안녕하세요
조직검사결과지 해석부탁드립니다.
전이성 암이라는 건 알고 있는데 전이가 어느정도 되었는지 알고 싶어서 급하게 문의드립니다.
치료방향은 어떻게 될까요?
참고) 2016년 위암1기 판정받고 수술 후 완치판정받았습니다. 근데 다시 전이되는 경우가 있나요?
1기인데 전이되는 경우가 있나요?
DIAGNOSIS :
Ascitic fluid :
METASTATIC CATCINOMO
FA. Ovary ( Lt. Salpinx, Ovary )
B. Ovary ( Lt. Salpinx, Ovary )
FC. Ovary ( Rt. Salpinx, Ovary )
D. Ovary ( Rt. Salpinx, Ovary )
Dlagnosis :
FA-D) Ovaries and fallopian tubes ( both ), bilateral salpingo-oophorectomy;
KRUKENBERG TUMORS, BOTH OVARIES AND FALLOPIAN TUBES,GASTRIC ORIGIN
9.1 X 6 X 5 cm, RIGHT OVER, 6.5 X 4.5 X 3.3 cm, LEFT OVARY
( s/p total gastrectomy for tubular adenocarcinoma, poorly differentiated, with signet ring cell component of stomash: 16-S-085153 )
With 1) involvement of tubal mucosa, musxle layer and mesosalpinx
2) numerous lymphovascular invasion: present
NOTE :
Both falloplan tubes were examined according to the “SEE/FIM” protocol.
Gross :
FA.
Specimen : Ovary (left) (Lt.Salpnix,Ovary)
Slide key : Totally embedded in one block(s)
FDx : ( Ovary (left) (Lt. Salpinix, ovary)
Metastatic adenocarcinoma.
FC.
1. Specimens Ovary (right) (Rt. SaIpinx,Ovary), x 1,
2. Slide key: Totally embedded in one block(s) FDx.. ( Ovary (right) (Rt. SaIpinx,Ovary) ).
- Metastafic adenocarcinoma
B.
1. Specimen status : formaIin fixed
2. Procedure: left salpingo-oophorectomy
3. Specimen : Left ovary ( 9.1 x 6 x 5 cm) and left fallopian tube ( 4.1 cm in length and 0.5cm in diameter): 139 gm in toto
4. Lesion :
A well-demarcated, ovoid mass ( 12 x 6 x 5 cm ) in left ovary
- Cut surface : yellowish white, solid, firim without necrosis or hemorrhage
5. Other findings.
Left fallopian tube. unremarkable
6. Photo (xT), BRC request (+). BRC Sampling (-)
7. Slide keys. 5 cassettes ( representative )
B1-4, left ovary mass: B5. left faIIopian tube
C.
1. Specimen status: Formalin fixed
2. Procedure: Right salpingg-oophorectomy
3. Specimen: Right ovary ( 6.5 x 4.5 x 3.4 cm ) and right fallopian tube
0.8 cm in diameter ): 58 gm in toto
4. Lesion.
A well-demarcated, ovoid mass ( 6.5 x 4.5 x 3.3 cm ) in right ovary
- Cut surface: yellowish white. solid. firm without necrosis or hemorrhage
5. Oth8f findings.
Right fallopian tube: unremarkable
6. Photo (x1), BRC request (+), BRC sampling (-)
7. Slide keys. 5 cassettes ( representative )
CI-4, right ovary mass: C5. right fallopian tube. (’d*ù‘d/sy)