Final Diagnosis -- Transitional Cell Carcinoma (Bladder Mass)
- FINAL DIAGNOSIS:
- PART 1: URETER, LEFT, DISTAL (Frozen section) -
- NO EVIDENCE OF MALIGNANCY IS SEEN.
- PART 2: URETER, RIGHT, DISTAL (Frozen section) -
- NO EVIDENCE OF MALIGNANCY IS SEEN.
- PART 3: URETER, BLADDER, UTERUS WITH BILATERAL ADNEXA AND A SEGMENT OF
ATTACHED VAGINAL WALL, RADICAL CYSTECTOMY AND HYSTERECTOMY -
- A. TRANSITIONAL CELL CARCINOMA, HIGH GRADE.
- B. NUCLEAR GRADE OF 3/4.
- C. TWO SEPARATE TUMORS, ONE LOCATED AT POSTERIOR AND RIGHT
POSTEROLATERAL WALL MEASURING 4.5 X 4.0 CM, AND OTHER
LOCATED AT LEFT LATERAL WALL, MEASURING 2.5 CM.
- D. THE TUMOR EXTENSIVELY INVOLVES THE MUSCULAR LAYER AND
PENETRATES INTO ADIPOSE TISSUE.
- E. THE TUMOR EXTENDS INTO THE UTERINE CERVIX, LOWER SEGMENT OF
THE UTERINE CAVITY AND VAGINAL WALL.
- F. THE POSTERIOR AND RIGHT SURGICAL MARGINS ARE GROSSLY AND
MICROSCOPICALLY INVOLVED BY THE TUMOR.
- G. TNM HISTOPATHOLOGIC STAGE = T4a Nx Mx.
- H. TNM HISTOPATHOLOGIC GRADE = G3.
- I. DNA PLOIDY REPORT PENDING.
- J. PERINEURAL AND INTRAVASCULAR INVASION.
- K. AREAS OF NECROSIS, FIBROSIS AND CHRONIC INFLAMMATION AND
MILD DYSPLASIA ARE PRESENT.
- L. GROSS DIGITAL PHOTOS ARE AVAILABLE.
- UTERUS, RADICAL CYSTECTOMY AND HYSTERECTOMY -
- A. INVOLVEMENT OF THE CERVIX AND LOWER SEGMENT OF UTERINE
CAVITY BY EXTENSION OF TRANSITIONAL CELL CARCINOMA.
- B. FALLOPIAN TUBES AND OVARIES ARE FREE OF TUMOR.
- C. ATROPHIC ENDOMETRIUM.
- VAGINAL WALL, RADICAL CYSTECTOMY AND HYSTERECTOMY WITH ATTACHED
SEGMENT OF VAGINAL WALL -
- A. INVOLVEMENT OF THE VAGINAL WALL BY HIGH GRADE TRANSITIONAL
CELL CARCINOMA.
- PART 4: URETHRAL MEATUS, DISTAL, BIOPSY -
NO EVIDENCE OF MALIGNANCY IS SEEN.