Final Diagnosis - Transitional Cell Carcinoma


FINAL DIAGNOSIS:

PART 1: LYMPH NODE, RIGHT PELVIC, LYMPHADENECTOMY -
NO EVIDENCE OF MALIGNANCY IN THREE IDENTIFIED LYMPH
NODES.
PART 2: LYMPH NODE, LEFT PELVIC, LYMPHADENECTOMY -
TOTAL REPLACEMENT OF ONE OF THREE IDENTIFIED LYMPH
NODES (3.5 CM).
PART 3: BLADDER, RADICAL CYSTOPROSTATECTOMY -
A. TRANSITIONAL CELL CARCINOMA, HIGH GRADE.
B. NUCLEAR GRADE OF 3/4.
C. THE TUMOR IS MULTICENTRIC, THE LARGEST MEASURE 1.2 CM AND LOCATED AT LEFT AND POSTERIOR WALL OF THE BLADDER.
D. THE TUMOR EXTENDS INTO THE PERIVESICULAR ADIPOSE TISSUE.
E. ALL OF THE SURGICAL RESECTION MARGINS ARE FREE OF TUMOR.
F. PERINEURAL AND LYMPHATIC INVASION ARE PRESENT.
G. TNM HISTOPATHOLOGIC STAGE = T3b N2 Mx.
H. TNM HISTOPATHOLOGIC GRADE = G3.
I. SECONDARY SUPERFICIAL TRANSITIONAL CELL CARCINOMA, PAPILLARY TYPE, GRADE 2 INDEPENDENT OF THE PRIMARY TUMOR.

PROSTATE, RADICAL PROSTATECTOMY -
A. BENIGN HYPERPLASIA OF THE PROSTATE.
B. NO EVIDENCE OF MALIGNANCY IS SEEN.

SEMINAL VESICLES, RIGHT AND LEFT, RADICAL PROSTATECTOMY -
NO EVIDENCE OF MALIGNANCY IS IDENTIFIED.
PART 4: URETER, RIGHT, DISTAL, FROZEN SECTION BIOPSY -
NO EVIDENCE OF MALIGNANCY IS IDENTIFIED.
PART 5: URETER, LEFT, DISTAL, FROZEN SECTION BIOPSY -
NO EVIDENCE OF MALIGNANCY IS IDENTIFIED.
Comment:

Whole mount sections of the prostate are not available for review at this time. An addended report regarding these sections will follow. This report should be considered as provisional for the prostate until those sections can be reviewed.


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