Submit Digital Slide – Veterinary Cancer Guidelines and Protocols

Step 1 of 3

This form is to submit summary information for cases.

Contributor Name

Case ID *

What is the identifier on the slide?

Species

Breed

Date of Birth//

Date of Death//

Sample Date//

NOTE: Please keep the following fields BRIEF - they are meant as a SUMMARY (1-2 lines) of the important information.

History

Lesion Location

NOTE: In the diagnosis field, please only submit DIAGNOSES, not descriptions!

Microscopic Diagnosis / Diagnoses

Histologic Grade

Grading Scheme Used

Comments

New Stain?

Slide Stain

Form complete!