ema DIRRGTIADTIIO Orde Dats EDs 2028 GOT PL No. 339642 ‘Ago/Sox 59 Year 5 Name MEENA PANDEY Study Dolo 15.06.2023 621 pm Referred By DR. MUDIT Status ol Procedure Description: Protocol: KV: 100.D0s0-0.64 msv: Non contrast, 1mm section, Clinical indication: For evaluation Findings: saiPle enlarged lymph nodes are seen in right paratrachesl, precarinal, thoracie sub aortie and subcarinal region measuring 1.7 x 1.3ems. Both lungs are normal except for few fibrotic strands, Trachea and mainstem bronchi are normal. No pleural/pericardial effusion is seen. Bone window shows no abnormality, Visualized abdomen reveals hypodense lesion in liver left lobe- USG correlation is suggested. IMPRESSION: Mediastinal lymphadenopathy: Zinflammatory/infective with no evidence of pulmonary Mets. Approved by :Dr.Jitin Goyal 16-Dec-2023 11:43AM Validated by : Dr.Jitin Goyalt6-Dec.2023 11 43AM ‘Ths is an Electronically Generated Report and Needs No Signature ‘Any Alternations will make the Report Void, Entered By : Mr.vishny Printed By :Rajiv Ganthi Cancer Institute and Research Contre Ordeme DIRRGCISBT7OS OrderDale_ : 16-Dec-2023 1:49 PMT CR. No, 339642 Age/Sex 59 YearsiF Name MEENA PANDEY Sludy Date: 16-Dec-2023 4:00 PM Status oro Referred By | DR. MUDIT AGARWALIKONDAMUDI DHEERAJ MRI NECK (MR) the nodes shows central necrosis Nasoropharynx appear normal. Epiglottis, aryepiglottic folds, bilateral valleculae & pyriform sinuses are unremarkable. Bilateral false and true cords are normal. Subglottic and post cricoid regions are unremarkable. Bilateral parotid, submandibular glands show normal signal inte Major neck vessels show normal flow void. Note is made of right maxillary sinusitis No previous MRI available for comparison IMPRESSION: --- IIl-defined heterogeneously enhancing mass centered in left buccal mucosa with extensions, no suspicious cervical lymphadenopathy, mediastinal lymphadenopathy and other findings as described. Presumptive Radiological stage T stage:Tab N stage: NO. ‘Approved by :Dr.Asaf Ali Kammar 18-Dec-2023 12:27 PM Validated by : Dr.Rakesh Oberoit8-Dec-2023 4:12PM This is an Electronically Generated Report and Needs No Signature, ‘Any Alternations will make the Report Void <== Ae St es Entered By : Printed By : |iv Gandhi Cancer Institute and Research Centre OrderNve DIRRGCIAOGT TOR Order Dale = 16-Dee-Z00 7:49 PM CR. No, 1339642 Age/Sex 59 YearsiF Name MEENA PANDEY Study Date: 16-Dec-2023 4:00 PM Referred By | DR. MUDIT Status :OPD AGARWALKONDAMUDI DHEERAJ MRI NECK (MY Lateral pterygoid muscles involvement: Not involved Pterygoid plates: Not involved Pterygopalatine fossa: Not involved Pterygomaxillary fissure: Not involved Condylar fossa: Not involved Maxillary sinus involvement: Not involved Hard palate involvement: Not involved Skin involvement: Not involved. Perineural spread : Absent /present Vascular involvement : encases the branches of fascial artery with no intra luminal thrombosis Bone status Dentition : Present, STIR hyperintense signals suggesting edema seen surrounding the left upper 2 pre molar tooth Bony Erosion : Present. There is erosion of the buccal cortex of the postero superior part of left alveolar process of the maxilla. Medullary / marrow invasion : Absent Mandibular canal (MC) involvement : Absent ae Mandibular foramen (MF) involvement : Absent Nodal disease: Few subcm homogenously enhancing nodes seen in bilateral level | ll, iad IV. No suspicious features, Few enlarged nodes seen in right upper para tracheal region with largest SAD ‘measuring ~ 9MIM. One of Entered By : Printed By :er Institute tre Rajiv Gandhi Ca and Research C4 ‘OrdeNo DIRRGCH#GT705 ‘Order Date > 76-Dec-2003 749 PM GR. No. 338642 Age'Sex 59 YearsiF Name. MEENA PANDEY Study Date 16-Dec-2023 4:00 PM Referred By DR. MUDIT Status oPD AGARWAL/KONDAMUDI DHEERAJ MRI NECK (MR) Procedure Description: Soth contrast & Non contrast Proton MRI of oral cavity & neckis done with TW SE, T2W TSE & STIR and DWI sequences in axial, sagittal & coronal planes using matrix coil Clinical indication:k/C/O Squamous cell carcinoma of left buccal mucosa under evaluation Finding: