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<p><strong>Procedure:</strong> Low Anterior Resection.</p><p><strong>Tumor site (anatomic location): </strong> Distal rectum.</p><p><strong>Tumor focality:</strong> Single.</p><p><strong>Tumor size (largest dimension):</strong> 35 mm.</p><p><strong>Histologic type:</strong> gland forming adenocarcinoma.</p><p><strong>Grade: </strong>2.</p><p><strong>Depth of invasion:</strong> 23 mm.</p><p><strong>Anatomic extent: </strong>Invades perirectal fat (pT3).</p><p><strong>Margins: </strong>both proximal and distal mucosal margins are negative (15 mm and 10 mm).</p><p><strong>Lymphovascular invasion (LVI): </strong>Absent.</p><p><strong>Tumor deposits: </strong>Absent.</p><p><strong>Tumor budding:</strong> intermediate.</p><p><strong>Regional lymph nodes: </strong>Number examined: 8. - Number positive: 0.</p><p><strong>Residual tumor at primary site (R status): </strong>R0.</p><p><strong>pTNM stage</strong>: pT3N0Mx.</p>
<p>Distal rectal mass.</p>
<p class="ql-align-justify">Received is a part of the rectum measuring 6 cm long with attached mesenteric fat. Opening reveals a grey-colored polypoid mass measuring 3.5 x 2.3 cm. The mass is located 1.5 cm away from one end margin and 1 cm away from the other end margin. The mesenteric fat contains 8 lymph nodes, the largest of which measures 0.6 cm.</p>
<h3><strong><em><u>Distal rectal mass, lower anterior resection:</u></em></strong></h3><ul><li><strong>Adenocarcinoma, moderately differentiated. </strong></li><li><strong>Stage pT3N0Mx. Margins free.</strong></li></ul>
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