patient pathology report

by Yessenia Olson 10 min read

The Pathology Report | Johns Hopkins Medicine

34 hours ago The pathologist sends a pathology report to the doctor within 10 days after the biopsy or surgery is performed. Pathology reports are written in technical medical language. Patients may want to ask their doctors to give them a copy of the pathology report and to explain the report to them. Patients also may wish to keep a copy of their ... >> Go To The Portal


A pathology report is a medical document written by a pathologist. A pathologist is a doctor who diagnoses disease by: The report gives a diagnosis based on the pathologist’s examination of a sample of tissue taken from the patient’s tumor. This sample of tissue, called a specimen, is removed during a biopsy.

What is a pathology report? A pathology report is a medical report about a piece of tissue, blood, or body organ that has been removed from your body. The specimen is analyzed by a pathologist, who then writes up a report for the medical provider who has either ordered the report or performed the procedure.

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What does a pathology report tell you?

A pathology report is a medical document written by a pathologist. A pathologist is a doctor who diagnoses disease by:Explaining laboratory testsEvaluating cells, tissues, and organsThe report gives a diagnosis based on the pathologist’s examination of a sample of tissue taken from the patient’s tumor. This sample of tissue, called a specimen, is removed during a biopsy. Learn about the ...

What to expect from pathology report?

  • How large is the tumor?
  • Is the cancer invasive or noninvasive?
  • How fast are the cancer cells growing?
  • What is the grade of the cancer? ...
  • Has the whole cancer been removed, or is there evidence of cancerous cells at the edges of the sample?
  • Are there cancerous cells in the lymph or blood vessels?
  • What is the stage of the cancer?
  • What does this mean?

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What is the purpose of a pathology report?

The specimen is analyzed by a pathologist, who then writes up a report for the medical provider who has either ordered the report or performed the procedure. Pathology reports are used by your medical provider to determine a diagnosis or treatment plan for a specific health condition or disease.

What is an example of a pathology report?

Your pathology report. The breast tissue removed during a biopsy is sent to a pathologist. A pathologist is the doctor who looks at the tissue under a microscope and determines whether or not the tissue contains cancer. The pathologist prepares a report of the findings, including the diagnosis, and sends it to your surgeon (or your oncologist).

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What is a pathology report?

A pathology report is a document that contains the diagnosis determined by examining cells and tissues under a microscope. The report may also contain information about the size, shape, and appearance of a specimen as it looks to the naked eye. This information is known as the gross description.

What does patient pathology mean?

Pathology is the medical discipline that provides diagnostic information to patients and clinicians. It impacts nearly all aspects of patient care, from diagnosing cancer to managing chronic diseases through accurate laboratory testing.

Does pathology report mean cancer?

A pathology report is a medical document that gives information about a diagnosis, such as cancer. To test for the disease, a sample of your suspicious tissue is sent to a lab. A doctor called a pathologist studies it under a microscope.

What are the 4 types of pathology?

The American Osteopathic Board of Pathology also recognizes four primary specialties: anatomic pathology, dermatopathology, forensic pathology, and laboratory medicine. Pathologists may pursue specialised fellowship training within one or more subspecialties of either anatomical or clinical pathology.

What tests are done in pathology?

Pathology tests cover blood tests, and tests on urine, stools (faeces) and bodily tissues. A pathologist interprets the results of blood and pathology tests and looks for abnormalities that may point to disease, such as cancer and other chronic illnesses, or health risks, such as pre-diabetes.

What pathology includes?

Pathology is a branch of medical science that involves the study and diagnosis of disease through the examination of surgically removed organs, tissues (biopsy samples), bodily fluids, and in some cases the whole body (autopsy).

Is pathology report same as biopsy?

A histopathology report describes the tissue that the pathologist examined. It can identify features of what cancer looks like under the microscope. A histopathology report is also sometimes called a biopsy report or a pathology report.

How long do pathology results take?

