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<p>Procedure: Right hemicolectomy.</p><p>Tumor site (anatomic location): Cecum.</p><p>Tumor focality: Single</p><p>Tumor size (largest dimension): 53 mm</p><p>Histologic type: gland forming adenocarcinoma.</p><p>Histologic grade: Moderately differentiated (G2).</p><p>Depth of invasion: 25 mm</p><p>Anatomic extent:</p><ul><li>Invades submucosa (pT1)</li></ul><p>Margins:</p><ul><li>Proximal margin: Negative; distance to tumor 60 mm.</li><li>Distal margin: Negative; distance 90 mm.</li></ul><p>Lymphovascular invasion (LVI): Present .</p><p>Perineural invasion (PNI): Not identified.</p><p>Tumor deposits: Absent.</p><p>Tumor budding: Absent.</p><p>Regional lymph nodes:</p><ul><li>Number examined: 8</li><li>Number positive: 0</li></ul><p>Residual tumor at primary site (R status): R0</p><p>pTNM stage: pT1N0Mx</p>
<p>Cecal tumor causing iliocecal intessusspecvtion.</p>
<p class="ql-align-justify">Rt. hemicolectomy specimen 20.5 cm long,, including 15 cm of colon and cecum and an adherent 5.5 cm ileal segment, with attached mesenteric fat measuring 12x5.5 cm. Opening revealed polypod cecal mass measuired 5.3x4x3 cm, having a firm greyish-white cut section, located 6 cm and 9 cm from priximal and distal mucosal margins respectively. Multiple regional lymph nodes were dissected, largest measured 0.8 cm.. The appendix was not identified grossly.</p>
<p><strong>Cecal mass, Right hemicolectomy:</strong></p><ul><li><strong>Adenocarcinoma, moderately differentiated. </strong></li><li><strong>Positive for Lymphovascular invasion. </strong></li><li><strong>Margins are negative. </strong></li><li><strong>pT1N0Mx</strong></li></ul>
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