Medical Report Preview
✖
Pathology Report System
3
AD
مشرف النظام
Basic Information
Details & Diagnosis
Basic Report Information
Patient Name
Specimen Number
Age
Gender
Male
Female
Ref By
Received Date
Date Reported
Nature of Specimen
Report Status
Not completed
Completed
Clinical Data
Gross Description
Microscopic Description
Diagnosis
<ul><li><strong>Specimen received: </strong>LT. Hemicolectomy, omentectomy and splenectomy.</li><li><strong>Tumor Type: </strong>Adenocarcinoma, gland forming.</li><li><strong>Histologic Grade:</strong> 2 (moderately differentiated).</li><li><strong>Tumor Size: </strong>8x5.5x5 cm.</li><li><strong>Macroscopic tumor perforation: </strong>Absent.</li><li><strong>Tumor Configuration: </strong>Ulcerative, Fungating.</li><li><strong>Microscopic tumor extension:</strong> Tumor infiltrate reaching to muscularis propria, sparing pericolic fat.</li><li><strong>Lymphatic Invasion: </strong>Absent.</li><li><strong>Perineural Invasion: </strong>Absent.</li><li><strong>Margins:</strong></li></ul><p><strong> Proximal Margin: Free.</strong></p><p><strong> Distal Margin: </strong>Free. </p><ul><li><strong>Pathologic Staging </strong>(pT2N0M): </li><li> <strong>Primary tumor (pT):</strong> pT3.</li><li><strong>Regional lymph nodea:</strong> pN0.</li><li><strong>Number lymph node involved: </strong>0.</li><li><strong>Number lymph node examined: </strong>12.</li><li><strong>Distant metastasis (pM): </strong>pMx.</li><li><strong>Overall pathologic staging: </strong>[pT32,pN0,pMx].</li><li><strong><u>Additional Findings:</u></strong></li><li>Free omentum.</li><li>Free apeleen.</li></ul>
<p>Colonic mass with intestinal obstruction.</p>
<p>Lt. hemicolectomy specimen 43 cm, long. On opening it shows an infiltrative mass 8x5.5x5 cm with firm greyish white cut section, invading colonic wall and not reaching pericolic fat. The tumor is located 12 cm and 23 cm from margins of excision. Dissected regional lymph nodes range in size from 0.2-1x0.5 cm, soft. Attached omental tissue 27x18 cm, grossly unremarkable. Submitted separately, spleen measures 9.5x7x2.5 cm showing brownish cut section, negative for focal lesions.</p>
<p><strong><em><u>Colonic mass, Lt hemicolectomy, omentectomy and splenectomy:</u></em></strong></p><ul><li><strong>Adenocarcinoma, grade 2. </strong></li><li><strong>Regional lymph nodes are (0/12) negative for metastasis .</strong></li><li><strong>Margins of excision and omentum are free of tumor.</strong></li><li><strong>Omentum and spleen are free. </strong></li></ul>
Choose Image
Remove
Image Width (px)
Image Height (px)
Image Position
Center
Left
Right
Template
With Template
Without a Template
المسافة الفارغة من أعلى الصفحة عند عدم استخدام قالب
Header Space (mm)
Send to Telegram
Sending...
Generate PDF
Update