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Cancer Surgery (Expert Forum)
After surgery Discussion
Questions in the Cancer Surgery forum are answered by Dr. Denise L. Johnson of Stanford University School of Medicine. Topics covered include surgery for all types of cancers.
After surgery Discussion
by tanaya, May 03, 2008 08:28AM
Histopathology Report
Gross description
Recieved a speciman of left lung measuring 20 X 12 X 3 cm. External surface is unremarkable. On sectioning , a soft to firm white tumour measuring 3 X 2.4 X 1.3 cm is seen. It is 0.3 cm away from the pleura and 2 cm away from vascular cut margin. Adjacent lung parenchyma is unremarkable.
Received separately-
1. Bronchial Cut Margin- Bronchial Cut Margin measuring 1 X 1 cm, Grossly unremarkable.
2. AP Window node- Recieved single node measuring 1 cm in diameter, grossly unremarkable.
3. para-aortic node- 2 nodes dissected, largest measuring 1 X 0.7 X 0.5 cm, grossly unremarkable.
Sections----
1. Tumour-4
2. Adjacent cut margin-1
3. Vascular cut margin-1
4. Bronchial cut margin-1
5. AP Window node-1
6.Para-aortic node-2
Microscopic Description
Left lung lobectomy
1) Poorly differentiated adenocarcinoma of left lung
2) The overlying pleura is uninvolved
3) Necrosis is seen
4) Lymphovascular emboli and perineural invation are not seen
5) Bronchial cut margin is free of tumour.
6) Adjacent lung parenchyma shows partial collapse
7) AP window node- Single node negative for metastasis is seen
8) Para-aortic nodes: Two nodes negative for metastasis are seen.
Impression
Left lung lobectomy:- Poorly differentiated adenocarcinoma of left lung with reactive regional nodes.
Questions:
1] What are the chances of cancer getting back.?
2] What precosions needs to be taken?
3] what kind of routine checkups needed ?
4] what dieat i should follow ?
Thank You
Gross description
Recieved a speciman of left lung measuring 20 X 12 X 3 cm. External surface is unremarkable. On sectioning , a soft to firm white tumour measuring 3 X 2.4 X 1.3 cm is seen. It is 0.3 cm away from the pleura and 2 cm away from vascular cut margin. Adjacent lung parenchyma is unremarkable.
Received separately-
1. Bronchial Cut Margin- Bronchial Cut Margin measuring 1 X 1 cm, Grossly unremarkable.
2. AP Window node- Recieved single node measuring 1 cm in diameter, grossly unremarkable.
3. para-aortic node- 2 nodes dissected, largest measuring 1 X 0.7 X 0.5 cm, grossly unremarkable.
Sections----
1. Tumour-4
2. Adjacent cut margin-1
3. Vascular cut margin-1
4. Bronchial cut margin-1
5. AP Window node-1
6.Para-aortic node-2
Microscopic Description
Left lung lobectomy
1) Poorly differentiated adenocarcinoma of left lung
2) The overlying pleura is uninvolved
3) Necrosis is seen
4) Lymphovascular emboli and perineural invation are not seen
5) Bronchial cut margin is free of tumour.
6) Adjacent lung parenchyma shows partial collapse
7) AP window node- Single node negative for metastasis is seen
8) Para-aortic nodes: Two nodes negative for metastasis are seen.
Impression
Left lung lobectomy:- Poorly differentiated adenocarcinoma of left lung with reactive regional nodes.
Questions:
1] What are the chances of cancer getting back.?
2] What precosions needs to be taken?
3] what kind of routine checkups needed ?
4] what dieat i should follow ?
Thank You
Diagnosis: Type of Cancer?
:
adenocarcinoma left lung
Date of Diagnosis
:
November 15, 2006
Type of Surgery
:
VATS converted to open Rt upper lobactomy
Stage/Size of Tumor
:
T-stage:T1; N Stage:N0; M stage:M0; Stage group IA/(Size3 X 2.4 X1.3 cm)
Location of Tumor(s)
:
left lung upper lobe
Age of Patient/Pre or Post Menopause?
:
55 years
Sex of Patient:
:
Male
General Geographic Location
:
Maharashtra india
Have you received hormone replacement therapy?
:
No
Please list all of your current medications:
:
No
Please describe your alcohol and/or smoking history:
:
Occasionaly Alcoholic
Occasionaly Smoking (but no smoking since last 20 years)
Occasionaly Smoking (but no smoking since last 20 years)
