Category: Uncategorized

Colonoscopy: 2cm obstructing circumferential mass in the transverse colon. Biopsy revealed adenocarcinoma, G3. CTAP colon wall thickening c/w known colon malignancy. Two pericolic lymph nodes suspicious for mets. Hemicolectomy performed revealing adenocarcinoma of transverse colon, G3, invading pericolorectal tissue, 5/12 pericolorectal nodes, no tumor deposits, margins clear. What is the clinical N category?

Patient presented for TURP. The medical record only tells us that the patient has elevated PSA of 9.62. Biopsy revealed prostatic adenocarcinoma, G4, in the right and left apex, Gleason score of 9. MRI of Pelvis revealed extraprostatic extension of the prostatic mass, no LAD seen. Radical prostatectomy performed revealing prostate carcinoma, with extraprostatic extension, no seminal vesicle involvement, Gleason score of 10, 1/4 external iliac LN pos, margins are clear. What is the pathological Stage group?

Hemicolectomy revealed a 2cm adenocarcinoma mass in the transverse colon and 1cm diffuse adenocarcinoma mass in the transverse colon. What is the histology and what is the H Rule? (there will be more than one answer) 

Colonoscopy: 2cm obstructing circumferential mass in the transverse colon. Biopsy revealed adenocarcinoma, G3. CTAP colon wall thickening c/w known colon malignancy. Two pericolic lymph nodes suspicious for mets. Hemicolectomy performed revealing adenocarcinoma of transverse colon, G3, invading pericolorectal tissue, 5/12 pericolorectal nodes, no tumor deposits, margins clear. What is the summary stage?

CT Chest revealed 2cm nodule in the RUL c/w bronchogenic malignancy, right subcarinal lymph nodes suspicious for involvement. PET scan showed 2.2cm mass with extension into the chest wall. Lobectomy was performed revealing 4cm squamous cell carcinoma in the right upper lobe, parietal pleura involved, pericardial effusion positive for carcinoma, 2 subcarinal nodes neg for malignancy. What is the Clinical N category?

Mastectomy revealed mass in the right breast 2.3 cm, ductal and lobular carcinoma, G3. What is the histology and what is the H rule? (there will be more than one answer)

CT Chest revealed 2cm nodule in the RUL c/w bronchogenic malignancy, right subcarinal lymph nodes suspicious for involvement. PET scan showed 2.2cm mass with extension into the chest wall. Lobectomy was performed revealing 4cm squamous cell carcinoma in the right upper lobe, parietal pleura involved, pericardial effusion positive for carcinoma, 2 subcarinal nodes neg for malignancy. What is the pathological T category?

Colonoscopy revealed mass in the ascending colon and another mass in the descending colon both appear to be adenocarcinoma. How many primaries are there and what is the M rule? (there will be more than one answer)

CT Chest revealed 2cm nodule in the RUL c/w bronchogenic malignancy, right subcarinal lymph nodes suspicious for involvement. PET scan showed 2.2cm mass with extension into the chest wall. Lobectomy was performed revealing 4cm squamous cell carcinoma in the right upper lobe, parietal pleura involved, pericardial effusion positive for carcinoma, 2 subcarinal nodes neg for malignancy. What is the Summary Stage?

Colonoscopy: 2cm obstructing circumferential mass in the transverse colon. Biopsy revealed adenocarcinoma, G3. CTAP colon wall thickening c/w known colon malignancy. Two pericolic lymph nodes suspicious for mets. Hemicolectomy performed revealing adenocarcinoma of transverse colon, G3, invading pericolorectal tissue, 5/12 pericolorectal nodes, no tumor deposits, margins clear. What is the pathological N category?