LLC “Medihealth”
Legal address: office 555, 82 Khmel’nyts’ke Hwy, Vinnytsia, Ukraine, 21036
Address of the laboratory: 35A Yunosti Ave, Vinnytsia, Ukraine, 21021
Phone: +38 (097) 212 36 11, +38 (063) 877 66 01
IBAN: UA 643510050000026004878918794 at JSC "Ukrsibbank" in Kyiv, USREOU code 42588783
License, in accordance with the Order of the Ministry of Health of Ukraine dated April 12, 2021 No. 708
REFERRAL FOR PATHOHISTOLOGICAL EXAMINATION
Patient: Zherlitsyna Anastasia Stanislavivna Sex: Female Date of birth: 25.04.1976
Department: Life Code Date: 16-12-2022 Inpatient (outpatient) card: 0
Primary biopsy: Secondary biopsy:
Date and type of operation: 13.12.2022
Material marking (object): not indicated. Number of objects: 0
Clinical diagnosis:
Uterine leiomyosarcoma T2N0M1(hep) on December 13, 2022. after 4 blocks of chemotherapy.
Clinical data: not indicated. Name attending physician: Latsynnikova O.M.
Pathological histological examination: 2440 Urgent biopsy: Diagnostic biopsy: Operational material:
Number of pieces: 3 Number of blocks: 1 Staining method: Hematoxylin-eosin Category: 4
Macro description:
3 white, translucent fragments, 0.1 cm each. 3x1.
Micro description:
The preparation contains fragments of necrotic tissue, erythrocytes and an extremely small fragment of connective tissue.
Pathohistological diagnosis (conclusion):
The preparation contains fragments of necrotic tissue, erythrocytes and an extremely small fragment connective
tissue.
Date of examination: 23-12-2022
Name of the pathologist: Panasiuk V.I.
Name of laboratory assistant: Svynarchuk L.A. Signature: