymphocytic colitis | GI |
| LGAS | Lymphocytic gastritis | GI |
| LIGR | Lipogranulomas are observed in the | GI |
| LPI | Lymphoplasmacytic infiltrate | GI |
| MBOD | Mallory bodies are | GI |
| MCCHCH | Mild chronic cholecystitis and cholelithiasis. | GI |
| MCOL | Microscopic colitis | GI |
| MEGA | Megamitochondria are | GI |
| MELC | Melanosis coli | GI |
| MIC | Mildly active colitis | GI |
| MICC | Mildly active chronic colitis | GI |
| MIGC | Mildly active granulomatous colitis. | GI |
| MNGAS | Mild chronic non-specific gastritis | GI |
| MOC | Moderately active colitis | GI |
| MOCC | Moderately active chronic colitis | GI |
| MOGC | Moderately active granulomatous colitis. | GI |
| MUP | Mucosal prolapse changes | GI |
| MUPP | Mucosal prolapse polyp | GI |
| NAFLD | Non-alcoholic fatty liver disease | GI |
| NCOL | Colonic mucosa with no diagnostic abnormality. | GI |
| NCWEE | The histological findings are not consistent with untreated Eosinophilic Esophagitis (EoE). | GI |
| NDUO | Duodenal mucosa with no diagnostic abnormality | GI |
| NECR | Hepatocyte necrosis is | GI |
| NESO | Esophageal squamous mucosa with no diagnostic abnormality. | GI |
| NGABFM | Gastric antral and body/fundic mucosa with no diagnostic abnormality recognized. | GI |
| NGABTM | Gastric antral-body transitional mucosa with no diagnostic abnormality recognized. | GI |
| NGAM | Gastric antral mucosa with no diagnostic abnormality. | GI |
| NGAS | Chronic non-specific gastritis | GI |
| NGBFM | Gastric body/fundic mucosa with no diagnostic abnormality recognized. | GI |
| NGBFS | Segment of gastric body/fundus with no diagnostic abnormality recognized. | GI |
| NGBM | Gastric body mucosa with no diagnostic abnormality recognized. | GI |
| NGCM | Gastric cardia mucosa with no diagnostic abnormality. | GI |
| NGEJM | Gastroesophageal junctional mucosa with no diagnostic abnormality. | GI |
| NGFM | Gastric fundic mucosa with no diagnostic abnormality. | GI |
| NHGD | No high-grade dysplasia is identified. | GI |
| NILM | Ileal mucosa with no diagnostic abnormality. | GI |
| NIPD | No iron or PAS/D positive globules are present. | GI |
| NJEJ | Jejunal mucosa with no diagnostic abnormality recognized. | GI |
| NODA | No dysplasia seen in any of the biopsies. | GI |
| NODGR | No dysplasia or granulomas seen. | GI |
| NOGR | No granulomas are seen. | GI |
| NOHP | Inflammatory changes suggestive of H. pylori infection are not present and organisms are not identified on routine stains. | GI |
| NOPB | No prior biopsy is available at this institution for comparison. | GI |
| NPLC | The inflammatory infiltrate contains numerous plasma cells. | GI |
| NSIM | Small intestinal mucosa with no diagnostic abnormality recognized. | GI |
| NSPC | No specific pathologic change. | GI |
| P16N | Immunohistochemical stain for p16 does not show block-like staining | GI |
| P16P | Immunohistochemical stain for p16 shows block-like positivity, supporting high grade squamous intraepithelial lesion | GI |
| PASD | PAS/D stain shows no intracytoplasmic globules. | GI |
| PBC | Primary biliary cholangitis | GI |
| PBNA | The prior biopsy is not available for review (XX | GI |
| PCH | Parietal cell hyperplasia | GI |
| PCM | Polypoid colonic mucosa | GI |
| PCMET | Paneth cell metaplasia | GI |
| PDL1 | PD-L1 IMMUNOHISTOCHEMICAL STAINING:
