|
This section is a synoptic list of diagnostic wordings for the most commonly rendered diagnoses in this organ / system. For details and more, go to the specific category sections below.
|
|
General / Common Abnormalities of the Sinus:
--
Benign Neoplastic Abnormalities of the Oral Cavity:
-- Fibroadenoma.
-- Intraductal papilloma, __ cm, completely excised.
Malignant neoplastic Abnormalities of the Salivary Glands :
-- Invasive ____ carcinoma, nuclear grade ____, present in ____ of ____ biopsy cores, constituting ____% of the biopsy material, with a maximal contiguous tumor line length of ____ mm.
-- Carcinoma (see Tumor Synopsis).
============================================
=============
Clinical scenario:
Left maxillary sinus, curettage:
-- Schneiderian (inverted) papilloma, fragmented
-- Mild chronic inflammation
-- No malignancy identified
Slides examined: H&E x __
CPT code: 88304 x __
Note: Use this template first. Convert is later into table formats as shown in the Design section
Editor's comment:
This section critics on the pro & con of the the wording. There will be 12-pt space after text paragraph.
=============
Clinical scenario:
left maxillary sinus, curettage
-- Schneiderian papilloma, cylindrical cell type with focal inverted feature
-- Focal reactive bone
-- No dysplasia or carcinoma
Slides examined: H&E x __
CPT code: 88304 x __
Note: Use this template first. Convert is later into table formats as shown in the Design section
Editor's comment:
This section critics on the pro & con of the the wording. There will be 12-pt space after text paragraph.
=============
Clinical scenario:
Left maxillary sinus, curettage:
-- Inverted papilloma with focal malignant transformation
-- No squamous component is present
Slides examined: H&E x __
CPT code: 88304 x __
Note: Use this template first. Convert is later into table formats as shown in the Design section
Editor's comment:
This section critics on the pro & con of the the wording. There will be 12-pt space after text paragraph.
=============
Clinical scenario:
Sinus content, left maxillary sinus, removal:
-- Fragments of fungal ball of Aspergillus (See Comment).
Slides examined: H&E x __
CPT code: 88304 x __
Note: Section reveals fragments of fungal ball composed of branching septate hyphae with rare conidia heads that identify the fungi as Aspergillus. No mucosal tissue is present for evaluation of invasion. There is no allergic mucin present. OR
Section reveals fragments of fungal ball composed of branching septate hyphae with no distinct features for species identification.
=============
Clinical scenario: 41-year old man, h/o thyroid cancer, treated with radiation and surgery 4 years ago
Right parotid gland, excision:
-- Excretory duct with inflammation, cystic ectasia, squamous metaplasia and marked paraductal fibrosis
-- Focal stromal mucin extravasation and foreign body giant cell reaction consistent with previous biopsy site changes
-- Diffuse chronic sialadenitis with glandular atrophy, fibrosis and focal acute inflammation
-- No malignancy identified
Slides examined: H&E x __
CPT code: 88307 x __
Note: Use this template first. Convert is later into table formats as shown in the Design section
Editor's comment:
This section critics on the pro & con of the the wording. There will be 12-pt space after text paragraph.