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.


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