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.