laterality: left Location / epicenter: Buccal mucosa Hf buccal mucosa: gingivobuccal sulcus (GBS) involvement: upper Size: 3.4 AP x 0.6 TR x 2.8 CC cms (It;2cm, 2-cm, >4em) Depth of invasion: 6.2 mm Primary disease extent: Retromolar trigone: left upper and lower involved Floor of mouth: Not involved Gingivolingual sulcus: Not involved Tongue: Not involved Masseter muscle involvement: abuts with no infiltration Masti itor space involvement: involved Infratemporal fossa: involved Retroantral space extension: Not involved Medial pterygoid muscles involvement: Not involved Entered By : Printed By :ofl hutp://egeiparas-clinical local xgcire.nevema/tab_reportdisplay (ema Rajiv Gandhi Cancer Institute and Research Centre (D+ Seco =, vn, Oty $10 To at 222 FASTIN BYARATIMADCZO | ra 1 gro | Hote HEB Name WS. MEENA PANDEY GRNo 380642 AgelSex = 58ViFemale [Refered Doctor ANURAG MEHTA pono = OPD Corporate RGCI_genoral Biopsy No DEPARTMENT OF LABORATORY SERVICES HISTOPATHOLGY& CYTOLOGY (Order 16-12-2023 03:34 pm Piannea | (Collected 16-12-2023 04:21 pm Received :16-12-2023 04.22 pm ) [Approval Level 2.19-12-2023 08:10 am OL POLIS oO. Te 24 rorsy No: 3/14982/2023 OUTSIDE BLOCKS & SLIDES FOR REVIEW MATERIAL! RECEIVED 2 SLIDES + 2 BLOCKS BAERING NO. 8/9653/23 A,B MECROSCOPIC EXAMINATION ¢ OPINION: SQUANOUS CELL CARCINOMA, MODERATELY DIFFERENTIATED (CASE SEEN BY DR.S.PASRICHA Clinical Interpretation |itany Signature Dr, SUNIL PASRICHA 19-12-2023 09:10 am “Marked Service are not covered Under NABL Accreditation ‘This is an electronically generated report and needs no signature, Any alterations will make the report void Request for Histopathology slide/biocks for second opinion: The slides and blocks for second opinion will be issued on the next working day, sussequent to @ witten request submitted 24 hours par. Time of collection ofthe same would be between Spm and Spm ‘only Entered by End of Report ~ boc 05-01-2024, 12:05Rajiv Gandhi Cancer institute and Research Centre OrdeNo = DIRRGCWaS62321 ‘Order Date > 18-Dec-2023 1220 PM CR. No, £339642 Age/Sex 59 YearsiF Name MEENA PANDEY ‘Study Date 18-Dec-2023 2:15 PM Referred By = DR. MUDIT Status opp AGARWAL/KONDAMUDI DHEERAJ WHOLE ABDOMEN (US) Clinical Indication: Case of left buccal mucosa. Liver is normal in size and shows grade | fatty changes. A 9.6 x 14.7mm well defined left lobe cystic SOL is seen causing mild bulging of capsule : no obvious vascularity or calcific changes are seen. No IHBRD is seen. CBD is normal. Portal vein is normal, Gall bladder is normal. Adenomyomatotic focus noted in mid part of anterior wall. Pancreas appears normal in size and echoes. Spleen is normal in size and echoes. Kidneys are normal in size, shape & echoes. No hydronephrosis or calculus is seen. No ascites / retroperitoneal lymphadenopathy is seen, Urinary bladder is normal. Uterus is age related atrophic. Anterior walls shows a 17mm fibroid with calcific changes. No adnexal mass or POD fluid is seen. IMPRESSION: “> _ GRADE I FATTY LIVER WITH LEFT LOBE cystic SOL. ADV: FURTHER EVALUATION. = ADENOMYOMATOTIC GB. - _UTERINE FIBROID. {Approved by :Dr.Ankush Sharma 18-Dec-2023 4:19PM “_ Validated by : Dr.Ankush Sharma1é-Dec-2023 4:19PM ~ This is an Electronically Generated Report and Needs No Signature, - Any Alterations will make the Report Void Entered By : Dr jagriti kobli Printed By :Rajiv Gandhi Cancer Institute and Iteseareh Contre OrderNo DIRE GIATETIES Order Date "78-Dec-2025 12:20 PMT GR. No. #339642 AgoSex 59 YearsiF Name : MEENA PANDEY Sludy Date: 18-Dec-2023 12:28 PM Referred By OR. MUDIT ‘Status OPD AGARWALKONDAMUDI DHEERAJ CHEST PA XRAY CHEST PA VIEW Right apical pleural thickening. Both lung fields and both CP angles are normal. Both hila are normal. Cardiac size and configuration are within normal limits. Visualized bones unremarkable. IMPRESSION: No significant abnormality. Approved by Validated by : Dr.Kalpana Rait8-Dec-2023 1:38PM This is an Electronically Generated Report and Needs No Signature, ‘Any Alternations will make the Report Void Entered By : Printed By :of Avy Fleder hup:/ngeiparas-clinical.local.rgeire.netiemr/lab_reporvdisplay_ser. Rajiv Gandhi Cancer Institute and Research Centre es eg A 60 1-48, Secter- 6, Rtn, Dot - 170086 Tl I-11 4700 2202 IGSTIN G7AAATONAOCIZD | mal O nc Rrgere 7 Wobste: wen IE OD Name WS. MEENA PANDEY GRNo 1390642 AgelSex *59YiFemale Refored Doctor: MUDIT AGARWALKONDAMUD! DHEERAJ pono: OPD Corporate RGCI PRIVATE Planned DEPARTMENT OF LABORATORY SERVICES BIOCHEMISTRY JOrder :18-12.2028 12:48 pm ets sgamzaveton Lab Test Report lll i ill ll | |Approval Level 2 18-12-2025 02:87 pm Name Result Ref.Range Unit DEPARTMENT OF PATHOLOGY TSH.[CHEM LUNI) 0.40-4.04 luis Clinieat Interpretation itany: Signature * Marked Service are net covered Under NABL Accreditation ‘This is an elecronicaly generated report and reeds no signature, Any alterations will make the report void. Time of collection ofthe ‘same would be between 3pm and Spm only. Entered by RAINEESH 2244 End of Report — Or. Adit! Gupta 18.12.2023 02:57 pm 05-01-2024, 12:01oft hupuiegeiparas-linical local rgcire never /ab_reporvaisplay_ ser ll Rajiv Gandhi Cancer Institute and Research Centre ‘Ato agape Cont Sex Fert ets ogee Ae 1 reer Wiebe we) 1-48, Sato 8 Ri, Det - 1100861 Tt 991:11-4709 2222 1GSTIN: OTAAATIONADCIZOIFra410 Ino [Name MS. MEENA PANDEY GANo 7530642 AgolSox | S9¥/Female [Retered Doctor = MUDIT AGARWAUKONDAMUDI DHEERAI oponpD : OPO Corporate RGCI PRIVATE DEPARTMENT OF LABORATORY SERVICES ve Order :18-12-2023 12:48 pm I i Planned | FReceved 18-1220 021 pm Lab Test Report MANU zones [Asoroval Level 2 16-12-2025 032 pm ee me Result RotRange unit | DEPARTMENT OF PATHOLOGY | kioney FUNCTION TEST (INCLD. SOD.POTASSIUM) | BLOOD UREA 23 13-43 maid ‘SERUM CREATININE 06 0.4-0.7 molat ‘SERUM URIC ACIO sa 2.3-6.6 maid | SERUM soDIUM 144 136-145 mEq! | serunt potassium a7 3565.1 meat | LIVER FUNCTION TEST ‘SERUM DIRECT BILRUBIN o2 o.0-0.4 mova | SERUM TOTAL BILRUBIN: 0.6 gid SERUM SGPT AT97C 4a un. SERUM SGOT AT 37C B vit | SERUM ALK PHOSPHATASE 35 ue | seRUM TOTAL PROTEIN 26 amie SERUM ALOU 48 ort | servi crosuun 40 amt | SERUM GANNA GT 25 unl | INDIRECT BILIRUBIN 04 mg/DI | cunica | | fterpretsion |itany: | Signature Dr, Aditi Gupta 18-12-2023 03:32 pm ‘ * Marked Service are not covered Under NABL Accreditation is isan electronically generated report and needs no signature, Any alterations will make the report void, Time of collection of the same would bo between 3pm and Spm only. | Entered by RAINEESH 2044 ~ End of Report ~ Back 05-01-2024, 12:0)[name aS BERR PEY of 2 ntps/rgeiparas-clinical.tocal.rgcire.neVemr/lab_report/display ser Rajiv Gandhi Cancer Institute and Research Centre 1D 18, Socor- 6, Ron, Bon 1100881 sDI-11-4702 2272 STW. O7AAATIONAOCIZD I Eat Dodero Went wer a=HE GRNo 330642 AgolSex _- S8Y/Female Refered Doctor: MUDIT AGARWAUKONDAMUDI DHEERAJ opoio OP | Corporate RGCI PRIVATE ‘DEPARTMENT OF LABORATORY SERVICES HAEMATOLOGY | Order :18-12.2023 12:48 pm | | Planned ith | | eomeaci sp sngtsex2apm ne HHI Wah | 233 A H & Hh Recieved 18-12-2023 01.52 pm /Acproval Level 18-12-2023 03:05 pm Rosult Rof.Range nit DEPARTMENT OF PATHOLOGY CBC (HEMOGRAM COMPLETE) (Whole blood EDTA) 130 26 gia HB (HAEMOSLOBIN) (SLS) TLE. (TOTAL LEUCOCYTE COUNT) (Impedenca) 9100 4900-13000 feumm PLATELET COUNT (impedence) 319000 150000459000 feumen POLYMORPHS (FoWSice) 707 40-60 % UrmPHocyTes (FoMsice) 208 20-40 MONOCYTES (FoWiSiae) 52 aie % EOSINOPHILS (FCHISICe) 26 Me % BASOPHILS (FCM/Side) or on % NRBC (Caleited) 00 00-00 00 ot ‘Absolute Nevtophi count eaa.7 2000-7000 Per cum Absolute Lymphocyte Count 1802.8 1020-3000 Per eum Assoiuse Monocyte Count ana 200-1000 Per cumm AssouteEosinephi Count 2366 20-500 Per eum ‘esol Basophil Count 637 2-100 Per cumm PCV (PACKED CELL VOLUME) (Impedence) 408 49-50 % cv. (Calculates) a2 3-101 0 MICH (Cattateo) 28 an Po MCHC (Calculates) a9 21.5-34.5 a BC COUNT (mpeaence) 460 lieu ROWECY (Caleta) 132 % Clinicas Interpretation any mean Pr 149 Mean APT: 959 ‘ Signature: Dr. NARENDER TEJWANI 18-12-2023 03:05 pm 05-01-7024, 19.09‘tefox gciparas-linical local geire.nevemiab_reporvdisplay. set Rajiv Gandhi Cancer Institute and Research Centre on san own, pn nena To vo1e1 