Consultation Note
CLINICAL DETAILS   
Clinical informationR Colon cancer    
Pathology Accession number89671-16MP    
Operating surgeon nameDr Dayoub    
Tumour locationCaecum   
Type of operationRight hemicolectomy   
Surgeon's opinion on the existence of local residual cancer postsurgeryNot stated    
Involvement of adjacent organsNot stated    
Regional (local) recurrence or distant metastasisNot stated    
MACROSCOPIC FINDINGS   
Units
Specimen length113mm   
Tumour siteCaecum   
Maximum tumour diameter43mm   
Distance of tumour to the nearer proximal or distal 'cut end'35mm   
Distance to nonperitonealised circumferential margin35mm   
Tumour perforationAbsent   
Relationship to anterior peritoneal reflectionEntirely above   
Lymph nodesReceived   
MICROSCOPIC FINDINGS   
Tumour typeAdenocarcinoma, NOS   
Histological gradeLow grade - well and moderately differentiated   
Maximum degree of local invasion into or through the bowel wallpT3-Tumour invades through muscularis propria into pericolorectal tissues   
Involvement of the proximal/distal resection ('cut end') marginsNot involved   
Status of nonperitonealised circumferential margin (rectal tumours)Not involved   
Microscopic clearance35mm   
Lymph node site/s   
Number of positive0    
Total number of lymph nodes13    
Isolated extra-mural tumour depositsAbsent   
Apical node involvementAbsent   
Venous and small vessel invasion   
Intramural vein invasionNot identified   
Extramural vein invasionNot identified   
Small vessel invasionPresent   
Perineural invasionNot identified   
Histologically confirmed distant metastasesAbsent   
Relevant coexistant pathological abnormalitiesNone noted   
ANCILLARY TEST FINDINGS   
Mismatch repair enzymes   
PMS-2Normal staining   
MSH-6Normal staining   
Microsatellite instablility (MSI)Not tested   
BRAF (V600E mutation)Not tested   
RAS gene mutation testingNot tested   
SYNTHESIS AND OVERVIEW   
Tumour stage (AJCC 2010)   
T classificationpT3   
N classificationpN0   
Residual tumour statusR0   
Diagnostic summary:
Speciment type: Right hemicolectomy
Tumour site: Caecal
Tumour type: Adenocarcinoma
Tumour stage: T3 N0 MX
Completeness of excision: Completely excised
Diagnosis:
Right Colon - Moderately differentiated caecal Adenocarcinoma, T3
Thirteen lymph nodes negative for metastatis (0/13)
Surgical margins clear

Service Provider: Unassigned