MGH: CoPath coded comments

From MGH Learn Pathology

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