What Information is Included in a Histopathology Report?

A histopathology report typically includes the following sections:

- Patient Information: Details such as the patient's name, age, sex, and medical history.
- Clinical Information: Information provided by the clinician regarding the reason for the biopsy and relevant clinical findings.
- Macroscopic Description: A detailed description of the physical characteristics of the tissue sample, including size, shape, and color.
- Microscopic Description: Detailed observations from the microscopic examination, including descriptions of cell and tissue structures, any abnormalities, and the presence of inflammatory or neoplastic cells.
- Diagnosis: The pathologist's final diagnosis based on the microscopic findings.
- Comments: Additional observations or recommendations for further testing or treatment.