Final Diagnosis -- Papillary renal cell carcinoma (Renal tumor)

FINAL DIAGNOSIS:

PART 1: RIB, 10TH, LEFT, RESECTION -

GROSSLY NORMAL RIB.

PART 2: KIDNEY AND ADRENAL GLAND, LEFT, RADICAL NEPHRECTOMY -

A. INVASIVE MODERATELY DIFFERENTIATED RENAL CELL

CARCINOMA (6.5 CM.), PAPILLARY TYPE, EXTENDING TO

BUT NOT THROUGH THE RENAL CAPSULE AT THE SUPERIOR

POLE.

B. TUMOR INVADES RENAL VEIN TO WITHIN 0.3 CM. OF

VASCULAR MARGIN OF RESECTION.

C. ALL MARGINS OF RESECTION ARE FREE OF TUMOR.

D. METASTATIC TUMOR SEEN IN TWO (2) OF TWO (2) HILAR

LYMPH NODES.

E. STAGE T3N2MX. NUCLEAR GRADE 2.

F. NORMAL ADRENAL GLAND.

PART 3: LYMPH NODE, PERIAORTIC, BIOPSY -

NO TUMOR SEEN IN TWO (2) OF TWO (2) PERIAORTIC LYMPH

NODES.