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<p>Procedure: Right hemicolectomy</p><p>Tumor Site: Appendix, with contiguous involvement of the cecal base.</p><p>Tumor Size: 5.7x 5 x 4.5 cm.</p><p>Histologic Type: Adenocarcinoma with possible neuroendocrine differentiation.</p><p>Histologic Grade: Pending for marker study.</p><p>Tumor Extension: Tumor penetrates the visceral peritoneum</p><p>Margins: Uninvolved.</p><p>Lymphovascular Invasion: Present.</p><p>Perineural Invasion: Not identified.</p><p>Regional Lymph Nodes:</p><ul><li>Number of Lymph Nodes Involved: 12.</li><li>Number of Lymph Nodes Examined: 15.</li><li>Extranodal Extension (ENE): Present (focal).</li></ul><p>Pathologic Stage Classification (AJCC 8th Edition):</p><ul><li>pT Category: pT4a (Tumor perforates visceral peritoneum).</li><li>pN Category: pN2 (Metastasis in four or more regional lymph nodes).</li></ul><p><br></p><p><br></p><p><br></p><p><br></p><p><br></p><p><br></p>
<p class="ql-align-justify">Rt. hemicolectomy for adenocarcinoma.</p><p class="ql-align-justify">Radiologically: complex cystic lesion in the right iliac fossa involving the cecal base—radiologically suspicious for an appendicular phlegmon versus an appendiceal mucocele tumor.</p>
<p class="ql-align-justify">Received was a right hemicolectomy specimen consisting of a terminal ileum that measured 5 x 1.5 cm with an attached, adherent appendix that measured 2.5 cm. The cecum and ascending colon measured 15 x 2 cm. The attached omentum measured 25 x 17 x 2 cm, and the attached fat measured 15 x 8.5 cm. Opening revealed an irregular, ulcerating, creamy-colored mass that measured 4.5 x 5 x 4 cm. The mass was located 5.5 cm away from one end and 10 cm away from the other end.</p><p class="ql-align-justify">Dissection of mesenteric fat revealed 15 lymph nodes, the largest of which measured 2.5 cm.</p>
<p><strong><em><u>Appendix, Right Hemicolectomy:</u></em></strong></p><ul><li><strong>Appendiceal adenocarcinoma with possible neuroendocrine differentiation. </strong></li><li><strong>Morphologic features are suggestive of a possible neuroendocrine origin; recommended for immunohistochemical studies are recommended CK, Synaptophysin, Chromogranin, Ki-67)</strong></li><li><strong>Tumor directly extends into the cecal base and penetrates the visceral peritoneum (pT4a).</strong></li><li><strong>Metastatic in twelve (12) of fifteen (15) regional lymph nodes, with focal extranodal extension (pN2).</strong></li><li><strong>All surgical margins are negative for tumor.</strong></li></ul>
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