A breakdown of your pathology report

I’m a pathologist and the main way I communicate to the outside world — to your doctor and ultimately to you, the patient is via the pathology report. But the short missives I send from behind the microscope lack any excitement and can fall short of full communication.

Here’s the usual story:

Skin left scapula, biopsy

Nodular basal cell carcinoma

Negative for perineural invasion

Margin status: Positive

Doesn’t sound real interesting, does it?

How about a more exciting story? I occasionally write intense dramas like this one:

Brain, left parietal lobe, biopsy

Infiltrative astrocytoma, grade IV (glioblastoma)

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