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.
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.
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.
Left lung lobectomy:- Poorly differentiated adenocarcinoma of left lung with reactive regional nodes.
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 ?
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