SPP Slide Survey Program – Case Submission Form

SPP Slide Survey Program – Case Submission Form

Submit your pathology case details, special studies, and contact information for the Society for Pediatric Pathology Slide Survey Online.
Note: Submitted materials must be de-identified and should not include any unique patient identifiers such as patient name, medical record number, or date of birth.

All material will be retained by SPP, and will not be returned to the submitting pathologist unless specifically requested Diagnostic imaging, gross images, electron microscopic images, and other electronic files are encouraged.
Sender
Diagnosis
Tissue/Organ
Please indicate if you will provide either:
Return of H&E slide requested
Return address (if slide return requested)
Age
Gender
Clinical history
Surgical pathology report / Autopsy report

If the Pathology report is not in an image file format (jpg) then please send along with glass slide or email at alexandec1@chop.edu.
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Diagnostic imaging (you may enter text of imaging here):
Special Studies (including gross image, IHC stains, etc) descriptions:
Gross:
Immunohistochemistry:
Cytogenetics:
Electron microscopy:
Molecular studies:
Other special studies:
Submitter Name:

First NameLast Name
Submitter Address
Submitter Phone
Please enter a valid phone number.Format: (000) 000-0000.
Submitter Email
example@example.com
Submitter Fax
Upload Clinical Summary (recent H&P note, clinic visit note, etc)

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Upload diagnostic imaging files/reports

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Upload gross Images

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Upload special stains, Electron microscopy images

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Upload other ancillary studies – images/reports

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Please send your H&E slide and any documents that you could not submit electronically to:

Caitlin Alexander, Slide Survey Subcommittee Chair (2026-2027)

Children’s Hospital of Philadelphia

3401 Civic Center Boulevard

CHOP Main 5NW28

Philadelphia, PA 19104

Ph. 215-590-1728

Email: alexandec1@chop.edu

Thank you for supporting the SPP slide survey online (SSO) program!
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SPP Slide Survey Program – Case Submission Form

Special Studies (including gross image, IHC stains, etc) descriptions: