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FINAL SURGI.CAL PATHOLOGY REPORT

'gN -f-,49R. "AK'S 3600 Joseph Siewick Dr. NAME: PHILLIPS, MARY C
Fairfax., VA - 22033 - 1798 ED REC #: 04239862
'T Phone #: 703.3913654 ALTERNATE ID:
Fax #: 701391,3049 ENCOUNTER #: 013086435682
Bruce Werness, AM I
Medical DIrector ACCESSION40 OX=18 5775 ~

DOB/Age/Gender: 02/14/1949/69 Y/F

Patle nt type/LOC 0/
AdmIttIng Physician: RAIQA M UN I 5,w D r Date Collected. .07/18/2018
Attending Physician,0 RAIQA MUMS,, Dr Date Received 07/18/2018
Ordering Physician.a RAIQA, M UNISIr Dr Date Reported: 07/20/2018

DIAGNOSIS.0
MASS, LEFT BREAST, 12 O'CLOCK POSITION, ULTRASOUND-GUIDED BIOPSY.0
1 . INVASIVE DUCTAL CARCINOMA, MODERATELY DIFFERENTIATED
NOTTINGHAM SCORE 3 ARCHITECTURE + 2 NUCLEI + I MITOSES 6)
(

MEASURING 3.5 MM IN GREATEST EXTENT ON A SINGLE CORE

2. NEGATIVE FOR DUCTAL CARCINOMA IN SITU

BW/mp

COMMENT.a
E~Cadherin stain is positive and supports ductal phenotype. Breast prognostic markers are being
performed and the results will be supplied in a supplemental report,

This case has. been reviewed intradepartmentallyas part of our internal quality assuranceP roaram.
AV

MICROSCOPIC DESCRIPTIONNa
Microscopic examination performed and reported in t he final diagnosis.

PREmOPERATIVE DIAGN051Sm.
LEFT BREAST BIOPSY @ 12 on 00

POSTmOPERATIVE DIAGNOSIS.
SAME

CLINICAL INFORMATION,
ULTRASOUNDmGUIDED LE BREAST BIOPSY @ 12,000 PERFORMED IN ROOM I BY DR. NASRULLAH

SPECIMEN
BREAST, NEEDLE CORE BIOPSY, LEFT @ 12:00

G-ROSS DESCRIPTIO-N.
The specimen is received in one container in formalin. The tissue requisition slip and container are labeled
PHILLIPAF Mary, 0Xm18=577!5,, ultrasoundmguided left breast @ 12:00. The specimen consists of seven
yellow tan fibrofatty soft tissue fragments that range in length from 0.3 cm to 1.0 crn and has a maximum
~

diameter of 0.1 cm. The specimen is entirely submitted in one cassette,

The specimen was removed from the patient and placed in formalin on 07/18/18 at 1200.
Printed/Date 7120/1-8 Page I of 2 PHILLIPS, MARY C
MED REC #me 04239862
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INOVA FAIR OAKS HOSPITAL OXml8m5775 PHILLIPS, MARY C

LABORATORY MED REC #: 04239862

The speciomen was removed frorn formallin on 07/18/18 at 2000.

AZ/aa

.E.LE.0 T.R0 N I C A LLY - S IGN E D - B Y:

BRUCE WERNESSf DR
0-7/20/2018 14:05

When stains are performed, all control slides are reviewed and fbund to stain appropriately.. Some stains and contmis used in
arriving at the diagnosis (if any) were prepared at Inova Central Laboratory and/or an outside reference laboratory using reagents
tha t h a ve not bee n c lea red o r a p proved by the U a S , Food a nd Drug Ad m I n I stra ti o n . These were d evelo ped,. a n d the I r perfb rma nce
characteristics determined by Inova Central Laboratory and/or an outside reference laboratory, Their use does- not require FDA
approval.

Printed/Date 7/20/18 Page 2 of 2 PHILLIPS, MARY C

MED REC #: 04239862