Appendix, laparoscopic appendectomy, grade 2 goblet cell adenocarcinoma
Description:
The specimen submitted consists of an appendix measuring 5.7 cm in length and
1.5 and 1 cm in maximal and minimal diameter, in fresh state. Grossly, the
serosa is moderately congested and coated with fibrinopurulent exudate.On
serial section, the lumen is filled with feces and perforation measuring
0.1*0.1cm. Perforation is seen.
No fecal stone is seen in the lumen.
Representative sections are taken and labeled as A1-A3;appendix;B1:margin
Jar:1 S
Surgical Pathology Cancer Case Summary
APPENDIX:
1.Procedure: Laparoscopic Appendectomy
2.Tumor Site:Proximal half of appendix;Base of appendix involved by tumor
3.Tumor Size
Greatest dimension:0.9 cm; Additional dimensions:0.9 X 0.9 cm
4.Histologic Type: Goblet cell adenocarcinoma
5.Histologic Grade: G2: Moderately differentiated
6.Tumor Extension:
Tumor invades through the muscularis propria into the subserosa or
mesoappendix but does not extend to the serosal surface
7.Margins
Proximal Margin: Involved by invasive carcinoma
8.Lymphovascular Invasion: Present
9.Perineural lnvasion: Present
10.Regional Lymph Nodes: NO lymph nodes submitted
11.Paehologic Stage Classification (pTNM, AJCC 8th Edition)
Primary Tumor (pT)
pT3:Tumor invades through the muscularis propria into the subserosa or
mesoappendix
Regional Lymph Nodes (pN)
pNX:Regional lymph nodes cannot be assessed
12.Ancillary Studies:
Infiltrates of tumor cells with mucus-secreting cells distended with mucin
resembling goblet cells in tubules, clusters or single cells in submucosa,
muscularis propria and focal periappendiceal fat. Chromogranin stain is
positive and synaptophysin stain is focal weak(+).Fibrinopurulent exudate
over serosa is found.
打完这篇资料身体...手指都还在发抖
从医生口中最常见的盲肠炎手术 到现在还头晕晕的阑尾恶性肿瘤
医生说还要再开一次手术将右边的大肠切除
对于原本欢喜迎接老婆怀孕 到现在将引产 接受术前电脑断层 及 大肠镜
洗了一辈子也忘不掉的三温暖
希望从现有的资料中 进一步了解现在的情况
感谢

其实可以先丢估狗翻译了解大致情形，估狗翻译不会差太远，但详情还是要问医师。

1. 罕见的阑尾癌型态，相对上比常见的阑尾癌更恶性。2. 开刀治疗为主。3. 手术切缘仍有肿瘤细胞，高机率仍有肿瘤在右侧大肠周围。3. 分期部分，局部侵犯部分是T3(最高是T4)，淋巴结转移和远端转移未知。4. 有血管/侵犯和神经侵犯淋巴管，这两个属于比较不好的预后因子。整体(不分期别)五年存活率有73%以上，勿慌，速做癌症分期检查，不论是征求第二意见或是治疗都不要拖。

加油！我也刚开完急性阑尾炎

因盲肠炎开刀，意外发现有腺癌细胞，边缘还是有癌细胞，所以要再开一次，而且要摘除周遭淋巴结做化验后续治疗要看最后手术病理报告分期，很高机率要接受后续化学治疗。

感谢楼上各位帮忙翻译

可以的话应该要做右侧大肠切除，有保险给付的话可以考虑加做温热疗法