The pathology report may be ready in as soon as two or three days after the biopsy is taken. If additional testing of the tissue is necessary, the report may take longer to complete (between seven and 14 days). Pathology reports are written in technical language using many medical terms.

How accurate are pathology reports?

The reported frequency of anatomic pathologic errors ranges from 1% to 43% of all specimens, regardless of origin and disease, he said. The error rate for oncology is 1% to 5%.

What are some pathological diseases?

Pathological Conditions, Signs and SymptomsDiseases.Animal Diseases.Bacterial Infections and Mycoses.Cardiovascular Diseases.Congenital, Hereditary, and Neonatal Diseases and Abnormalities.Digestive System Diseases.Disorders of Environmental Origin.Endocrine System Diseases.More items...

How do pathologists diagnose diseases?

Pathologists often work with a surgically removed sample of diseased tissue, called a biopsy. The pathological examination of an entire body is an autopsy. Pathologists are often involved in the diagnosis of illness. A pathologist may examine a sample of tissue for a virus, bacteria, or other infectious agents.

What are the 3 areas of pathology?

There are three main subtypes of pathology: anatomical pathology, clinical pathology, and molecular pathology.

What does pathology mean in medical terms?

Pathology is the study of disease. It is the bridge between science and medicine. It underpins every aspect of patient care, from diagnostic testing and treatment advice to using cutting-edge genetic technologies and preventing disease. Doctors and scientists working in pathology are experts in illness and disease.

What do medical terms for pathology have to do with?

pathology - the branch of medicine that deals with the essential nature of disease and the changes in body tissues and organs which cause or are caused by disease; the structural and functional manifestations of disease.

How long do pathology reports take?

The pathology report may be ready in as soon as two or three days after the biopsy is taken. If additional testing of the tissue is necessary, the report may take longer to complete (between seven and 14 days). Pathology reports are written in technical language using many medical terms.

How many types of pathology are there?

There are three main subtypes of pathology: anatomical pathology, clinical pathology, and molecular pathology. These subtypes can be broken down into even more specific categories; pathology is a diverse field because so many different diseases and ways of studying diseases exist.

What is a pathology report?

A pathology report is a document that contains the diagnosis determined by examining cells and tissues under a microscope. The report may also cont...

How is tissue obtained for examination by the pathologist?

In most cases, a doctor needs to do a biopsy or surgery to remove cells or tissues for examination under a microscope. Some common ways a biopsy ca...

How is tissue processed after a biopsy or surgery? What is a frozen section?

The tissue removed during a biopsy or surgery must be cut into thin sections, placed on slides, and stained with dyes before it can be examined und...

How long after the tissue sample is taken will the pathology report be ready?

The pathologist sends a pathology report to the doctor within 10 days after the biopsy or surgery is performed. Pathology reports are written in te...

What information does a pathology report usually include?

The pathology report may include the following information ( 1 ): Patient information: Name, birth date, biopsy date Gross description: Color, weig...

What might the pathology report say about the physical and chemical characteristics of the tissue?

After identifying the tissue as cancerous, the pathologist may perform additional tests to get more information about the tumor that cannot be dete...

What information about the genetics of the cells might be included in the pathology report?

Cytogenetics uses tissue culture and specialized techniques to provide genetic information about cells, particularly genetic alterations. Some gene...

Can individuals get a second opinion about their pathology results?

Although most cancers can be easily diagnosed, sometimes patients or their doctors may want to get a second opinion about the pathology results ( 1...

What research is being done to improve the diagnosis of cancer?

NCI, a component of the National Institutes of Health, is sponsoring clinical trials that are designed to improve the accuracy and specificity of c...

What is a pathology report?

A pathology report is a document that contains the diagnosis determined by examining cells and tissues under a microscope. The report may also contain information about the size, shape, and appearance of a specimen as it looks to the naked eye. This information is known as the gross description.

How long does it take for a pathologist to send a report?

