Medical Pathology Report Form

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<h3>Surgical Pathology Summary</h3><ul><li>Specimen Type: Near-total Gastrectomy with Omentum and Paracolic Tissue.</li><li>Primary Tumor Site: Stomach (Antrum/pylorus).</li><li>Histologic Type: Poorly Cohesive Carcinoma (Non-signet ring cell type).</li><li>Histologic Grade: G3 (High-grade / Poorly differentiated).</li><li>Tumor Size: 8.5 x 6 cm (Greatest dimension).</li></ul>Tumor Extension & Invasion<ul><li>Depth of Invasion: Tumor penetrates through the muscularis propria and subserosal connective tissue into the visceral peritoneum (serosa).</li><li>Lymphovascular Invasion (LVI): Present. </li><li>Perineural Permeation (PNI): Present. </li></ul> Margins<ul><li>Proximal Margin: Negative for invasive carcinoma (Distance: 6 cm).</li><li>Distal Margin: Negative for invasive carcinoma (Distance: 0.8 cm).</li><li>Omental (Radial) Margin: Negative.</li></ul>Lymph Nodes & Distant Spread<ul><li>Regional Lymph Nodes: 10 positive out of 13 total nodes examined (10/13).</li><li>Extranodal Extension (ENE): Present. </li><li>Omental Deposits: Positive (Metastatic carcinoma found in 4 omental masses).</li><li>Paracolic Tissue: Positive (Metastatic carcinoma found in tissue adjacent to the colon).</li><li>Peritoneal Fluid: Negative.</li></ul>Peritoneal wash, Cytology:<ul><li>Positive for malignant cells. </li></ul>Pathologic Staging (AJCC 8th Edition)<ul><li>Primary Tumor (pT): pT4a (Tumor involves the serosa).</li><li>Regional Lymph Nodes (pN): pN3a (Metastasis in 7 to 15 nodes).</li><li>Distant Metastasis (pM): pM1 (Presence of omental and paracolic deposits).</li><li>Anatomic Stage: Stage IV.</li></ul>

Three containers were received. 1 Designated as near total stomach with omentum: Stomach measured 10.5 cm along the greater curvature and 5.5 cm along the lesser curvature, with a proximal circumference of 5 cm and a distal circumference of 2.5 cm. Attached was a greater omentum measuring 40 x 22 x 1.5 cm and an additional fatty tissue measuring 11 x 8 cm. Opening of the stomach revealed an ulcerated, solid, firm, creamy-colored mass measuring 8.5 x 6 cm (depth) . The mass infiltrated the full thickness of the gastric wall. The lesion is located 6 cm from the proximal resection margin and 0.8 cm from the distal resection margin. A total of 13 lymph nodes were dissected from the lesser and greater curvatures, the largest measuring 2.5 cm. The omentum showed four rubbery areas/masses, the largest measuring 1 cm. 2 Disintegrated as small mass?? lymph node from side of colon: soft tissue piece measuring 1.7 x 1.3 x1 cm, totally embedded. 3 Designated as fluid from abdomen (saline wash): 10ml fluid, for cytological examination, one smear was prepared and stained.

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