6708 222 FEST OTANNTIORDNEIZD| EHO ligcreorg | Wert wm Name RSI EENA PANDEY GRNo 2899642 Ago/Sox - S8Y/Female |/Refered Doctor: MUDIT AGARWAL/KONDAMUDI DHEERAJ orpnen :0PD Corporate GCI PRIVATE ; DEPARTMENT OF LABORATORY SERVICES MICROBIOLOGY (Oraer 18-12-2028 1248 pm T T ] Plannes | | Cotacied 18-12-2023 01:29 pm Recieved 18-12-2023 02 28 pm Lab Test Report | | | | POZsI5e Vrs ll |Approval Level 2:18-12-2023 08:35 am Name ‘Result RefRange unit DEPARTMENT OF PATHOLOGY *ANTIHGV ANTIBODIES ANTI HCV ANTIBODIES, Non-Reactive | -au-HasaG Non-Reactive *HIV (ANTIBODIES) Non-Reactive “ANTI HCV ANTIBODIES pin ycyuitncoes Clinical | interpretation \ |itany: | NS Resultin index Remarks < 1.00 Non Reactive >=1,00 Provisionally Reactve Comments ~ Non Reactive result implies that antibodies to HIV 1 /2 have not been detected in the sample. This means the patient has either not been exposed to HIV 472 infection or the sample has been tested during the ‘Window phase” i.e. before the development f detectable levels of antbodies. Hence a Non Reactive result does not exclude the possibilty of exposure or infection with MIV 1/2 Recommendations 1. Results to be clinically correlated, 2. Rarely false negativiy/positvly may occur. In case of discrepancy can be confirmed by Western Blot Method Interpretation Result in index Remarks < 1.00 Non Reactive >=1.00 Asymptomatic infective ICarrier state Note: - 1. All Reacive results are tested additionally by Specific antibody Neutralization assay . Fr furher confirmation Motecular ‘assays are recommended 2. Discrepant esulls may be observed during pregnancy. patients receiving mouse monocional “ntbodies for diagnosis of therapy & mulant forms of HBsAg 3. For diagnostic purposes, results shoulé be used in Conjunction with clinical history and other hepatitis markers for Acute or chronic infection 4, Fer monitoring HBsAg levels. ‘Quantitative HBsAg assay is recommended Comment Hopattis B Virus ( HBV) is a member ofthe Hepadna vitus family causing infections ofthe liver with extremely variable cinical features. Hepalits & is ansmitted primariy by body fluids especialy serum and also spread effectively sexually and from mother to baby, In most individuals HBV hepatitis is self limiting, But 1-2% normal adolescents and adults develop chronic Hepattis. Frequency of chronic HBV infection is | 510% in immune-compromised patiants and 80% in neonates. The inital serological marker of acute infection is NBSAG \wnien typicaly appears 2-3 months aor infection and disappears 12-20 weeks after onset of symptoms. Persistence of HBsAg for more tnan six months indicates development of carrir state or chronic liver disease. Uses ~ + Routine screening of blood and blood products to prevent ransmission of Hepatitis B virus (HBV) to recipients To diagnose Suspected HBV infection and monitor tne status of infected incivduals + To evaluate the efficacy of antiviral drugs * For Prenatal Screcning of prognant women Interpretation~ Resutt in index Remarks < 1.00 Non Reactive »=1.00 Asymptomatic infective /Carter state Note: 1. False positive results are seen in Autoimmune diseases, Rheumatoid factor, Hypergammagiobuinemia, Paraproteinemis, passive antibody trans(er, Anti idiotypes & Ant superoxide dismutase 2. False negative rasulls are seen in carly Acute Infection, Immunosuppression & Immune-incompotence 3. HCV RNA PCR recommended in all Reactive results 10 99% whoreas in low nsk populations itis only 26%, Uses ~ 1 Indicator of past or 'prasent infection, bt does not differontiato between Acuto /Chronic / Resolved infection 2, Reutrne screening of low ana high prevalence populations including blood donors Signature | of 2 05-01-2024, 12:01etox ; pgepars-lncJocl pire never septa. st Rajiv Gandhi Cancer Institute and Research Centre SSS mT omc os ee me Name MS MEENA PANDEY 5 CRNO 339642 AgelSex : 59Y/Female | Retured Doctor MUDITASAWALNONDANUDY OHEERAL crema loro i DERARTNENT OF LABORATORY SERVICES | HAEMATOLOGY eerinrasasseg [ese e220 0:20 pm [Recieved 18-12-2023 01:57 pm Lab Test Report HH NHL [rece ste es se Se | sane su settanse unt ScrarTui OF PrTmsLogy