Colorectal cancer pathology

Shiou-Fu Lin
2018-08-22
唐侯 O 麗 04415026
 唐侯 O 麗 04415026
Intestine, large, colon, ?sigmoid, robotic anterior resection
, adenocarcinoma
TNM Stage Groupings: Stage IVC (pT4aN1M1c)
Lymph node, regional, lymphadenectomy, carcinoma, met
astatic (1/22)
Soft tissue, labeled as peritoneal tumor, excision, adenocar
cinoma, metastatic
Intestine, large, colon, labeled as peritoneal tumor, excisio
n, no evidence of carcinoma involvement
LVI(+), PNI(+), Tumor deposit(+)
 唐侯 O 麗 04415026
The mutation of codon 12 or 13 of KRAS exon 2 is not detectable.
The epidermal growth factor receptor expression is positive.
The mutation of codon 59, 61, 117, 146 of KRAS gene or NRAS 12-1
3, 59-61, 117, 146 is not detectable.
The mutation of BRAF is not detected.
Immunohistochemistry (IHC) Testing for Mismatch Repair (MMR) Pr
oteins

MLH1:Loss of nuclear expression

MSH2:Loss of nuclear expression
PMS2:Loss of nuclear expression
鄭 O 如 01835366
 鄭 O 如 01835366
Intestine, large, colon, RS junction, tumor laparoscopic low anterior re
section -- Adenocarcinoma;
TNM Staging:*pStage IIIB T3N1bMx
*2.Lymph nodes, regional, lymphadenectomy -- metastatic adenocarci
noma & ENE (3/20)
3.Lymph nodes, labeled as "IMA", in a bottle, biopsy -- only fatty tissue
4. Mucosal tissue, colon, labeled as "proximal margin", in a bottle, bio
psy -- no carcinoma involvement
5. Mucosal tissue, colon, labeled as "distal margin", in a bottle, biopsy
-- no carcinoma involvement
LVI(-), PNI(+)
 鄭 O 如 01835366
The mutation of codon 12 or 13 of KRAS exon 2 i
s detectable. (G13X)
The epidermal growth factor receptor expressio
n is positive.
陳 O 良 05100501
 陳 O 良 05100501
Intestine, large, colon, sigmoid, anterior resection,
adenocarcinoma
TNM Stage Groupings: Stage IIIB at least T3(at leas
t) N1
Lymph node, regional, lymphadenectomy, carcinom
a, metastatic (3/55)
Soft tissue, labeled as pelvic tumor, excision, no evi
dence of malignancy
LVI(+), PNI(+), Tumor deposit(+)
 陳 O 良 05100501
The mutation of codon 12 or 13 of KRAS exon 2 i
s not detectable.
The epidermal growth factor receptor expressio
n is positive.
The mutation of codon 59, 61, 117, 146 of KRAS
gene or NRAS 12-13, 59-61, 117, 146 is not dete
ctable.
田 O 海 09345483
 田 O 海 09345483
Intestine, large, proximal T-colon, tumor, extended ri
ght hemicolectomy–adenocarcinoma
TNM Staging:*pStage IIIB T3N1bMx
Lymph nodes, regional, lymphadenectomy -- adenoc
arcinoma, metastatic (2/39)
Omentum, omentectomy-- congestion & no tumor in
vasion
TNM Stage Groupings:*pStage IIIB T3N1bMx
LVI(+), PNI(+)