A multiplex stain for PD-L1/CD8 was performed. An immunostain for PD-L1 was performed. 100 or more tumor cells are available in the specimen. PD-L1 shows no membranous staining of tumor cells. PD-L1 shows membranous staining of [weak, moderate, strong, combinations of those] intensity in X % of tumor cells. CD8+ tumor infiltrating lymphocytes are absent or rare (score of 0). CD8+ tumor infiltrating lymphocytes are few and scattered, involving < 5% of tumor cells (score of 1). CD8+ tumor infiltrating lymphocytes are present, associated with 5-25% of tumor cells (score of 2). CD8+ tumor infiltrating lymphocytes are numerous, associated with > 25 % of tumor cells (score of 3). | GI |
| PEP | Duodenal mucosa with reactive epithelial and stromal changes consistent with peptic injury. | GI |
| PHP | Immunohistochemical stain for H. pylori is positive. | GI |
| PJP | Peutz-Jegher polyp | GI |
| PMAC | Pigmented macrophages in the lobules are | GI |
| PMLP | PAS/D stain shows positive macrophages in the | GI |
| PSC | Primary sclerosing cholangitis | GI |
| REFL | Reflux esophagitis | GI |
| ROID | Marked vascular ectasia consistent with hemorrhoids. | GI |
| ROIDT | Marked vascular ectasia and thrombosis consistent with hemorrhoids. | GI |
| RXG | Reactive gastropathy | GI |
| SACC | Severely active chronic colitis | GI |
| SAD | Serrated adenoma | GI |
| SAGC | Severely active granulomatous colitis. | GI |
| SEAC | Severely active colitis | GI |
| SEFA | Subepithelial fibrosis is absent. | GI |
| SEFC | Subepithelial fibrosis cannot be assessed. | GI |
| SEFP | Subepithelial fibrosis is present. | GI |
| SFIB0 | Trichrome stain shows no fibrosis (modified Brunt stage 0 of 4). | GI |
| SFIB1a | Trichrome stain shows mild sinusoidal fibrosis in zone 3 (modified Brunt stage 1a of 4). | GI |
| SFIB1b | Trichrome stain shows moderate sinusoidal fibrosis in zone 3 (modified Brunt stage 1b of 4). | GI |
| SFIB1c | Trichrome stain shows sinusoidal fibrosis in zone 1 (modified Brunt stage 1c of 4). | GI |
| SFIB2 | Trichrome stain shows sinusoidal fibrosis in both zones 3 and 1 (modified Brunt stage 2 of 4). | GI |
| SFIB3 | Trichrome stain shows bridging fibrosis (modified Brunt stage 3 of 4). | GI |
| SFIB4 | Trichrome stain shows cirrhosis (modified Brunt stage 4 of 4). | GI |
| SGBFA | Segment of gastric body/fundus with increased submucosa adipose tissue. | GI |
| SGFIM | Squamoglandular junctional mucosa with focal intestinal metaplasia. Note: Could be Barrett's. No dysplasia. | GI |
| SGIM | Squamoglandular junctional mucosa with intestinal metaplasia. Note: Could be Barrett's. No dysplasia. | GI |
| SGJM | Squamoglandular junctional mucosa | GI |
| SGM | Specialized glandular mucosa | GI |
| SGR1 | The biopsy shows grade 1 of 3 steatosis (5-33%) | GI |
| SGR2 | The biopsy shows grade 2 of 3 steatosis (33-66%) | GI |
| SGR3 | The biopsy shows grade 3 of 3 steatosis (> 66%) | GI |
| SIM | Small intestinal mucosa | GI |
| SINV | Small intestinal mucosa with normal villous architecture | GI |
| SLEA | Superficial layering of eosinophils is absent. | GI |
| SLEP | Superficial layering of eosinophils is present. | GI |
| SRUS | Ulcerated polypoid mucosa with features of mucosal prolapse (see note). Note: the findings are consistent with the polypoid phase of solitary rectal ulcer syndrome. | GI |
| SSAP | Sessile serrated polyp/adenoma. | GI |
| SSAPN | Note: This type of polyp may be a precursor of microsatellite unstable colorectal carcinomas. | GI |
| STEA | Steatosis with xxx features of steatohepatitis and xxx | GI |