AerenrTm (nate Blood soa) METER Gata) a0 pas second | PROTHROMBIN TIME! INR (Whole blood citrate) | PROTHROMBIN TIME (Optical) WA 10.0-12.6 Seconds |. twrcatven 98 f err {one inenneriisa | Tenlaeriaas | Aienewe: sean es pe -ttastad Svs arpotcoveed Unde NADL Acton | tne on electonicaly generated report and needs no signtur Ay stetebors wil make the report vod. Tne of ealecon ofthe | same woud beeen Sn a po Erwedby RAINEESH 2244 ~ End of Report ~ Ben of 05-01-2024, 12:0!ia np/rgciparas-clinical local.xgeire.neVeme/lab_reponidisplay_ser Rajiv Gandhi Cancer Institute and Research Centre Name MS. MEENA PANDEY CRNo 339642 Apo/Sex _: S9Y/Female | || Retered Doctor MUDIT AGARWAL/KONDAMUDI DHEERAJ OPDIIPD) - OPO Corporate GCI PRIVATE J SEFARTHENT OF LABORATORY SERVICES lonr:t-r22oza 1248 pm nv TMU TT (gceeeesnazama aon Lab Tost Report A |aspreval evel? 20-12-2023 12:18 pm UA HW ame sox sstanae vn | DEPARTMENT OF PATHOLOGY 720 . ° | clinieat | raceraton Signature i Dr. AMARDEEP PATHAK | 20-12-2028 12:19 pm | + Marked Service are not covered Under NABL Accreditation | Ths san elecronicaly generated report and needs no signature, Any alterations will make the report void, Time of collection af the ‘Same would be between 3pm and Spm only. | Tereaby RAINEESH_2244 End of Report ~ a iE 05-01-2024, 12:01RR RE mS breton. ; ntps/frgeiparas-clinical local.rgcire.neVemr/Iab_reporvdisplay. ter. Rajiv Gandhi Cancer Institute and Research Contre Ss gael 1" (D8 St Robe, Ga HDA Ta¥a- ARH 2222 OSTIN O7AAATIONARCIZD In Doro is een Name MS. MEENA PANDEY GRNo ‘33002 AgelSex _: S9V/Female Rofered Doctor Raj Goyal/ Manish Kumar oppipD —: PD Corporate RGCL_general | Biopsy No _ = J DEPARTMENT OF LABORATORY SERVICES | HISTOPATHOLGY& CYTOLOGY | Order :19-12-2023 08:12 pm Pianned (Collected 19-12-2023 04:14 pm Received :19-12-2023 04:51 pm ‘Agproval Level 2:22-12-2023 05:37 pm | srze: 003. Fwac & FxAD Row SeArrON 4m 008. FARE FROM STATION 7 CLINICAL DETAILS: K/C/O CA BUCCAL MUCOSA NAC NO: FN/2959/2023 | MATERIAL: 1ES-4 (202), MICROSCOPIC EXAMINATION : 003. FNAC & FNAB FROM STATION 4R: | SMEh CELLULAR AND SHOW MULTIPLE EPITHELIOID CELL GRANULOMAS & MUUTZNUCLEAT: | CELLS ALONG WITH REACTIVE LYMPHOID CELLS. FEW ANTHRACOTIC PIGMENT LADEN | SEVERAL REACTIVE BRONCHIAL EPITHELIAL CELLS ARE NOTED. | .TYPIA/ MALIGNANCY SEEN 2 FAST BACILLI IS NEGATIVE OPINION: GRANULOMATOUS LYMPHADENITIS. ROVISED ANCE TESTING FOR TUBERCULOSIS fH REACTIVE LYMPHOID CELLS, FEW PIGMENT LADEN MACROPHAGES, REACTIVE BRONCHIAL | | etna Hotrpetation | ifany: Signature r.Prorma Chadha | 22.12.2023 05°37 pm + tYarked Serio are not covered Undor NABL Accreditation | Tris sen euctencatypeerte repr ad nest na wane, ny araton wil make he epon void Request fr | Histopatielgyside‘biocks for second opimon Tho aldas end block for sacand opinion wil be issuod onthe nex! working day, subsequent to @ written request submitted 24 hours prior. Time of collection of the same would be between 3pm and Spm_ | ony, Entered by: End of Report =~ Bock ofl 05-01-2024, 12:01. Innp:/rgeiparas-lincalloca.rgire.neters/lab_reporvdisplay. £6 ‘This is an elzctronically generated report and needs no signature, Any alterations will make the report void.Reqvest for Histopathology slidefblocks for second opinion: The sls and blocks for second opinion will be issued on the next working ay, subsequent to a witten request submited 24 hours prior, Te of collection of the tame would Be between Spm and Sam — | | ‘only ‘ | | Rajiv Gandhi Cancer Institute | and Research Centre | ame TS MEENA PANDEY Gane TSG Agee S0ViFemale || Refered Doctor Rajiv Goyal Manish Kumar OPDIIPD PD 1 [comorate GCL gona! | DEPARTWENT OF LABORATORY SERVICES ‘MICROBIOLOGY order 1812-2023 0812 mt | Planned | NH [Coteced-12-122028 08.14 pm NH Recewed 18:122008 04 48 pm WAAL stove evel 20-12-2028 03:17 pm WU WL Cetus | | | AFB. STAIN | aspinare: NO ACID FAST BACILLI SEEN | Interpretation = | rating of sides in AFB microscopy Examination Resut Grading | No AFB seen 24 smeat Negave Ni | | S2AeBper olimmersion elds DoubtlPostve Seanty [Sears perio olimmersionfcles Posive t+ | | 1-9, AFB per 10 