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<h3><strong><em><u>Tumor summary:</u></em></strong></h3><p><strong>Procedure:</strong> Right hemicolectomy.</p><p><strong>Tumor site (anatomic location): </strong> Ascending colon.</p><p><strong>Tumor focality:</strong> Single.</p><p><strong>Tumor size (largest dimension):</strong> 70 mm</p><p><strong>Histologic type:</strong> Mucinous adenocarcinoma, with signet ring cell areas.</p><p><strong>Grade: </strong>3.</p><p><strong>Depth of invasion:</strong> 30 mm.</p><p><strong>Anatomic extent: </strong>Invades pericolic fat (pT3)</p><p><strong>Margins:</strong></p><ul><li>Proximal margin: Negative; distance to tumor 60 mm.</li><li>Distal margin: Negative; distance 75 mm.</li></ul><p><strong>Lymphovascular invasion (LVI): </strong> Present .</p><p><strong>Tumor deposits: </strong>Absent.</p><p><strong>Tumor budding:</strong> low.</p><p><strong>Regional lymph nodes:</strong></p><ul><li>Number examined: 15</li><li>Number positive: 1</li></ul><p><strong>Residual tumor at primary site (R status): </strong>R0.</p><p>pTNM stage: pT3N1Mx.</p><p><br></p><p><br></p><p><br></p><p><br></p><p><br></p><p><br></p><p><br></p><p><br></p><p><br></p>
<p>Ascending colon mass causing full bowel obstruction.</p>
<p class="ql-align-justify">Right hemicolectomy containing a segment of ileum (5 cm long), appendix (7.5 cm long), cecum/ascending colon (13 cm long), omentum (15x5x2.5 cm), and mesenteric fat (14x5.5 cm). Opening reveals a solid, firm, creamy mass (7x4x3 cm) located 6 cm from the proximal and 7.5 cm from the distal margins. Fifteen lymph nodes were dissected, the largest measuring 1.7x 1.5 cm.</p><p class="ql-align-justify"><br></p>
<h3><strong><em><u>Ascending colon mass, Right hemicolectomy:</u></em></strong></h3><ul><li><strong>Mucinous adenocarcinoma, grade 3, with signet ring cell areas.</strong></li><li><strong>Lymph nodes are (1/15) positive for metastatic deposits.</strong></li><li><strong>Margins are negative. </strong></li><li><strong>pT3N1Mx</strong></li></ul>
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