Surgical Pathology Cancer Case Summary

GASTROINTESTINAL LYMPHOMA:             Report

GASTROINTESTINAL LYMPHOMA: Cytology/Biopsy

MACROSCOPIC (check all that apply)

SPECIMEN TYPE

___ Cytology

___ Incisional biopsy

TUMOR SITE

___ Stomach

___ Subsite unknown

___ Cardia

___ Fundus

___ Body

___ Antrum

___ Small intestine

___ Subsite unknown

___ Duodenum

___ Jejunum

___ Ileum

___ Colon

___ Subsite unknown

___ Cecum

___ Right colon

___ Hepatic flexure

___ Transverse colon

___ Splenic flexure

___ Left colon

___ Sigmoid colon

___ Rectum

MICROSCOPIC (check all that apply)

TUMOR

Immunophenotyping

___ Performed (see comment)

___ Not performed

Histologic type

___ Hodgkin’s disease

___ Non-Hodgkin’s lymphoma

___ B cell lymphoma

___ Grade cannot be assesed

___ Low grade

___ Mantle cell lymphoma

___ Other: ______________

___ High grade

___ Diffuse large B-cell lymphoma

___ Burkitt’s lymphoma

___ Other: ______________

___ T cell lymphoma

ADDITIONAL PATHOLOGIC FINDINGS

Specify: ____________________________

COMMENT

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