oil immersion fields Positive 2 | Tb 88 per single ts ees | 29 persnge tou Postve a | | ctinieat | Interpretation itany ; i Simao: | Dr. NEELAM SACHDEVA | so2a02o3t7 om | + Marked Senco re rot covered Under NABL Accredaton \ 1 Eniered by. ~ End of Report Lofl 05-01-2024, 12-02es hutpsfrgeiparas-clinical local rgcire.neVemr/lab_reporvdisplay. tem, a =I Rajiv Gandhi Cancer Institute and Research Centre: epcrste See AE _ | C005 | Tolvo'-1 14702 22221 GSTALOTAANTOAOCTZD | Ema: hledrgorcre | Wns rmwrecrecxe | | | 1-18, Setr 6, Rohe eh NW MS. MEENA PANDEY ‘eR No 300642 AgelSex ~~ S8¥iFemale ] | petro acter fa Goya Raa orowo oro ecuaere! EPARTWENT OF LaNORATORY SERVES | wenoororoe lowe seazeasoes2 on Parte mI | eats to szaozs on on | [Secu Tpibdows ca 0 [essai els saz081 0h IME seenexrenr 40) Gene en a} esriave mesure uns io. RENTERVAL (GENE MPERT MTA WITH RIFAMPICIN RESISTANCE, SEML QUANTITATIVE Motredology - CONAAT ( Cartlegeased muse ace ampifeaton test) TYPE OF SPECIMEN « LYMPH NODE ASPIRATE | NYCOBACTERIUM TUBERCULOSIS COMPLEX: NOT DETECTED or | BYocoBacTERUN FUFANPICIN | Tusercutosis” resistance |ReMarKs 7 TARGET OWA soci i iETECTED pens Peeess esis vo urease be TARGET DRANOT] a IETECTED. TARGET ONR ETECTED. SENSITIVE TO. RIFAMPICIN TARGET ONA ZONCENTRATION /ERY LOW TO. eee eteminate DETERMINE RairaPicn i {ESISTANCE | TARGET OWA {i ‘OULD NOT ae TECTED MAY | raceme Irseemane Petar i IRESENCE OF aT (ot Detects imronesoct —eraance jac 6 1 neon fea i | tow 2.28 | Saree ROE: 1 Rosen eua soe retneessani nscale presence of vale crgantms. However desta presurptve poten ol MTB. 5 gia nat ones ne proovn meter tancuce hen Stan essa Speen setae Stan calectan aeec inas ad nats may ve tac of aracoert concen are hay Herc therapeutic seco o fare cannot be sxts804 by Diss as DNA might eras tiomng otncrobaierepy omens tiycosacerion Tteroes comple beresons, M bows, M nero dnd M.lcanum) ae oy Mycobacterial ae tansmites tom perso 9 | tear ane reefers ae opubleeathimpotann “nae inecne ar asl vest by «common iat ine duge-Rtarocan Fivarov, py acoamde natncnal fe soured by WMO Magn Mexstanee acy oncountared oy Wel and usualy nacaves essia%o oe nro” oo! hoc Tusrea | Stops Renitarc to fvampen ocr rt ne ou nuyinsetos enon: Ra Bceptsy stay, un sing apaodt season orks lees | eee 05-01-2024, 12.6Firefox : : hup:frgeiparas-clincal.local.rgeie.neVemsfib,reporiisplay_ som. Gandhi Cancer Institute and Research Centre Soya boar funn eae nna ast aTO2 22210801 MAATOLEICIZD Er © rearrange a Name MIS. MEENA PANDEY GRNo 1309642 AgelSex _ 69YiFemaie Refered Doctor Rol Goyal’ Manish Kumar oPpiipo— :0PD Corporate | DEPARTMENT OF LABORATORY SERVICES MICROBIOLOGY Order 19-12-2023 04:12 pm ara Planned ma (Collected :19-12-2023 04:14 pm || WV Received 18-12-2023 04 48 pm | | | Asprovel Level 2 03-01-2024 05:10 pm AAA TAL BORO TSS Tae S |-aro.cuurure | vaspirate | NO ACID FAST BACILLI GROWN AFTER 2 WEEKS OF INCUBATION AT 37°C. Cini Interpretation any: Signature | br. SAVITRI | EI 03-01-2024 05:10 pm | + Marked Service are not covered Under NABL ACeradon~, “isis an elactronically generated report and needs no signature, Any alterations wivnake the report void. Request for Higecetstlosy sloePbocts for second opinion: To sides ang blocks for second opinion will be issued on the nex working oft | cay. subsequent to a wntten request submited 24 hours prior. Time of collection ofthe same would be Between 3pm and Spm only Entered by = End of Report ~ Back 05-01-2025, 12.0;q 7 : Rajiv Gandhi Cancer Institute and Research Centre Sector - 5, Rohini New Delhi - 110085 Phone No: 011-47022130 Ret By: SELF Study: EBUS TBNA Examined By: Dr Rajiv Goyal/ Or. Manish Aggarwal CR. NO: 339642 Name: Mrs. MEENA PANDEY Age: 59 Y Sex:F Date: 19-Dec-2023, EBUS TBNA Indication : ca BM with MLN Station 2R/2L: Not visualised Station 4R/4L: 4R- 11.1X14.6 mm oval , distinct margin, CHS present, CNS absent, heterogenous LN seen. EBUS TBNA done Station 7: 19.1X15.6 mm round , distinct margin, CHS. absent, CNS absent, heterogenous LN seen. EBUS TBNA done Station 10R/10L: Not visualised Not visualised Station 11R/11 BRONCHOSCOPY :Normal