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匿名使用者
匿名使用者 發問時間: 健康疾病與處置癌症 · 8 年前

幫忙翻譯及解釋病理報告

MICROSCOPIC EVALUATION

Tumor size : 7 x 4 cm in dimensions

Histologiv Type: Mucinous adenocarcinoma (greater than 50% mucinous)

Histologic Grade: Moderately differentiated (grade 2, glandular structures

In 50-95%)

Pathologic Staging (the pTNM staging system of the AJCC/UICC):

(1)Primary Tumor (Pt): Pt3: Tumor invades through the muscularis propria

into the subserosa or the nonperitonealized pericolic or perirectal soft tissues

(2)Regional Lymph Nodes (Pn): pN2b:Metastasis in 7or more regional lymph nodes

(Specify: Number examined: 21 ; Number involved:7 )

(3)Distant Metastasis (pM): pM1 :Distant metastasis (Specify site [s]:

small intestine)

Stage Groupings (TNM Stage Groupings) : IVA (Dukes C, MAC C3)

Margins

(1)Proximal Margin: Uninvolved by invasive carcinoma

(2)Distal Margin: Uninvolved by invasive carcinoma

(3)Circumferential (Radial) Margin (CRM): Uninvolved by invasive carcinoma

Distance of invasive carcinoma from closest margin (Specify margin:

circumferential ): 3 mm

* Lymphatic (Small Vessel ) Invasion: Present

* Venous (Large Vessel ) Invasion : Absent

* Perineural Invasion : Absent

* Tumor Border Configuration: Infiltrating

* Stromal Desmoplastic Response: Present

* Intratumoral / Peritumoral Lymphocytic Response: Mild to moderate

* Reactive changes in Regional Lymph Nodes: Absent

請幫忙翻譯及解釋病理報告 謝謝

1 個解答

評分
  • 美智
    Lv 7
    8 年前
    最佳解答

    這是直腸癌的病人~

    腫瘤大小是 7X4公分

    癌細胞型態:超過50%黏液性

    癌細包分化:屬中等惡性度

    期別:腫瘤吃穿肌肉層達漿膜層, 屬於T3 ;淋巴結:清出27顆有7顆轉移,屬於N2b

    轉移的部分:有小腸侵犯 屬於M1

    開刀安全邊緣太近才3mm

    綜合以上資料腫瘤期別至少3期末,如果小腸轉移是大片的轉移就屬第四期(末期)如果小腸轉移只是單純的直吃穿侵犯( direct invasion)目前開乾淨了情況就會稍好一點!

    病人一定要接受化學治療,如果腫瘤是距離肛門口15公分以內,因為手術邊緣安全距離太近才3mm通常會照會放射科評估放射線的可行性!也要評估吃到小腸有沒有放射線的必要性~

    化學治療需用到FOLFOX4二線才夠!!

    敬祝平安~~~~

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