The pathologist sends a pathology report to the doctor within 10 days after the biopsy or surgery is performed. Pathology reports are written in technical medical language. Patients may want to ask their doctors to give them a copy of the pathology report and to explain the report to them. Patients also may wish to keep a copy ...

How to tell if a biopsy is cancerous?

This is known as histologic (tissue) examination and is usually the best way to tell if cancer is present. The pathologist may also examine cytologic (cell) material.

What is an IHC report?

For example, the pathology report may include information obtained from immunochemical stains (IHC). IHC uses antibodies to identify specific antigens on the surface of cancer cells. IHC can often be used to: Determine where the cancer started.

How are tissue samples prepared?

All tissue samples are prepared as permanent sections, but sometimes frozen sections are also prepared. Permanent sections are prepared by placing the tissue in fixative (usually formalin) to preserve the tissue, processing it through additional solutions, and then placing it in paraffin wax.

What is the role of a pathologist in cancer diagnosis?

A pathologist is a doctor who does this examination and writes the pathology report. Pathology reports play an important role in cancer diagnosis and staging (describing the extent of cancer within the body, especially whether it has spread), which helps determine treatment options.

What is cytologic material?

Cytologic material is present in urine, cerebrospinal fluid (the fluid around the brain and spinal cord), sputum (mucus from the lungs), peritoneal (abdominal cavity) fluid, pleural (chest cavity) fluid, cervical/vaginal smears, and in fluid removed during a biopsy.

What is a pathology report?

Reading a Pathology Report. A pathology report is a medical document written by a pathologist. A pathologist is a doctor who diagnoses disease by: The report gives a diagnosis based on the pathologist’s examination of a sample of tissue taken from the patient’s tumor. This sample of tissue, called a specimen, is removed during a biopsy.

How long does it take to get a pathology report?

It may take a few days to a few weeks to receive the full report. The timing depends on the testing needed. You are allowed by law to receive a copy of your pathology report. But you should expect the report to contain highly technical medical terms.

What does it mean when a pathologist tests a tumor?

A cancerous tumor is malignant, meaning it can grow and spread to other parts of the body. A noncancerous, or benign tumor, means the tumor can grow but will not spread.

Why is the pathology report for a biopsy different from a later report for the entire tumor?

This happens because the features of a tumor can sometimes vary in different areas. Your doctor will consider all of the reports to develop a treatment plan specific to you.

What is a synoptic report?

Synoptic report, or summary. When the tumor was removed, the pathologist will include a summary. This lists the most important results in a table. These are the items considered most important in determining a person’s treatment options and chance of recovery.

What is grade in cancer?

Grade. Grade describes how the cancer cells look compared with healthy cells. In general, the pathologist is looking for differences in the size, shape, and staining features of the cells. A tumor with cells that look more like healthy cells is called "low grade" or "well differentiated.".

Can a pathologist diagnose cancer?

Sometimes, a cancer may be difficult to diagnose or the development of the cancer is unclear. In these situations, the pathologist may use the comments section. Here, he or she can explain the issues and recommend other tests. This section may also include other information that can help the doctor plan treatment.

What is the name of the doctor who examines tissue to determine if cancer is present?

To diagnose diseases such as cancer, a sample of tissue called a biopsy is taken from a patient and examined by a pathologist to determine if cancer is present. A pathologist is a medical doctor who specializes in the diagnosis and classification of diseases by looking at tissue or cells under a microscope and by interpreting medical laboratory ...

What is the doctor who examines specimens removed during surgery?

The pathologist is also the doctor who examines specimens removed during surgery (resections) for conditions such as cancer, to determine whether a tumor is benign or cancerous, and if cancerous, the exact cell type, grade, and stage of the tumor. In some cases, the pathologist also performs molecular biomarker analysis ...

What is a pathology report?

Stages of Cancer . A pathology report is a medical document that gives information about a diagnosis, such as cancer. To test for the disease, a sample of your suspicious tissue is sent to a lab. A doctor called a pathologist studies it under a microscope. They may also do tests to get more information.

