求助病理報告翻譯 - 抗癌

Appendix, laparoscopic appendectomy, grade 2 goblet cell adenocarcinoma


Description:

The specimen submitted consists of an appendix measuring 5.7 cm in length and

1.5 and 1 cm in maximal and minimal diameter, in fresh state. Grossly, the

serosa is moderately congested and coated with fibrinopurulent exudate.On

serial section, the lumen is filled with feces and perforation measuring

0.1*0.1cm. Perforation is seen.

No fecal stone is seen in the lumen.

Representative sections are taken and labeled as A1-A3;appendix;B1:margin

Jar:1 S



Surgical Pathology Cancer Case Summary


APPENDIX:

1.Procedure: Laparoscopic Appendectomy

2.Tumor Site:Proximal half of appendix;Base of appendix involved by tumor

3.Tumor Size

Greatest dimension:0.9 cm; Additional dimensions:0.9 X 0.9 cm

4.Histologic Type: Goblet cell adenocarcinoma

5.Histologic Grade: G2: Moderately differentiated

6.Tumor Extension:

Tumor invades through the muscularis propria into the subserosa or
mesoappendix but does not extend to the serosal surface

7.Margins

Proximal Margin: Involved by invasive carcinoma

8.Lymphovascular Invasion: Present

9.Perineural lnvasion: Present

10.Regional Lymph Nodes: NO lymph nodes submitted

11.Paehologic Stage Classification (pTNM, AJCC 8th Edition)
Primary Tumor (pT)
pT3:Tumor invades through the muscularis propria into the subserosa or
mesoappendix
Regional Lymph Nodes (pN)
pNX:Regional lymph nodes cannot be assessed

12.Ancillary Studies:
Infiltrates of tumor cells with mucus-secreting cells distended with mucin
resembling goblet cells in tubules, clusters or single cells in submucosa,
muscularis propria and focal periappendiceal fat. Chromogranin stain is
positive and synaptophysin stain is focal weak(+).Fibrinopurulent exudate
over serosa is found.


打完這篇資料身體...手指都還在發抖

從醫生口中最常見的盲腸炎手術 到現在還頭暈暈的闌尾惡性腫瘤

醫生說還要再開一次手術將右邊的大腸切除

對於原本歡喜迎接老婆懷孕 到現在將引產 接受術前電腦斷層 及 大腸鏡

洗了一輩子也忘不掉的三溫暖

希望從現有的資料中 進一步了解現在的情況

感謝







--