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<ul><li><strong>Procedure</strong>: Right hemithyroidectomy</li><li><strong>Tumor Site:</strong> Right lobe</li><li><strong>Histologic Type:</strong> Follicular Thyroid Carcinoma</li><li><strong>Tumor Size:</strong> 7 cm (Greatest dimension)</li><li><strong>Capsular Invasion:</strong> Present</li><li><strong>Lymphovascular Invasion:</strong> Mot identified.</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></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>Right thyroid lobe enlargement.</p>
<p class="ql-align-justify">Right hemithyroidectomy specimen with an intact capsule, measuring 7.5 x 5.5 x 5 cm. Sectioning revealed the parenchyma is almost entirely replaced by a well-circumscribed, gray, hemorrhagic nodule measuring 7 x 5.3 cm. Also received was a separate piece of thyroid tissue measuring 4 x 2 cm which displayed a fleshy cut surface.</p>
<p><strong><em><u>Thyroid gland, right hemithyroidectomy:</u></em></strong></p><ul><li class="ql-align-justify"><strong>Follicular thyroid carcinoma, right lobe (7 cm). </strong></li><li class="ql-align-justify"><strong>Thyroid capsule is intact.</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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