I had a TT 2/17/15. Follow up with surgeon 3/4 and was told 5 of 7 central neck lymph nodes are + for PTC. My pathology report is as follows:
TT, pretracheal node biopsy, central neck dissection (all of which are + for PTC)
Tumor focality : unifocal
Tumor laterality: left lobe and isthmus
Tumor size: 1.2cm
Histologic type: papillary carcinoma
Variant: classical
Architecture: classical
Cytomorphology: classical
Margins: Focally involved by tumor
Lymphovascular space invasion: present
Extrathyroidal extension: not identified
Additional pathologic findings: benign parathyroid gland
Lymph nodes:
Number examined: 9
Number involved: 7
Pathologic stage: pT1bN1R1
Okay so "unifocal and classical" sound good. What does the Margin information mean? What are the 7 of 9 lymph nodes involve at end of report mean? What in the world does the "R" stand for? I know I am considered Stage lll because of my age, tumor size and lymph node involvement but all the literature I have read refers to "M" not "R" so does this mean they believe it has spread to lymph nodes in other areas of my body? I don't see the radiation oncologist until 3/11 but the hospital sent me a generic video session on external radiation. The surgeon only mentioned oral radiation. All opinions/information appreciated. Thank you in advance.