Study ns: EBUS FNAB/FNAC for HPE, Infective workup Dr. Rajiv Goyal Dr, Manish Kumar Aggarwal Dr. Avinash/Dr, Aarushi Head Interventional Pulmonology Consultant Pulmonology Fellow inepagionat Pulmonologyiefox Ipr/egeiparas-clinicallocal.rgcire.nevem/lab_reporvdisplay tem. ee Rajiv Gandhi Cancer Institute and Research Centre amncian 22791081 OVHAAIIRAECZD mt Dene og) Were wa GRNo 330642 AgolSex 59Y/Female Name MS. MEENA PANDEY Refered Doctor. MUDIT AGARWAL/KONDAMUD! DHEERAJ ‘oponpD :1PD No, :231P57532 [Corporate RAKSHA TPA Pvt.Ltd Biopsy No ‘DEPARTMENT OF LABORATORY SERVICES HISTOPATHOLGY& CYTOLOGY | Jone 261220080822» Planned I) [Collected 26-12-2023 04:23 pm ANTAL Received 26-12-2023 04.25 pm Hi Poeg geo 208 |asproval Level? 00-01-2026 1208 pm | srorsy no. :0/15268/2023, | PROEEN SECTION NO." F5/3080/23 | GROSSED BY: DR, SAUDAMINT | FENAt REPORT BY: DR.PRERNA CHADIA SPECIMENS__SUBEXZTED: eee CEAL MUCOSA WITH LEFT MARGINAL MANDIBULECTOMY, LEFT UPFER ALVEOLUS WITH WLE LEFT FOM (FSR) 003. LEVEL In 006. LEFT LEVEL xB 008. LEFT LEVEL I3-1v GROSS EXAMINATION: ee eee JOCcAL MUCOSA WITH LEFT MARGINAL MANDIBULECTOMY, LEFT UPYER ALVEOLUS WITH KLE LEFT FOM (FSR) MEASURES 6.5 X 6X 2.5CM of MANDIBLE MERSURES 7.5CM IN LENG OF UPPER ALVEOLUS MEASURES 4CH sth ALONG ALVEOLUS BEARING 2 TOOTH LENGTH ALONG ALVEOLUS BEARING 2 TEETH (ULCEROINFILTRATIVE x2 9.40 u UpBER ALVEOLUS BONES GROSSLY : FREE OF TUMOR scm 75cH 1 1.ScH ff RIVEOLRE NERVE CUT END + 2.5CH OR: 2.5cH SurERG MARGIN 7 2.5CH DISTANCE OF TUMOR YROM UPPER ALVEOLUS MARGINS: DNTERCOR: 2.9 POSTERION: 2.5¢H SUPERIOR + 2.bCH DISTANCE OF TUKOR FROM WWDTRLE HONE CUT MARGINS Toaras P Be sce 1 906 BUPER:OR YUCOSAL MARGIN + O05 MELIAL MUCOSAL MARGIN + 006 FEW.OW ALVEOLAR NERVE CUT END 1 008 SUPEPOLATERAG MARGIN 2 909 tgs 12-01-2024, 12:12— syieiparas-clinteal AOEalaperseve a - Firefox upllrgeips Rajiv Gandhi Cancer Institute ‘N and Research Centre GRNo 1330642 Age/Sex : 59V/Female fie TiS TEENA PANDEY ca come etrcd Doctor MUDITAGARUALRONDAMUDIDHEERAY, OPDMIPD. TP. 1. Comorte RAKSHA TRAM Bors Ne | crpna!auteotos ates | ANTERIOR: 0 POSTERIOR: 018 SUPERIOR WITH FULL THICKNESS BONE : 019 003. LEVEL IA: SINGLE FINROFATTY TISSUE MEASURING 4X 3X 0.4CH | Dancest LYMPH NODE MEASURING 0.6 X 0.5 X 0.3CM (001-003) 006. LEFT LEVEL IM ; SINGLE FIBROFATTY TISSUE MEASURING 5 X 3.1 X 1.5CH SUBMANDIBULAR SALIVARY GLAND MEASURES 3.5 X 2.7 X 1.2CM . CUT SURFACE OF GLAND: UNREMARKABLE, | LARGEST LYMPH NODE MEASURES 0.7 X 0.5 X 0.3CM SECTIONS: LYMPH NODES:001-00S; SALIVARY GLAND: 006 (00S. LEFT LEVEL I-IV : MULTIPLE FIBROFATTY TISSUES ALTOGETHER MEASURING 5.5 X 5 X 1.5CM | Lancest Enven NODE MEASURING 1.1 x 0,6 X 0.2cM (001-006) | MICROSCOPIC EXAMINATION: [Fs REPORT : | 002. KLE LEFT BUCCAL MUCOSA WITH LEFT MARGINAL MANDIBULECTOMY WITH LEFT UPPER ALVEOLUS WITH | Wur LEFT FOM : ALL MARGINS ARE FREE OF TUMOR | PARAFFIN SECTION REPORT : 002. MLE LEFT BUCCAL MUCOSA WITH LEFT MARGINAL MANDIBULECTOMY, LEFT UPPER ALVEOLUS WITH | WE LEFT FOH (FSR) | rumor HzSroLosIC c¥PE: SQUANOUS CELL CARCINOMA | HEstoLoGre GRADE: MODERATELY DIFFERENTIATED | ruwor sive + LEFT BUCCAL MUCOSA | MZCROSCOPIC TUMOR EXTENSION : TUMOR INFILTRATES THE SUBMUCOSA AND INTRINSIC SKELETAL | | UNDERLYING MANDIBULAR AND UPPER ALVEOLUS BONES : FREE OF TUMOR ADIRCENT MUCOSK : UNREMARKABLE WORST PATTERN OF INVASION : 3 TUMOR THICRNESS + Att DEPTH OF INVASION : 41 LYMPH-VASCULAR INVASION: oT IDENTIFIED \ PERINEURAL INVASION : OT IDENTIFIED vast COGHL AND SOFT TISSUE MARGINS ARE FREE OF TUMOR. THICE FROM NEAREST MUCOGHL HARGIN: 1.5CM (SUPERIOR AND POSTERIOR) DISTANCE FROM DEEP/NEARES? SOFT TISSUE MARGIN : 1,5CM (DEEP SOFT TISSUE) ‘ML BOWE CUT VARGING: FREE OF TUMOR 003, LEVEL IA: 4 LYMPH NODES EXAMINED, ALL ARE FREE OF TUMOR (0/4) 004. LEFT LEVEL IB ; 3 LYHPH NODES EXAMINED, ALL ARE FREE OF TUNOR (0/3) VBMANDIBULAK SALIVARY GLAND + UNREMARKABLE AND FREE OF TUMOR 005. IV: 08. LEFT LEVEL II-1V ; 29 LYMPH NODES ISOLATED, ALL ARE FREE OF TUMOR (0/29) opzuron + Hot POTAGE spring AT#LY OIFFERENTIATED SQUAMOUS CELL CARCINONA, LEFT BUCCAL MUCOSA Clinical bof 12-01-2024, 12:12‘pstrgeiparas-clinical local rgeire.nevemsilab_reporidisplay.. Rajiv Gandhi Cancer Ins and Research Contre 10-19, Seto “4 on Baa a san 0-170 9222 1aSTH OZARATONNNIZD ED. et OM HED Name e fm MS. MEENA PANDEY CRNo 99642 Ago/Sex + 59Y/Female }octer _: MUDIT AGARWAL/KONDAMUDI DHEERAY OPDIPD IPD. LP.NO. : 231PS7532 Corporate RAKSHA TPA Put Ltd [Biopsy No DEPARTMENT OF LABORATORY SERVICES: HISTOPATHOLGY& CYTOLOGY. (Order :26-12.2023 04:22 pm Plannes } ‘Collected 26-12-2023 04.23 pm Receives 26-12-2023 04 25 pm [Anproval Level 08-01-2024 12:39 pm Poza 3 BIOPSY NO. :8/15268/2023, FROZEN SECTION NO.: FS/3080/23 GROSSED BY: DR. SAUDAMINT FINAL REPORT BY: DR.PRERNA CHADHA e (nM 002. WLE LEFT BUCCAL MUCOSA WITH LEFT MARGINAL MANDIBULECTOMY, LEFT UPPER ALVEOLUS WITH WLE LEFT FOM (FSR) 003. LEVEL 1A 006. LEFT LEVEL 1B 005. LEFT LEVEL xI-1V GROSS EXAMINATION: 002. KLE LEFT BUCCAL MUCOSA WITH LEFT MARGINAL MANDIBULECTOMY, LEFT UPPER ALVEOLUS WITH FOX (FSR) IMER MEASUR: PART OF WAND: 5 x 6x 2.5m LE'MERSURES 7.5CM IN LENGTH ALONG ALVEOLUS BEARING 1 700TH OF UPPER ALVEOLUS MEASURES 4CM IN LENGTH ALONG ALVEOLUS BEARING 2 TEETH BUCCAL MUCOSA GLE FOCUS 1 ULCEROTNFILTRATIVE 0.4K ELE 4 UPPER ALYEOLUS BONES GROSSLY : FREE OF TUMOR 3F TUMOR FROM MUCOSAL. MARGINS: MUCOSKL MARGIN : 2.5CH UCOSKL MARGIN: 1,5CH LOSAL MARGIN + 20 ISSUE MARGIN ¢ 1.5¢H ALVEOLAR NERVE CUT END 1 2.5CM scm PawGrn + 2.5cH DISTANCE OF TUOR FROM UPPER ALVEOLUS MARGINS: RUTERSOR: 2.90! 2 250m 2.ece DISTANCE OF TUMOR FROM MANDIBLE HONE CUT MARGINS : ANTERIOR: 3.5CH, POSTERIOR: 3.5cH INF: v sectzons TUMOR + 001-003 waxc1us (FSR) ANTERION MJCOSAL MARGIN 1 004 SUPERIOR MUCOSAL MARGIN + 005 MEDIAL MICOSAL MANGIN 1 006 POSTER:OR : 007 INFERIOR ALVEOLAR NERVE CUT END + 008 SUPEROLATERAL MARGIN + 009 of 3 12-01-2024, 12:122of3 bup/fgeiparas-cliieal. local geire:never/ab_ Cancer Institute and Research Centre Dem er Pon OM TaN 402 778 GST OV ARATNOGIZO| EO Hcy womaery elSex : S0V/Female Nam MS. MEENA PANDEY Cane LSS Aaater avon Refered Doctor: MUDIT AGARWAL/KONDAMUDI DHEERAJ oPonro pO IP. Corporate RAKSHA TPA Put Lig Biopsy No DEED sors TISSUE MARGIN 7 O10 NANDIDLE BORE: CUT MARGINS + TERIOR: 021 POSTERIOR: 012 SUPERIOR #013 UNDERLYING MANDIBLE ; 024-026 DPPER ALVEOLUS MARGINS ANTERIOR: 027 POSTERIOR: 018 SUPERIOR WITH FULL THICKNESS BONE : 019 $03, LEVEL TA: SINGLE FIBROFATTY TISSUE MEASURING 4 X 3 Xx 0.4CM TARGEST LIMPH NODE MEASURING 0-6 X 0.5 X -eh (a0s-003) | Sota IB: SINGLE FIBROFATTY oxSSUE MEASURING 5 xX 3.1 x 4,5cH Ehnoeer Linn S0oE neneGEaND SEMGUNEE 3.5. 2.7 51-206 | GOT SURFACE Or GLAND: uNRMRKARGE IARGEST LYMPH NODE MEASURES 0-7 X 0.5 0-ncu SECTIONS: LYMPH RODES:001-005; SALIVARY GLA‘D:006 AnGeat Dee Noah WaGufMVENTEE FIBROPATRY axSSUES nEqOGETHIER MERSURING 5.5% 5 x 1.seu TARGEST Liven NODE MEASURING 1.1 X 0.6 1 0-200 [Oos-eute sxcroscorie mxwuwatron: [rs neponr : ne re LEFT Seay MUCOSA MIT LEFT YORGINAL MANDIBULECTOME WITH LEFT UPPER Auroxus win WOE LEFT FOM : ALL MARGING ARE FRED OF Coe PARAFFIN SECTION REzORT : Oe ee TER TUCEM, MCOGA WIEK DEPT MARGIUAL MANDIBULECTOMY, LEFT UDPER awveowus wir PE: SQUAMOUS CELL CARCINOMA GRADE: MODERATELY DIFFERENTZATER TUWOR SITE : LEFT BUCCAL MUCOSA visere, 7 TUMOR EXTENSION * TovoR reruoRATES THE SUBMUCOSA ano szAzueze SKELETAL cL ROSACEA MURRNDTBULAR AND UPPER ALVEOLU'S BONES : FREE OF cuNoR, cP AOIRCENT MUCOSA : UNREHARKADLE, Se Rees Worst Parzen OF rivasion ss YY Toon TulcKess sa PEPTH OF THVASTON fv, IM@HVASCULAR tHVASION: HoT rENTTFIED : PERINEURAL MHVASION © TOT TOLNErSNee wasems: - 5 DEeTeNeOoR AND SOFT TISSUE MARGINS ARE FREE OF TUMOR, PANE trom NEAREST HUCOSAL, HARGIN: 1~5CM (SUPERTON’ AND POSTERIOR) BOM CN AASEEP/NEAREST Sort TESSUE MARGIN tT Sem oREE Sees oe tsUE) MAL BOWE CUP MARGINS: ‘FREE OF TUMOR O03 LEVEL ZA: 4 LYHPH HODES EXAMINED, ALL ARE FREE oF tuwoR (ory Ot LETEAHEVEL XD 2. LY NODES EXAMINED, ALL ARE FREE OF TowoR ory SVBHAIDIBULAR SALIVARY GLAND 1 UNREHARKADLE. tg FREE OF TUMOR O08. EFT tevet 11-3V : 25 LYMPH NODES ISOLATED, ALL ARE FARE OF THOR (ozs) Petnce' AODERAPELY DIFFERENTIATED SQUAMOUS CHLLL CARCINOWA, LEFT nUceAL HCOEA POSTAGE: priNo Ctinteat 12-01-2024, 1