| TAD | Tubular adenoma | GI |
| TINAD | There is no evidence of adenoma | GI |
| TINEC | There is no evidence of colitis. | GI |
| TINIM | There is no evidence of intestinal metaplasia. | GI |
| TINIMD | There is no evidence of intestinal metaplasia or dysplasia. | GI |
| TVA | Tubulovillous adenoma | GI |
| VAD | Villous adenoma | GI |
| BPH | Benign prostatic hyperplasia | GU |
| BPT | Benign prostate tissue | GU |
| CCRCC | Clear cell renal cell carcinoma | GU |
| CPACA | Prostatic Adenocarcinoma
Gleason score 3 + 3 = 6/10 (Grade Group 1) Number of Cores Involved: Percentage and length of cores involved: Perineural invasion is: | GU |
| CRCC | Chromophobe renal cell carcinoma | GU |
| NEGMUSC | Muscularis propria is present and not involved by tumor. | GU |
| NOMUSC | No muscularis propria is present. | GU |
| PACA | Prostatic adenocarcinoma | GU |
| PRCC | Papillary renal cell carcinoma | GU |
| PUCH | Papillary urothelial carcinoma, high grade (WHO grade 3) | GU |
| PUCHLP | Papillary urothelial carcinoma (WHO grade 3), invasive of the lamina propria (pT1) | GU |
| PUCHMP | Papillary urothelial carcinoma (WHO grade 3), invasive of the muscularis propria (pT2) | GU |
| PUCHNI | Papillary urothelial carcinoma, non-invasive (pTa) | GU |
| PUCL | Papillary urothelial carcinoma, low grade (WHO Grade 2) | GU |
| PUCLLP | Papillary urothelial carcinoma, low grade (WHO grade 2), invasive of the lamina propria (pT1) | GU |
| PUCLMP | Papillary urothelial carcinoma, low grade (WHO grade 2), invasive of the muscularis propria (T2) | GU |
| PUNLMP | Papillary urothelial neoplasm of low malignant potential (WHO Grade 1) | GU |
| TCC | Transitional cell carcinoma | GU |
| TCCIS | Transitional cell carcinoma in situ (pTis); no invasive carcinoma identified. | GU |
| TCCLP | Transitional cell carcinoma, grade 3 of 3, invasive of the lamina propria (pT1). | GU |
| TCCMP | Transitional cell carcinoma, grade 3 of 3, invasive of the muscularis propria (pT2). | GU |
| UCIS | Urothelial carcinoma in situ (pTis) | GU |
| YESMUSC | Muscularis propria is present. | GU |
| AE | ATROPHIC ENDOMETRIUM | GYN |
| AGLAND | Fragments of aglandular functionalis suggestive of underlying submucosal leiomyoma. | GYN |
| AMYOS | adenomyosis | GYN |
| ANOV | DISORDERED ENDOMETRIUM CONSISTENT WITH ANOVULATORY CYCLE. | GYN |
| ASM | ATYPICAL SQUAMOUS METAPLASIA | GYN |
| BC | BARTHOLIN'S CYST | GYN |
| BCA | BARTHOLIN'S CYST ABSCESS | GYN |
| BLH | BASAL LAYER HYPERPIGMENTATION. | GYN |
| BSM | BENIGN SQUAMOUS MUCOSA | GYN |
| CC | CHRONIC CERVICITIS | GYN |
| CEND | CHRONIC ENDOMETRITIS | GYN |
| CF | CYSTIC FOLLICLES | GYN |
| CH | CYSTIC HYPERPLASIA | GYN |
| CIC | CORTICAL (MESOTHELIAL) INCLUSION CYST(S) | GYN |
| CONDY | CONDYLOMA ACUMINATUM | GYN |
| CONDYS | CONDYLOMATA ACUMINATA | GYN |
| CONH | consistent with a high grade squamous intraepithelial lesion. | GYN |
| CONL | consistent with a low grade squamous intraepithelial lesion. | GYN |
| DRUG | ALTERED ENDOMETRIUM WITH GLANDULAR AND STROMAL CHANGES CONSISTENT WITH EXOGENOUS HORMONE THERAPY EFFECT. | GYN |
| EC | ENDOCERVIX | GYN |
| ECP | ENDOCERVICAL POLYP | GYN |
| EEG | EXTENDING INTO ENDOCERVICAL GLANDS | GYN |
| EHYP | ENDOMETRIAL HYPERPLASIA WITH # ARCHITECTURAL AND # CYTOLOGICAL ATYPIA. | GYN |
| EIN | Endometrial intraepithelial neoplasia (atypical hyperplasia) | GYN |
| EMCA | ENDOMETRIAL CARCINOMA, ENDOMETRIOID TYPE, GRADE | GYN |