What is the identifying information on a blood test?

Identifying information: This has your name, birth date, and medical record number. It also lists contact information for your doctor, the pathologist and lab where the sample was tested.

What do you want patients to know about the role of pathologists in their care?

We want patients and their families to know who we are and how we provide their care to them. They may not see us, but this is one way of making it known that we are part of their care team. We’re helping them with their diseases, cancers, infections.

Why is this work so meaningful for you?

As a pathologist, speaking with my patients is always a privilege. It's a total obligation to our patients to share their disease process in a way that helps avoid confusion, eliminates questions. We work with their primary care doctors and oncologists to give them a complete picture of their disease process, hopefully reduce the fear that exists.

What are some of the emotions you see in patients who are awaiting a diagnosis?

The fear comes from not knowing mostly. There's of course the fear of having been diagnoses with a serious disease. There's also fear that we as pathologists can address of helping people understand their disease. When people are waiting for a biopsy diagnosis, one doesn't have to be a pathologist to understand this.

What's the value of the mini-tumor boards you have with patients and other clinical partners?

Talk about personalized medicine. This is a personalized tumor board. It's a personalized diagnostic management team visiting via Skype. We can have HIPAA compliant Skype that lets us get the pathologist, oncologist, radiologist, and others in the discussion with the patient in real time along with family and talk about the whole process.

What has the response been from patients?

This is a new concept even for patients. Some may not know it's available. We need to let them know we're here and we don't bite. Once we get past that hurdle, the response is very positive. One patient told me we got a year's worth of work done in ten minutes. Otherwise, you have to go from one doctor's office to the next.

How would you describe the language in most pathology reports? How do we simplify it for patients?

By necessity, we have to use the best diagnostic terminology for our patients, so we use a lot of "doctor speak", words the average non-physician or non-pathologist has a hard time grasping. We can put in comments in a short paragraph in layman's terms.

Why is it helpful to put patient-friendly language at the beginning of a pathology report explaining who you are and your role in the patient's care?

It does it in a relatively uniform way. I don't want to have to reinvent the wheel every time I write one of these. I want to use the best language and not have to rethink it every time I sign out a case. It points out who we are in a way that welcomes their phone call or visit.

Who writes pathology reports?

Although pathology reports are written by physicians for physicians, you may be able to decipher some of the medical jargon provided by the report. The structure and information provided in your pathology report may vary, but the following sections are usually included.

What is the purpose of a pathologist's report?

The pathologist then writes a pathology report summarizing his or her findings.

What is the microscopic description of a tissue?

Microscopic Description: In the microscopic description, the pathologist describes how the cells of the tissue sample appear under a microscope. Specific attributes that the pathologist may look for and describe may include cell structure, tumor margins, vascular invasion, depth of invasion and pathologic stage.

What is the procedure to remove tissue from a cancer patient?

Most cancer patients will undergo a biopsy or other procedure to remove a sample of tissue for examination by a pathologist in order to diagnose their disease. There are a variety of methods used to obtain samples, including a typical biopsy, fine needle aspiration, or a biopsy with the use of an endoscope.

What is a pathologist?

A pathologist is a physician specializing in the diagnosis of disease based on examination of tissues and fluids removed from the body. Upon examination, the pathologist determines if the tissue sample contains normal, pre-cancerous or cancerous cells and then writes a report with his or her findings.

What is a histologic grade?

The histologic grade helps the pathologist identify the type of tumor. The grade may be described numerically with the Scarff-Bloom-Richardson system (1-3) or as well-differentiated, moderately-differentiated or poorly differentiated. Grade 1 or well-differentiated: Cells appear normal and are not growing rapidly.

What should a primary doctor address in a pathology report?

Your primary doctor should be able to address specific questions you have about your pathology report; however, it is helpful to have a basic understanding of what the pathologist is looking for. The structure and information provided in your pathology report may vary, but the following sections are usually included.

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