A) ENDOCERVICAL CURETTAGE; B) CERVICAL TISSUE

Clinical impression is rule out Carcinoma Intraepithelial Neoplasia.

Part A is received in formalin labeled “endocervical curettage” which consists of several tan-brown to
brown-red, soft to mucoid tissue fragments with an aggregate diameter of 0.5 cm. Block all (1).

Part B is received in formalin labeled “cervical tissue” which consists of three (3) cream-white to brown-
red, firm and irregular tissue fragments measuring from 0.5 x 0.3 x 0.2 cm to 0.9 x 0.2 x 0.2 cm. Block all
(1).

A. Endocervical curettage, curettage:

B, Cervical tissue, punch biopsy:

A) GASTRIC ULCER EDGE; B) ESOPHAGEAL MUCOSA

Clinical impression is Peptic Ulcer Disease; Barrett’s Esophagus.

Part A is received in formalin labeled “gastric ulcer edge” which consists of one (1) cream-white, firm
and irregular tissue fragment measuring 0.3 x 0.2 x 0.1 cm. Block all (1).

Part B is received in formalin labeled “esophageal mucosa” which consists of one (1) cream-white, firm
and irregular tissue fragment measuring 0.4 x 0.2 x 0.1 cm. Block all (1).

A. Gastric ulcer edge, gastroscopy:

B. Esophageal mucosa, gastroscopy:

ENDOMETRIAL SAMPLE
The patient had three (3) months of abnormal uterine bleeding. Clinical impression is Abnormal Uterine
Bleeding.

Part A is received in formalin labeled “endometrial sample” which consists of several tan-brown to dark-
brown, soft and irregular tissue fragments with an aggregate diameter of 1.4 cm. Block all (1).

Endometrial sample, biopsy:

GALLBLADDER
Clinical impression is Chronic Calculous Cholecystitis.

Part A is received in formalin which consists of a previously incised specimen labeled “gallbladder”
measuring 5.2 cm in length, 1.1 cm in diameter and 0.3 cm in wall thickness with a tan and dull serosa.
The mucosa is tan-brown to red with erosions and yellow flecks. A round, brown-green stone is lodged
at the neck and measures 0.5 cm in diameter with a rough surface. Block 3 (1).
Gallbladder, laparoscopic cholecystectomy:

ENDOMETRIAL TISSUE
Clinical impression is Abnormal Uterine Bleeding, rule out Endometrial Pathology; Myoma Uteri.

Part A is received in formalin labeled “endometrial tissue” which consists of several tan to dark-brown,
firm to mucoid tissue fragments with blood clots with an aggregate diameter of 1.2 cm. Block all (1).

Endometrial tissue, biopsy:

THYROID
Clinical impression is Multinodular Nontoxic Goiter.

Part A is an intact specimen received in formalin labeled “thyroid” weighing 16.5 grams. The right lobe,
left lobe and isthmus measures 4.0 x 2.0 x 1.3 cm, 4.0 x 1.8 x 1.6 cm and 2.1 x 1.0 x 0.6 cm, respectively.
The surface is dark-brown to brown-red and smooth. Cut sections show several tan-brown to dark-
brown nodules measuring from 0.4 to 2.7 cm in diameter with the largest located at the anterior of the
isthmus. Some nodules contain calcifications. The rest of the thyroid parenchyma is dark-brown, solid
and smooth to firm. Sections are submitted and labeled as follows:

A1. Right lobe. Block 3 (1).

A2. Left lobe. Block 2 (1).
A3. Isthmus. Block 1 (1).

Thyroid, total thyroidectomy:

A) SOFT TISSUE TOOTH #48; B) SOFT TISSUE TOOTH #18; C) SOFT TISSUE TOOTH #38; S) SOFT TISSUE
TOOTH #28
The patient has an incidental finding of impacted developing third molars. Clinical impression is to
consider Dentigerous Cyst.

Part A is received in formalin labeled “soft tissue tooth #48” which consists of one (1) cream-white to
tan, soft to firm and irregular tissue fragment measuring 1.2 x 1.1 x 0.5 cm. Block all (1).

Part B is received in formalin labeled “soft tissue tooth #18” which consists of one (1) cream-white to
tan, soft to firm and irregular tissue fragment measuring 1.0 x 0.9 x 0.5 cm. Block all (1).

Part C is received in formalin labeled “soft tissue tooth #38” which consists of one (1) cream-white to
tan, firm and irregular tissue fragment measuring 0.5 x 0.5 x 0.3 cm. Block all (1).
Part D is received in formalin labeled “soft tissue tooth #28” which consists of one (1) cream-white to
tan, soft to firm and irregular tissue fragment measuring 2.0 cm in length and 0.3 to 0.9 cm in width.
Block all (1).

A. Soft tissue tooth #48, odontectomy and alveoplasty:

B. Soft tissue tooth #18, odontectomy and alveoplasty:

C. Soft tissue tooth #38, odontectomy and alveoplasty:

D. Soft tissue tooth #28, odontectomy and alveoplasty:

ENDOMETRIAL TISSUES
The patient has prolonged menses for two weeks. TVS showed thickened endometrium. Clincal
impression is G2P1 (1011) Abnormal Uterine Bleeding secondary to Endometrial Pathology.

Part A is received in formalin labeled “endometrial tissues” which consists of several cream-tan to tan-
pink, firm and irregular tissue fragments with blood clots and with an aggregate diameter of 5.5 cm.
Block all (2).

Endometrial tissues, curettage:

A) RIGHT TONSIL; B) LEFT TONSIL

Clinical impression is Chronic Hypertrophic Tonsillitis with Tonsillolith.

