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
<p>Specimen received: Bowel segment (segmental resection of rectosigmoid mass).</p><p>- Procedure: segmental resection.</p><p>- Tumor site: Sigmoid colon</p><p>- Tumor Type: Adenocarcinoma, gland forming</p><p>- Histologic Grade: 2 (moderately differentiated)</p><p>- Tumor Size:3x1.8x1.5 cm</p><p>- Macroscopic tumor perforation: Absent.</p><p>- Tumor Configuration: Ulcerative, Fungating.</p><p>- Microscopic tumor extension: Tumor infiltrate reaching to pericolic fat.</p><p>- Lymphatic Invasion: Not identified.</p><p>- Perineural Invasion: Not identified.</p><p>- Tumor Border: Infiltrating.</p><p>- Tumor budding score: present, Bd2</p><p>- Margins:</p><p>Proximal Margin: Free.</p><p>Distal Margin: Free. </p><p>- Pathologic Staging (pT3N0M): </p><p> - Primary tumor (pT): pT3.</p><p>- Regional lymph node: pN0.</p><p>Number lymph node involved: 0.</p><p>- Number lymph node examined: 10.</p><p>- Distant metastasis (pM): pMx.</p><p>- Overall pathologic staging: [pT3,pN0,pMx].</p><p>- Additional Findings:</p><p> - Acute (suppurative) appendicitis.</p>
<p>Rectosigmoid mass. ? Tumor or diverticulitis.</p>
<p>Two specimens were submitted: (1) Colonic segment 10 cm long showing a ulcerating infiltrative tumor 3x1.8x1.5 cm, located 6.3 cm and 0.7 cm from margins of excision. Tumor appears to reach pericolonic fat. Pericolonic fat shows small soft lymph nodes 0.2-0.6 cm.</p><p>(2) Appendicectomy specimen measures 4.5x0.8 cm with attached mesoappendix 4x1.8 cm</p>
<p><strong><em><u>Rectosigmoid mass, Segmental resection and appendisectomy: </u></em></strong></p><ul><li><strong>Adenocarcinoma, grade 2. </strong></li><li><strong>Regional lymph nodes are (0/10) negative for metastases. </strong></li><li><strong>Margins of excision are free of tumor.</strong></li><li><strong>Associated acute (suppurative) appendicitis.</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