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<p><strong>Specimen:</strong></p><p>Total Thyroidectomy</p><ul><li><strong>Procedure:</strong> Total Thyroidectomy</li><li><strong>Tumor Site:</strong> Right lobe (dominant mass)</li><li><strong>Histologic Type:</strong> Follicular Thyroid Carcinoma</li><li><strong>Tumor Size:</strong> 6 cm (Greatest dimension)</li><li><strong>Capsular Invasion:</strong> Present</li><li><strong>Lymphovascular Invasion:</strong> Present (Angioinvasion)</li><li><strong>Extrathyroidal Extension:</strong> Not identified.</li><li><strong>Margins:</strong> Negative for carcinoma</li><li><strong>Lymph Nodes:</strong> No lymph nodes submitted or identified</li><li><strong>Additional Findings:</strong> Nodular adenomatous hyperplasia.</li></ul><p><strong>Pathologic Staging (AJCC TNM, 8th Edition)</strong></p><ul><li><strong>Primary Tumor (pT):</strong> <strong>pT3a</strong><em>Tumor > 4 cm in greatest dimension, limited to the thyroid.</em></li><li><strong>Regional Lymph Nodes (pN):</strong> <strong>pNX</strong><em>Regional lymph nodes cannot be assessed (not submitted).</em></li><li><strong>Distant Metastasis (pM):</strong> Not applicable (Clinical correlation required).</li></ul><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>Thyroid gland enlargement.</p>
<p class="ql-align-justify">Received is a total thyroidectomy specimen with an intact capsule. The right lobe measured 7.5 x 5 x 4 cm and is almost entirely replaced by a cystic nodule measuring 6 x 4.8 x 4 cm. The left lobe measured 4.5 x 3.3 x 2.5 cm, containing four rubbery nodules (the largest measuring 1 cm) and an additional cystic nodule measuring 2 x 1.8 cm. A separate rubbery colloid nodule measures 2.8 x 2.5 x 2.3 cm. Isthmus measured 1.5x1 cm.</p>
<p><strong><em><u>Thyroid gland, total thyroidectomy</u></em>:</strong></p><ul><li class="ql-align-justify"><strong>Follicular thyroid carcinoma, right lobe (6 cm). </strong></li><li class="ql-align-justify"><strong>Surgical margins are negative for malignancy</strong>.</li><li><strong>Pathologic Stage (AJCC 8th Ed.):</strong> <strong>pT3a NxMx. </strong></li></ul>
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