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病理诊断报告单英文模板

病理诊断报告单英文模板

Sichuan Provincial People’s Hospital

Diagnostic Report on Pathologic Tissues (or Humor)

Date when the sample was received:

Report No: Surgical xxxx-xx Name of patient : xxx

Pathologic Findings & Diagnosis Diagnostic conclusion (for the 1st time): chronic cystitis Double-checked the pathologic section of xxxx-xx and found that the wall of the small vessel on the bladder membrana propria thickens, indicating that vasculitis has changed. Inflammatory infiltration of the interstitial tissue is obvious; there are many oxyphil cells. Based on the above changes, I assume that the symptom is resulted from the reaction of illness on connective tissue.

Doctor: xxx

Date: August xx, xxxx

Sex : x Age : x

Hospital

Name of department or ward :

Out-patient Department

Hospital bed No .

Outpatient or hospitalization No .:

Tissue sent for examination :

Doctor proposing the examination :

Date when the sample was tested:

(To be filled by the person sending the sample) Doctor: xxxx Report date: July xx, xxxx

Fany yi gong si Lian xi fang shi: 6623-7530 2280-118465

Sichuan Provincial People’s Hospital

Diagnostic Report on Pathologic Tissues (or Humor)

Date when the sample was received:

Report No: Surgical xxxx-xx Name of patient : xxx

Pathologic Findings & Diagnosis Diagnostic conclusion : polypous cystitis on the wall of bladder. (There is sub inflammatory reaction close to the intramural area, some lymphocytic infiltration and dropsy; there is no fibroplasias, no obvious intramural inflammation, so the evidence for diagnostic conclusion of interstitial cystitis is not sufficient.)

Sex : x Age : x

Hospital :The present hospital

Name of department or ward :

Urinary Surgical Department

Hospital bed No .

Outpatient or hospitalization No .:

Tissue sent for examination :

Doctor proposing the examination :

Date when the sample was tested:

(To be filled by the person sending the sample) Doctor: xxx

Report date: June xx, xxxx

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