Epic Patient API MCP Server

SPRINGFIELD PATHOLOGY ASSOCIATES Surgical Pathology Report Patient: John Doe MRN: MRN001 Date of Procedure: June 20, 2024 Date of Report: June 25, 2024 Specimen: Colon polyp CLINICAL HISTORY: 50-year-old male with routine screening colonoscopy. Single polyp identified in ascending colon, 6mm in size. GROSS DESCRIPTION: Received in formalin labeled with patient's name and "colon polyp" is a single fragment of tan-pink tissue measuring 0.6 x 0.5 x 0.3 cm. Entirely submitted in one cassette. MICROSCOPIC DESCRIPTION: The tissue sections show colonic mucosa with a tubular adenoma. The polyp demonstrates low-grade dysplasia with no evidence of high-grade dysplasia or invasive carcinoma. The margins of excision are free of adenomatous tissue. DIAGNOSIS: COLON, ASCENDING, POLYPECTOMY: - TUBULAR ADENOMA WITH LOW-GRADE DYSPLASIA - MARGINS FREE OF DYSPLASIA - NO EVIDENCE OF HIGH-GRADE DYSPLASIA OR CARCINOMA COMMENT: This is a benign adenomatous polyp. Complete excision has been achieved. Per current guidelines, recommend surveillance colonoscopy in 5 years given single small tubular adenoma with low-grade dysplasia. Pathologist: Dr. Michael Wong, MD Date Signed: June 25, 2024