| EMOS | ENDOMETRIOSIS | GYN |
| EMP | ENDOMETRIAL POLYP | GYN |
| ENDO | ENDOMETRIUM | GYN |
| ETP | CHORIONIC VILLI AND HEMORRHAGE CONSISTENT WITH ECTOPIC TUBAL PREGNANCY | GYN |
| FASE | Fragments of atrophic surface endometrium. | GYN |
| FC | FOLLICULAR CERVICITIS | GYN |
| FCON | FLAT CONDYLOMA | GYN |
| FEE | FRAGMENTS OF ENDOCERVICAL EPITHELIUM | GYN |
| FEM | FRAGMENT OF ENDOCERVICAL MUCOSA | GYN |
| FGSE | FRAGMENTS OF GLYCOGENATED SQUAMOUS EPITHELIUM | GYN |
| FISE | Fragments of inactive surface endometrium. | GYN |
| FOBE | Fragments of benign endocervix. | GYN |
| FREE | Margins are uninvolved by the lesion. | GYN |
| FSM | FRAGMENT OF SMOOTH MUSCLE | GYN |
| FSML | FRAGMENT OF SMOOTH MUSCLE CONSISTENT WITH LEIOMYOMA | GYN |
| FSSM | FRAGMENTS OF SMOOTH MUSCLE | GYN |
| FUEE | FRAGMENTS OF UNREMARKABLE ENDOCERVICAL EPITHELIUM | GYN |
| FUEEM | FRAGMENTS OF UNREMARKABLE ENDOCERVICAL MUCOSA AND EPITHELIUM. | GYN |
| FUEES | FRAGMENTS OF UNREMARKABLE ENDOCERVICAL AND SQUAMOUS EPITHELIUM. | GYN |
| GCROWD | These changes are not sufficient for a diagnosis of endometrial intraepithelial neoplasia (EIN/atypical hyperplasia); however, focal gland crowding is followed by EIN on a subsequent sample in about 20% of cases. Followup sampling is advised in 4-6 months to exclude EIN, or earlier if there are clinical concerns. See: Huang EC, Mutter GL, Crum CP, Nucci MR. Clinical outcome in diagnostically ambiguous foci of 'gland | GYN |
| GLINV | with endocervical gland involvement | GYN |
| GT | GRANULATION TISSUE | GYN |
| HG | HYPERGRANULOSIS | GYN |
| HGSC | high grade serous carcinoma | GYN |
| HPV | HUMAN PAPILLOMAVIRUS | GYN |
| HSE | HYPERSECRETORY ENDOMETRIUM | GYN |
| IE | INACTIVE ENDOMETRIUM | GYN |
| ISM | IMMATURE SQUAMOUS METAPLASIA | GYN |
| KOILO | KOILOCYTOSIS | GYN |
| LEIO | leiomyoma | GYN |
| LEIOS | leiomyomata | GYN |
| LUS | LOWER UTERINE SEGMENT | GYN |
| ME | MENSTRUAL ENDOMETRIUM | GYN |
| METPAP | Metastatic high grade serous carcinoma | GYN |
| MGH | MICROGLANDULAR HYPERPLASIA | GYN |
| MIX | ALTERED ENDOMETRIUM WITH A MIXED PROLIFERATIVE AND SECRETORY | GYN |
| MORULES | Squamous morular metaplasia, either isolated or associated with mild gland crowding, carries a mildly increased risk of an endometrial cancer outcome (approximately 5%) and may resolve spontaneously. However, followup with a repeat endometrial sample in approximately 3-6 months is advised to exclude persistence, as clinically appropriate. | GYN |
| MPE | MENSTRUAL PATTERN ENDOMETRIUM | GYN |
| MSE | MATURE SQUAMOUS EPITHELIUM | GYN |
| MSM | MATURE SQUAMOUS METAPLASIA | GYN |
| NFT | negative for tumor. | GYN |
| OME | Ovulatory menstrual endometrium | GYN |
| PBS | PREVIOUS BIOPSY SITE | GYN |
| PE | PROLIFERATIVE ENDOMETRIUM | GYN |
| PEC | PROLIFERATIVE ENDOMETRIUM WITH FOCAL CYSTIC DILATATION | GYN |
| PGT | POLYPOID GRANULATION TISSUE | GYN |
| PILL | Endometrial gland and stromal changes consistent with oral contraceptive effect. | GYN |
| POC | CHORIONIC VILLI AND DECIDUA CONSISTENT WITH INTRAUTERINE PREGNANCY | GYN |
| PPE | PROLIFERATIVE PATTERN ENDOMETRIUM | GYN |
| PTC | PARATUBAL CYSTS | GYN |
| REED | Although not entirely specific, the distinctive morphology of atypical smooth muscle cells in combination of cleared chromatin, prominent nucleoli and eosinophilic cytoplasmic inclusions, raises the possibility of hereditary leiomyomatosis and renal cell cancer (HLRCC) syndrome (also known as reed syndrome). Consideration of medical genetics consultation, testing for germline fumarate hydratase (FH) gene mutation, and screening for renal cell carcinoma could be considered if clinically feasible. In this context, review of family history and dermatologic examination for cutaneous leiomyomata are advised (ref: Sanz-Ortega, J. et al., Am J Surg Pathol 2013; 27:74-80). | GYN |
| RSC | REACTIVE SQUAMOUS CHANGES | GYN |
| RSM | REACTIVE SQUAMOUS METAPLASIA | GYN |
| RX | REACTIVE | GYN |
| SCAE | SCANT ATROPHIC ENDOMETRIUM. | GYN |
| SCIS | SQUAMOUS CELL CARCINOMA IN SITU | GYN |
| SD | SQUAMOUS DYSPLASIA | GYN |
| SE | SECRETORY ENDOMETRIUM | GYN |
| SED | SECRETORY ENDOMETRIUM, DAY | GYN |
| SEDEL | Secretory endometrium, delayed ovulatory type. Comment: the presence of scattered cysts and/or fibrin thrombi suggests a protracted estrogenic (“follicular”) phase prior to ovulation. | GYN |
| SM | SQUAMOUS METAPLASIA | GYN |
| SONE | Fragments of dysplastic squamous epithelium | GYN |
| STIC | serous tubal intraepithelial carcinoma | GYN |
| TM | TUBAL METAPLASIA | GYN |
| TOAD | TUBO-OVARIAN ADHESIONS | GYN |
| TUBE | UNREMARKABLE PORTION OF OVIDUCT; COMPLETE CROSS SECTION DEMONSTRATED. | GYN |
| TWEENER | This lesion has features that are intermediate to those of LSIL and HSIL (CIN 2). Potential management options include clinical follow-up versus excision as clinically appropriate. | GYN |
| TZ | TRANSFORMATION ZONE | GYN |
| VU | VULVAR ULCER | GYN |
| WPE | WEAKLY PROLIFERATIVE ENDOMETRIUM | GYN |
| ABL | Atypical Burkitt's lymphoma | HP |
| AEL | Acute erythroid leukemia | HP |
| AFH | Angiofollicular hyperplasia (Castleman's disease) | HP |
| AITL | Angioimmunoblastic T-cell lymphoma | HP |
| ALCL | Anaplastic large cell lymphoma | HP |
| ALL | Acute lymphblastic leukemia | HP |
| AML | Acute myeloid leukemia | HP |
| AMML | Acute myelomonocytic leukemia | HP |
| AMOL | Acute monoblastic leukemia | HP |
| APML | Acute promyelocytic leukemia | HP |
| ATLL | Adult T Cell Lymphoma/Leukemia | HP |
| BCL | B-cell lymphoma | HP |
| BCLU | B-cell lymphoma, unclassifiable, with features intermediate between diffuse large B-cell lymphoma and Burkitt's lymphoma | HP |
| BL | Burkitt's lymphoma | HP |
| CAMD | Paraffin tissue/Touch preps/Fresh tissue/Frozen tissue from this case was submitted to the Center for Advanced Molecular Diagnostics at Brigham and Women's Hospital (XXXXXXXXXX). Results are as follows: | HP |
| CD | Castleman's disease | HP |
| CDHV | Castleman's disease, hyaline vascular variant | HP |
| CDPC | Castleman's disease, plasma cell variant | HP |
| CHL | Classical Hodgkin's lymphoma | HP |
| CLL | Chronic lymphocytic leukemia | HP |
| CML | Chronic myelogenous leukemia | HP |
| CMML | Chronic myelomonocytic leukemia | HP |
| DFNS | Diagnostic features of XXXXXXX are not seen. | HP |
| DINT | A concurrent peripheral blood smear has been reviewed for morphological correlation of these findings (see CBC/differential report of DATE with pathologist's interpretation). | HP |
| DLBCL | Diffuse large B-cell lymphoma | HP |
| EBER | Epstein-Barr virus encoded RNA (EBER) | HP |
| EBERNEG | In-situ hybridization reveals no staining with an oligonucleotide probe for EBV-encoded RNA (EBER). | HP |
| EBERPOS | In-situ hybridization with an oligonucleotide probe specific for EBV encoded RNA (EBER) reveals positive staining of | HP |
| EBV | Epstein-Barr virus | HP |
| EMZL | Extranodal marginal zone lymphoma of mucosa-associated lymphoid tissue | HP |
| ENKTL | Extranodal NK/T-cell lymphoma, nasal type | HP |
| FDAIP | This immunoperoxidase test was developed and its performance characteristics determined by the Pathology Department at the Massachusetts General Hospital. It has not been cleared or approved by the U.S. Food and Drug Administration (FDA). The FDA has determined that such clearance or approval is not necessary; this laboratory has established and verified the test's accuracy and precision. | HP |
| FDC | Follicular dendritic cells | HP |
| FL | Follicular lymphoma | HP |
| FL12 | Follicular lymphoma, grade 1-2 of 3 | HP |
| FL3A | Follicular lymphoma, grade 3A of 3 | HP |
| FL3B | Follicular lymphoma, grade 3B of 3 | HP |
| FLIFD | Selected markers were evaluated by immunohistochemistry as well as flow cytometry because their expression by flow cytometry was not reliably demonstrated in the cells of interest. | HP |
| FLIM | Selected markers were evaluated by immunohistochemistry as well as flow cytometry to assess their expression in the context of the tissue architecture. | HP |
| FLINT | A concurrent fluid cytospin slide from the Core Hematology Laboratory has been reviewed for morphological correlation of these findings (see fluid cell count/differential report of DATE with pathologist's interpretation). | HP |
| FLIS | Follicular lymphoma in situ | HP |
| FLISN | Follicular lymphoma in situ NOTE | HP |
| FLOS | According to the accompanying report, flow cytometry performed at the outside insitution revealed | HP |
| GIEM | Giemsa stain was examinated as part of the histologic evaluation of this case. | HP |
| GZL | B-cell lymphoma, unclassifiable, with features intermediate between diffuse large B-cell lymphoma and classical Hodgkin's lymphoma | HP |
| HCL | Hairy cell leukemia | HP |
| HOMTH | hypocellular marrow with maturing trilineage hematopoiesis | HP |
| HSTCL | Hepatosplenic T-cell lymphoma | HP |
| HYMTH | hypercellular marrow with maturing trilineage hematopoiesis | HP |
| IDDC | interdigitating dendritic cells | HP |
| IHCKL | Immunohistochemistry for kappa and lambda immunoglobulin light chains | HP |
| IHCOSH | Examination of immunostains submitted for review shows | HP |
| IHCP | Immunoperoxidase stains on paraffin sections reveal | HP |
| ISHEBER | In-situ hybridization for Epstein-Barr virus encoced RNA (EBER) | HP |
| ISHKL | In-situ hybridization for kappa and lambda immunoglobulin light chains | HP |
| IVBL | Intravascular large B-cell lymphoma | HP |
| KLIG | kappa and lambda immunoglobulin light chains | HP |
| LBL | Acute lymphoblastic lymphoma | HP |
| LDCHL | Lymphocyte-depleted classical Hodgkin's lymphoma | HP |
| LGL | large granular lymphocyte | HP |
| LGLL | large granular lymphocytic leukemia | HP |
| LNIG | Lymph node with increased IgG4+ plasma cells NOTE | HP |
| LNIG | (for RLH with increased IgG4+ plasma cells) | HP |
| LRCHL | Lymphocyte-rich classical Hodgkin's lymphoma | HP |
| LYG | Lymphomatoid granulomatosis | HP |
| LYPL | Lymphoplasmacytic lymphoma | HP |
| MALT | Mucosa-associated lymphoid tissue | HP |
| MBL | Monoclonal B-cell lymphocytosis | HP |
| MCCHL | Mixed cellularity classical Hodgkin's lymphoma | HP |
| MCL | Mantle cell lymphoma | HP |
| MDS | Myelodysplastic/myeloproliferative neoplasm | HP |
| MGUS | Monoclonal gammopathy of undetermined significance | HP |
| MHOM | Markedly hypocellular marrow | HP |
