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<p>Specimen: Rectoigmoid colon with attached mesocolon and lymph nodes.</p><p>Histologic type: Adenocarcinoma.</p><p>Grade: Poorly differentiated (Grade 3).</p><p>Tumor invasion: Extends through muscularis propria into pericolonic adipose tissue</p><p>Lymphovascular invasion: Present.</p><p>Perineural invasion: Not identified.</p><p>Tumor budding: Intermediate.</p><p>Margins: All resection margins negative for tumor.</p><p><br></p><p>Lymph Nodes</p><ul><li>Total examined: 28</li><li>Positive for metastasis: 18</li><li>Extranodal extension: Present.</li></ul><p><br></p><p>Pathologic Stage (AJCC 8th Edition – Colon)</p><ul><li>Tumor stage: T3.</li><li>Nodal stage: N2b.</li><li>Overall stage: Stage IIIC.</li></ul>
<p class="ql-align-justify">Large fungating ulcerated mass, 15 cm from the anal verge, previously diagnosed Poorly differentiated adenocarcinoma, grade 3, (3930-2026) on 13 June 2026.</p>
<p class="ql-align-justify">Colonic segment measuring 30 cm long with attached mesenteric fat measuring 20 x 5.5 x 3 cm. Opening revealed a solid, firm, creamy-colored mass measuring 6 x 4.5 x 3.3 cm. The mass was located 3.5 cm away from the proximal margin and 20 cm away from the distal margin.</p><p class="ql-align-justify">Dissection of mesenteric fat revealed 28 lymph nodes, with the largest measuring 1.3 cm in its greatest dimension.</p>
<p class="ql-align-justify"><strong><em><u>Rectosigmoid colon, segmental resection:</u></em></strong></p><ul><li class="ql-align-justify"><strong>Poorly differentiated (Grade 3) adenocarcinoma. </strong></li><li class="ql-align-justify"><strong>All resection margins negative for tumor. </strong></li></ul><p class="ql-align-justify"><br></p><p class="ql-align-justify"><br></p><p class="ql-align-justify"><br></p><p class="ql-align-justify"><br></p><p class="ql-align-justify"><br></p><ul><li class="ql-align-justify"><strong>Metastatic carcinoma in 18 of 28 lymph nodes with extranodal extension.</strong></li><li class="ql-align-justify"><strong>Pathologic stage: Stage IIIC (Tumor T3, N2b).</strong></li></ul>
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