Consultation Note
CLINICAL DETAILS
Clinical information
R Colon cancer
Pathology Accession number
89671-16MP
Operating surgeon name
Dr Dayoub
Tumour location
Caecum
Type of operation
Right hemicolectomy
Surgeon's opinion on the existence of local residual cancer postsurgery
Not stated
Involvement of adjacent organs
Not stated
Regional (local) recurrence or distant metastasis
Not stated
MACROSCOPIC FINDINGS
Units
Specimen length
113
mm
Tumour site
Caecum
Maximum tumour diameter
43
mm
Distance of tumour to the nearer proximal or distal 'cut end'
35
mm
Distance to nonperitonealised circumferential margin
35
mm
Tumour perforation
Absent
Relationship to anterior peritoneal reflection
Entirely above
Lymph nodes
Received
MICROSCOPIC FINDINGS
Tumour type
Adenocarcinoma, NOS
Histological grade
Low grade - well and moderately differentiated
Maximum degree of local invasion into or through the bowel wall
pT3-Tumour invades through muscularis propria into pericolorectal tissues
Involvement of the proximal/distal resection ('cut end') margins
Not involved
Status of nonperitonealised circumferential margin (rectal tumours)
Not involved
Microscopic clearance
35
mm
Lymph node site/s
Number of positive
0
Total number of lymph nodes
13
Isolated extra-mural tumour deposits
Absent
Apical node involvement
Absent
Venous and small vessel invasion
Intramural vein invasion
Not identified
Extramural vein invasion
Not identified
Small vessel invasion
Present
Perineural invasion
Not identified
Histologically confirmed distant metastases
Absent
Relevant coexistant pathological abnormalities
None noted
ANCILLARY TEST FINDINGS
Mismatch repair enzymes
PMS-2
Normal staining
MSH-6
Normal staining
Microsatellite instablility (MSI)
Not tested
BRAF (V600E mutation)
Not tested
RAS gene mutation testing
Not tested
SYNTHESIS AND OVERVIEW
Tumour stage (AJCC 2010)
T classification
pT3
N classification
pN0
Residual tumour status
R0
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