| MHYM | Markedly hypercellular marrow | HP |
| MPAL | Mixed phenotype acute leukemia | HP |
| MPN | Myeloproliferative neoplasma | HP |
| MTH | maturing trilineage hematopoiesis | HP |
| MZL | Marginal zone lymphoma | HP |
| NLPHL | Nodular lymphocyte predominant Hodgkin's lymphoma | HP |
| NMTH | Normocellular marrow with trilineage hematopoeisis | HP |
| NMZL | Nodal marginal zone lymphoma | HP |
| NSCHL | Nodular sclerosis classical Hodgkin's lymphoma | HP |
| PBL | Plasmablastic lymphoma | HP |
| PCDLBCL | Primary cutaneous diffuse large B-cell lymphoma, leg type | HP |
| PCFCL | Primary cutaneous follicle center lymphoma | HP |
| PCMZL | Primary cutaneous marginal zone lymphoma | HP |
| PCN | Plasma cell neoplasm | HP |
| PEL | Primary effusion lymphoma | HP |
| PLCM | Plasma cell myeloma | HP |
| PLL | Prolymphocytic leukemia | HP |
| PMBL | Primary mediastinal B-cell lymphoma | HP |
| PMF | Primary myelofibrosis | HP |
| PSRE | Review of the peripheral smear reveals | HP |
| PTCL | Peripheral T-cell lymphoma | HP |
| PTCLNOS | Peripheral T-cell lymphoma, not otherwise specified | HP |
| PTGC | Progressive transformation of germinal centers | HP |
| PTLD | Post-transplant lymphoproliferative disorder | HP |
| RA | Refractory anemia | HP |
| RAEB | Refractory anemia with excess blasts | HP |
| RARS | Refractory anemia with ring sideroblasts | HP |
| RCMD | Refractory cytopenia with multilineage dysplasia | HP |
| RET | No increase in reticulin | HP |
| RET1 | 1+ out of 3 fiber staining | HP |
| RET2 | 2+ out of 3 fiber staining | HP |
| RET3 | 3+ out of 3 fiber staining | HP |
| RFH | Reactive follicular hyperplasia | HP |
| RSAV | Reed-Sternberg cells and variants | HP |
| RSVAR | Reed-Sternberg cell variants | HP |
| RSVAR | Reed-Sternberg cells | HP |
| SDRP | Splenic diffuse red pulp small B-cell lymphoma | HP |
| SHML | Sinus histiocytosis with massive lymphadenopathy | HP |
| SLL | Small lymphocytic lymphoma | HP |
| SMZL | Splenic marginal zone lymphoma | HP |
| TCL | T-cell lymphoma | HP |
| TCRAB | T-cell receptor alpha/beta | HP |
| TCRGD | T-cell receptor gamma/delta | HP |
| TCRLBCL | T-cell/histiocyte-rich large B-cell lymphoma | HP |
| WHOP | Subclassification of this acute leukemia according to the WHO Classification is pending results of cytogenetics. | HP |
| WM | Waldenstrom's macroglobulinemia | HP |
| MGMTAD | Testing for methylation status of the MGMT promoter will be performed and reported subsequently. | NP |
| MKHI | The Ki67 labeling index in the present case is XX%. The presence of a Ki67 labeling index greater than 3% has been correlated with the recurrence of meningiomas, and the elevated proliferation index present in this case may indicate more aggressive biologic potential of the tumor. See note. Note: This immunoperoxidase test was developed and its performance characteristics determined by the Pathology Department at the Massachusetts General Hospital. It has not been cleared or approved by the U.S. Food and Drug Administration (FDA). The FDA has determined that such clearance or approval is not necessary; this laboratory has established and verified the test's accuracy and precision. | NP |
| MKLO | The Ki67 labeling index in the present case is low, at XX%. The presence of a Ki67 labeling index greater than 3% has been correlated with the recurrence of meningiomas. See note. Note: This immunoperoxidase test was developed and its performance characteristics determined by the Pathology Department at the Massachusetts General Hospital. It has not been cleared or approved by the U.S. Food and Drug Administration (FDA). The FDA has determined that such clearance or approval is not necessary; this laboratory has established and verified the test's accuracy and precision. | NP |
| ABRUPT | Note: The diagnosis of acute abruption is best made clinically and by immediate examination of the freshly delivered placenta. Histologic findings are rare and non-specific and the absence of them do not negate the diagnosis. Clinical correlation is suggested. | OB |
| ACHA | ACUTE CHORIOAMNIONITIS (MATERNAL STAGE X; GRADE X) | OB |
| ACHAF | ACUTE CHORIOAMNIONITIS (MATERNAL STAGE X; GRADE X) WITH FETAL VASCULAR INVOLVEMENT (FETAL STAGE X; GRADE X) | OB |
| ACVM | ACCELERATED VILLOUS MATURATION (SMALL VILLI WITH LARGE SYNCYTIAL KNOTS AND VILLOUS SCLEROSIS). SEE NOTE. NOTE: These findings are associated with chronic uteroplacental insufficiency. | OB |
| AGA | APPROPRIATE FOR GESTATIONAL AGE | OB |
| AVE | ACUTE VILLOUS EDEMA | OB |
| CHOR | CHORANGIOSIS | OB |
| CLINICO | CLINICAL CORRELATION IS SUGGESTED. | OB |
| CM | COMPLETE HYDATIFORM MOLE | OB |
| CYTO | COMMENT: Tissue was sent for cytogenetics and the results will be reported seperately. | OB |
| DDTP | DIAMNIONIC, DICHORIONIC TWIN PLACENTA | OB |
| DEC | DECIDUA | OB |
| DMPT | DIAMNIONIC, MONOCHORIONIC TWIN PLACENTA. SEE NOTE. | OB |
| DV | DECIDUAL VASCULOPATHY | OB |
| FRAG | NOTE: Fragmentation precludes optimal evaluation for structural malformations and determination of gender. | OB |
| FRIP | FRAGMENTS OF IMMATURE PLACENTA | OB |
| FVM | FETAL VASCULAR MALPERFUSION | OB |
| FVMN | FETAL VASCULAR MALPERFUSION (SEE NOTE). Note: The differential diagnosis includes anatomical obstruction (e.g. true knot, velamentous vessels), inflammatory (chronic villitis, chorionic plate inflammation), toxic (meconium myonecrosis, infant of an IDDM mother), and hereditary thrombophilia. In this case we favor XXX. | OB |
| GA | GESTATIONAL AGE | OB |
| IMPL | PLACENTAL IMPLANTATION SITE | OB |
| IP | IMMATURE PLACENTA | OB |
| IUFD | INTRAUTERINE FETAL DEMISE | OB |
| IUGR | INTRAUTERINE GROWTH RESTRICTION | OB |
| IUP | INTRAUTERINE PREGNANCY | OB |
| IVT | INTERVILLOUS THROMBUS | OB |
| MEC | PIGMENT LADEN MACROPHAGES IN AMNION CONSISTENT WITH MECONIUM | OB |
| MMTP | MONOAMNIONIC, MONOCHORIONIC TWIN PLACENTA. SEE NOTE. NOTE: Monochorionic placentas are monozygous. | OB |
| MP | MATURE PLACENTA | OB |
| NOVIL | NO VILLI OR TROPHOBLAST PRESENT, ENTIRE SPECIMEN EXAMINED. SEE NOTE. NOTE: Pregnancy has not been confirmed and ectopic pregnancy cannot be excluded. Clinical correlation is advised. Dr. XXXX notified by Dr. YYYY on DATE at TIME. | OB |
| NV | NECROTIC IMMATURE CHORIONIC VILLI | OB |
| PLIN | PLACENTAL INFARCT | OB |
| PM | PARTIAL HYDATIDIFORM MOLE | OB |
| SIP | SLIGHTLY IMMATURE PLACENTA | OB |
| SUA | SINGLE UMBILICAL ARTERY. SEE NOTE. NOTE: Approximately 2% of cases of single umbilical artery are associated with renal anomalies including pelvic kidney, unilateral renal agenesis, or horseshoe kidney. If it was not done antenatally, a renal evaluation should be considered. | OB |
| THEFOL | THE FOLLOWING ORGANS/TISSUES ARE PRESENT AND ARE APPROPRIATE FOR GESTATIONAL AGE: | OB |
| UC | UMBILICAL CORD | OB |
| VUE | VILLITIS OF UNKNOWN ETIOLOGY | OB |
| ZYGO | NOTE: Zygosity cannot be determined by placental examination | OB |