Part A is received in formalin labeled “right tonsil” which consists of a cream-tan to brown-red, firm and
irregular tissue fragment weighing 3.8 grams and measuring 2.5 x 1.8 x 1.6 cm. Cut sections show a
cream-white, solid and homogenous surface. Block 2 (1).

Part B is received in formalin labeled “left tonsil” which consists of a cream-white to tan-red, soft to firm
and irregular tissue fragment weighing 6.7 grams and measuring 3.5 x 2.5 x 1.5 cm. Cut sections show a
cream-white surface with purulent material. Block 2 (1).

A. Right tonsil, bilateral tonsillectomy:

B. Left tonsil, bilateral tonsillectomy:

A) NASAL POLYPS; B) INFERIOR TURBINATE, RIGHT

The patient has a six-year history of nasal congestion. Clinical impression is Chronic Rhinosinusitis with
nasal polyps.

Part A is received in formalin labeled “nasal polyps” which consists of several cream-white to cream-tan,
firm and irregular tissue fragments with an aggregate diameter of 1.7 cm. Block all (1).
Part B is received in formalin labeled “inferior turbinate, right” which consists of several cream-white to
cream-tan, soft to firm and irregular tissue fragments with an aggregate diameter of 1.7 cm. Block all (1).

A. Nasal polyps, endoscopic sinus surgery:

B. Inferior turbinate, right, endoscopic sinus surgery:

PROSTATIC CHIPS
Clinical impression is Benign Prostatic Hyperplasia.

Part A is received in formalin labeled “prostatic chips” which consists of several cream-tan to tan-pink,
firm and irregular tissue fragments weighing 2.5 grams and with an aggregate diameter of 2.9 cm. Block
all (1).

A. Prostatic chips, cystoscopy transurethral resection of prostate:

A) MUCOSA BIOPSY; B) ESOPHAGEAL MUCOSA; C) ASCENDING COLON POLYPS: D) DESCENDING COLON

POLYPS; E) DESCENDING COLON POLYP (PEDUNCULATED); F) MASS 35 CM FROM ANAL VERGE; G)
SIGMOID POLYPS
Computed tomography showed sigmoid mass.

Part A is received in formalin labeled “mucosa biopsy” which consists of two (2) cream-white, firm and
round tissue fragments both measuring 0.1 x 0.1 x 0.1 cm. Block all (1).

Part B is received in formalin labeled “esophageal mucosa” which consists of one (1) cream-white, soft
and irregular tissue fragment measuring 0.2 x 0.1 x 0.1 cm. Block all (1).

Part C is received in formalin labeled “ascending colon polyps” which consist of several cream-white,
soft to firm and irregular tissue fragments with an aggregate diameter of 0.6 cm. Block all (1).

Part D is received in formalin labeled “descending colon polyps” which consists of several cream-tan to
tan red, firm and irregular tissue fragments measuring from 0.2 x 0.2 x 0.1 cm to 2.0 x 1.6 x 0.9 cm. The
largest polyp has a cream-white stalk measuring 0.6 x 0.5 x 0.5 cm. Cut sections show a red and solid
surface. Block all (2).

Part E is received in formalin labeled “descending colon polyp (pedunculated)” which consists of one (1)
tan-red, firm and irregular tissue fragment measuring 1.6 x 0.8 x 0.6 cm with a stalk measuring 0.2 cm in
diameter. Block all (1).

Part F is received in formalin labeled “mass 35 cm from anal verge” which consists of several cream-
white, soft to firm and irregular tissue fragments with an aggregate diameter of 0.8 cm. Block all (1).
Part G is received in formalin labeled “sigmoid polyps” which consists of several cream-white to tan-red,
soft to firm and irregular tissue fragments measuring from 0.2 x 0.1 x 0.1 cm to 1.0 x 0.3 x 0.2 cm. Block
all (1).

A. Mucosa biopsy, biopsy:

B. Esophageal mucosa, biopsy:

C. Ascending colon polyps, biopsy:

D. Descending colon polyps, snare polypectomy:

E. Descending colon polyps (pedunculated), snare polypectomy:

F. Mass 35 cm from anal verge, biopsy:

G. Sigmoid polyps, snare and cold biopsy:

A) ASCENDING COLON POLYPS; B) ASCENDING COLON MUCOSA; C) TRANSVERSE COLON MUCOSA: D)
DESCENDING COLON MUCOSA; E) SIGMOID COLON MUCOSA; F) RECTAL MUCOSA

Part A is received in formalin labeled “ascending colon polyps” which consists of one (1) cream-white to
tan-red, soft and irregular tissue fragment measuring 0.2 x 0.1 x 0.1 cm. Block all (1).

Part B is received in formalin labeled “ascending colon mucosa” which consists of one (1) cream-white,
soft and irregular tissue fragment measuring 0.5 x 0.2 x 0.1 cm. Block all (1).

Part C is received in formalin labeled “transverse colon mucosa” which consists of one (1) cream-white,
soft and irregular tissue fragment measuring 0.3 x 0.2 x 0.1 cm. Block all (1).

Part D is received in formalin labeled “descending colon mucosa” which consists of one (1) cream-white,
soft and irregular tissue fragment measuring 0.3 x 0.2 x 0.2 cm. Block all (1).

Part E is received in formalin labeled “sigmoid colon mucosa” which consists of several cream-white, soft
and irregular tissue fragments with an aggregate diameter of 0.2 cm. Block all (1).

Part F is received in formalin labeled “rectal mucosa” which consists of three (3) cream-white, soft to
firm and irregular tissue fragments with an aggregate diameter of 0.3 cm. Block all (1).

A. Ascending colon polyps, biopsy:

B. Ascending colon mucosa, biopsy:

C. Transverse colon mucosa, biopsy:

D. Descending colon mucosa, biopsy:

E. Sigmoid colon mucosa, biopsy:

F. Rectal mucosa, biopsy: