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.
打完這篇資料身體...手指都還在發抖
從醫生口中最常見的盲腸炎手術 到現在還頭暈暈的闌尾惡性腫瘤
醫生說還要再開一次手術將右邊的大腸切除
對於原本歡喜迎接老婆懷孕 到現在將引產 接受術前電腦斷層 及 大腸鏡
洗了一輩子也忘不掉的三溫暖
希望從現有的資料中 進一步了解現在的情況
感謝

其實可以先丟估狗翻譯了解大致情形，估狗翻譯不會差太遠，但詳情還是要問醫師。

1. 罕見的闌尾癌型態，相對上比常見的闌尾癌更惡性。2. 開刀治療為主。3. 手術切緣仍有腫瘤細胞，高機率仍有腫瘤在右側大腸週圍。3. 分期部分，局部侵犯部分是T3(最高是T4)，淋巴結轉移和遠端轉移未知。4. 有血管/侵犯和神經侵犯淋巴管，這兩個屬於比較不好的預後因子。整體(不分期別)五年存活率有73%以上，勿慌，速做癌症分期檢查，不論是徵求第二意見或是治療都不要拖。

加油！我也剛開完急性闌尾炎

因盲腸炎開刀，意外發現有腺癌細胞，邊緣還是有癌細胞，所以要再開一次，而且要摘除周遭淋巴結做化驗後續治療要看最後手術病理報告分期，很高機率要接受後續化學治療。

感謝樓上各位幫忙翻譯

可以的話應該要做右側大腸切除，有保險給付的話可以考慮加做溫熱療法