Sections from the submitted small intestinal segments show focal mucosal ulceration with associated granulation tissue, chronic inflammation, fibrosis, and serosal adhesions. Areas of stromal hyalinization and reactive changes are noted. No definite tumor is identified in the examined sections. No lymph nodes are identified.
Sections from the peritoneal biopsy show fibroadipose tissue with mild chronic inflammation and reactive fibrous change. No definite tumor is identified.
Distal ileum tumor status post-chemotherapy, who underwent an open laparotomy for peritoneal biopsy and creation of a loop ileostomy.
Two specimens were received:
First Segment: measured 6.5 x 2.5 x 2 cm and included 5.5 cm of attached pericolic fat. It exhibited an altered gray area suspicious for ulceration measured 1.7 x 1.5 cm. No lymph nodes were identified upon careful dissection.
Second Segment: measured 7 x 2 x 1.5 cm with 5 cm of attached fat. Examination revealed no gross masses or identifiable lymph nodes.
Third Segment: measured 5.5 x 2 x 1.5 cm. No discrete masses were found upon careful examination.
Small intestine, resection, status post chemotherapy:
Peritoneum, biopsy: