PAEC General Hospital, Islamabad
Department of Histopathology
Monday, February 22, 2021 Duplicate Report
Patient Control# P-04/19-00534 Patient Name : NAZEERAN KHATOON
Order# 02/21-02677__—Ref. B
Ward :Surgical Ward Room #:HalliF Bed #:12
Receipt#
160272021 122823PM Specimen : Intestine
Clinical Notes:
Site: Intestinal mass; Resection NOS
No clinical details have been provided.
Gross Examination
‘Surgical No. $-21-143
‘Specimen received in formalin labelled with patient's name, PCN and marked for site as Intestinal mass.
Specimen received consists of an unoriented segment of large bowel measuring 16cm in length and 4,Scm in average
diameter. Attached mesentery measures 21x7xScm. The external serosal surface shows a defect/perforation measuring
3x2cm. This site of perforation is grossly located at a distance of 1cm from ane resection margin, 11cm from other
resection margin and 17cm from mesenteric resection margin. On opening the bowel, a polypoidal, fungating and
Ulcerating tumour is identified at the site of perforation. The tumour measures 4x4x1.4cm, This tumour invades the
‘muscularis propria and reaches and perforates the serosal surface. The tumour Is located at a distance of 1em from one
resection margin, 11cm from other resection margin and 17cm from mesenteric resection margin. Cut surface of the
tumour is grayish white and friable. The adjacent bowel wall shows hyperemic, congested mucosa. No satellite tumour
{deposit identified. Multiple Iymph nodes ranging in size form 0.2cm to 2cm aré identified in the pericoic tissue. No satellite
tumour deposit identified. Representative sections are submitted In following cassettes as follows:
‘One resection margin
Bi Other resection margin
Mesenteric resection margin
Random sections from perforated tumour:
Full thickness sections of tumor with serosa
‘Section of the tumor with adjacent mucosa
3: Random section from normal bowel
i: 02 lymph nodes
02 lymph nodes
M: 10 lymph nodes
05 lymph nodes
(02 lymph nodes
03 lymph nodes
De
Fa
Microscopic Examination:
+ Procedure: Colectomy NOS
+ Tumor Site: Colon, not otherwise specified
= Tumor size:
Greatest dimension: 4em
‘Additional dimensions: 4x1.4cm
= Macroscopic tumor perforation: Present
+ Histologic type: Mucinous adenocarcinoma
+ Histologic Grade: G2: Moderately differentiated
= Tumor Extension: Tumor invades the visceral peritoneum (Including tumour continuous with serosal surface through area
oF inflammation)
+ Margins:
‘Tumour involves the mesenteric margin, Iymph node involved
Proximal Margin: Uninvolved by invasive carcinoma
Distal Margin: Uninvolved by invasive carcinoma
Mesenteric Margin: Involved by invasive carcinoma
~ Treatment Effect: No known presurgical therapy
= Lymphovascular Invasion: Present
+ Perineural Invasion: Not identiied
= Tumor Deposits: Not identified
at Hospital StI AU? gg AP esteheT p.04i9-00536 2
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-U Us LT Pace onPAEC General Hospital, Islamabad
Department of Histopathology
Monday, February 22, 2021 Duplicate Report
+ Regional Lymph Nodes:
Number of lymph nodes involved: 11
Total iymph nodes examined: 25
+ Pathologic Stage Classification:
Primary Tumor (pT): pT4a: Tumor invades through the visceral peritoneum (including gross perforation of the bowel
thorugh tumour and continuous invasion of tumour through areas of inflammation to the surface of the visceral
Peritoneurn)
Regional Lymph Nodes (pN): pN2b: Seven or more regional lymph nodes are positive
Distant Metastasis (pM): pMx
+ Additional pathologic findings:
‘adenoma
Diagnosis
COLON; COLECTOMY NOS:
~ MUCINOUS ADENOCARCINOMA, MODERATELY DIFFERENTIATED, 4.0CM
“TUMOR INVADES MUSCULARIS PROPRIA AND PERFORATES THE SEROSAL SURFACE (4)
~ TUMOUR INVOLVES MYSENTERIC RESECTION MARGIN (LYMPH NODE POSITIVE IN MESENTERIC MARGIN)
PROXIMAL AND DISTAL RESECTION MARGINS, FREE OF TUMOR,
~ LYMPHOVASCULAR INVASION SEEN
= 11/25 LYMPH NODES, POSITIVE FOR METASTATIC CARCINOMA WITH EXTRA NODAL EXTENSION
pT4a, pN2b, pMX
Comments:
Please also see surgical reports no. S-21-144 and 145 of the same patient.
Dr. Amna Babar Dr. Sundas Saba Dr, Faiza Kazi
Consultant Histopathologist ‘SMO Histopathology Consultant Histopathologist
Reporting Date : Monday, February 22, 2021 User Name : Tainoor
MLE og ALP erie T -0419.0084 2
-UUELe1ZLT PAEC General HospitalPAEC General Hospital, Islamabad
Department of Histopathology
Monday, February 22, 2021 Duplicate Report
Patient Control P-04/19-00534 Patient Name : NAZEERAN KHATOON ‘Age : 60 Years)
Order# 0221-02679 Ref. By : Sex: Male
Receipt# we Ward :Surgical Ward Room #:HalliF Bed #:12
Sample Date :0sW7021 122951 PM Specimen : OMENTUM
Small Biopsy
Clinical Notes:
site: Omentum tissue
No clinical details have been provided
Gross Examination
‘Surgical No. S-21-144
Specimen received in formalin labelled with patient's name, PCN and marked for site as omentum,
Specimen received consists of two fibrofatty tissue fragments. Smaller fragment measures 2.5x2x2.7cm. Serial sectioning
shows fatty cut surface, No Solid area seen, Larger fragment measures 4.5x4x2cm. Serial sectioning reveals a nodule
Measuring 2.5x1-5x1em. This nodule has white mucoid cut surface. Representative sections are submitted as follows;
‘A: Smaller fragment entirely submitted
B-D: Random sections from larger fragment with nodule
Microscopic Examination:
“The sections examined reveal fibroadipose tissue Inftrated by a tumour. This tumour is exhibiting glandular configuration
lined by tall columnar cells with apical mucin. The individuat cells are large with high N/C ratio. Abundant mucin pools
noted.
Diagnosis
‘OMENTUM; BIOPSY:-
= OMENTUM, INVOLVED BY METASTATIC CARCINOMA
‘Comments:
Please also see surgical reports no. $-21-143 and 145 of the same patient,
Dr. Amna Babar Dr, Sundas Saba Dr, Faiza Kazi
Consultant Histopathologist SMO Histopathology Consultant Histopathologist
Reporting Date : Monday, February 22, 2021, User Name : Teimoor
Hospital St AM? ge AP
7 p.04t9-00534 2
ITTPAEC General Hospital, Islamabad
Department of Histopathology
Monday, February 22, 2021 Duplicate Report < >
[Patient Control# P-04/19-00534 Patient Name : NAZEERAN KHATOON ‘Age: 60 Year(s) |
02721-02681 Ref. By Sex : Male
sees Ward :Surgical Ward Room #:HalliF Bed #:12
02/2021 1233029 PM | Specimen : BIOPSY
‘Small Biopsy
Site: Wall biopsy
No clinical details have been provided.
Gross Examination
‘Surgical No, S-21-145
‘Specimen received in formalin labelled with patient's name, PCN and marked for site as wall biopsy.
‘Specimen received consists of unoriented fragmented fibrofatty tissue. The smaller fragment measures 2x1.5xicm. Serial
‘sectioning shows cystic cut surface with necrotic focus. Larger tissue measures 6x3x2cm. Serial sectioning shows fibrofatty
cut surface. Representative sections are submitted as follows;
’A-B: Random sections from smaller fragment
C-D: Random sections from larger fragment
Microscopic Examination:
‘The sections examined reveal fibroadipose and fibromuscular tissue infiltrated by a tumour. This tumour is exhibiting
glandular configuration lined by tall columnar cells with apical mucin, The individual cells are large with high N/C ratio.
‘Surrounding tissue shows pools of mucin.
Diagnosis
WALL BIOPS\
- FIBROADIPOSE AND FIBROMUSCULAR TISSUE/ WALL BIOPSY, INVOLVED BY METASTATIC CARCINOMA
‘Comments:
Please also see surgical reports no. $-21-143 and 144 of the same patient.
Dr. Amna Babar Dr. Sundas Saba Dr. Faiza Kazi
Consultant Histopathologist ‘SMO Histopathology Consultant Histopathologist
Reporting Date : Monday, February 22, 2021 ‘User Nam
teat LIE gg AL etiheeT 0419-0054
Page TAT
“LUA IZLT PAEC General Ho: