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Difference between revisions of "Squamous cell carcinoma of the uterine cervix"
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Squamous cell carcinoma of the uterine cervix (view source)
Revision as of 13:58, 15 August 2017
, 13:58, 15 August 2017→IHC
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==IHC== | ==IHC== | ||
*CK7, p63, p16 +ve (except verrucous variant) | |||
*Factor VIII - to look for [[LVI]]. | *Factor VIII - to look for [[LVI]]. | ||
==Sign out== | ==Sign out== | ||
===Biopsy=== | |||
Early invasive SCC - things to report: | Early invasive SCC - things to report: | ||
*Depth of invasion. | *Depth of invasion. | ||
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-- DEPTH OF INVASION AND LENTH OF TUMOUR CANNOT BE ASSESSED. | -- DEPTH OF INVASION AND LENTH OF TUMOUR CANNOT BE ASSESSED. | ||
-- LYMPHOVASCULAR INVASION NOT APPARENT. | -- LYMPHOVASCULAR INVASION NOT APPARENT. | ||
</pre> | |||
<pre> | |||
LESION, UTERINE CERVIX, BIOPSY: | |||
- INVASIVE SQUAMOUS CELL CARCINOMA, MODERATELY DIFFERENTIATED, FRAGMENTED. | |||
- PLEASE SEE TUMOUR SUMMARY. | |||
TUMOUR SUMMARY - UTERINE CERVIX | |||
Specimen: Cervix. | |||
Procedure: Biopsy. | |||
Tumour Site: Cannot be determined. | |||
Tumour Size: Cannot be determined - see comment. | |||
Histologic Type: Squamous cell carcinoma, keratinizing. | |||
Histologic Grade: G2: Moderately differentiated. | |||
Stromal Invasion: Extent cannot be assessed - see comment. | |||
Lymph-Vascular Invasion: Not identified. | |||
Comment: | |||
The tissue submitted is essentially all tumour. The largest fragment measures 1.2 x 1.4 cm | |||
in the plane of section. Fragmentation and lack of normal histology preclude orientation. | |||
As both the in plane dimensions exceed 0.7 cm, this is at least a pT1b. | |||
</pre> | |||
===TAH-BSO=== | |||
<pre> | |||
UTERUS, CERVIX, RIGHT AND LEFT OVARIES AND BILATERAL UTERINE TUBES, TOTAL HYSTERECTOMY AND | |||
BILATERAL SALPINGO-OOPHORECTOMY: | |||
- INVASIVE SQUAMOUS CELL CARCINOMA, pT1a1, pNx. | |||
-- MARGINS NEGATIVE FOR MALIGNANCY. | |||
-- PLEASE SEE TUMOUR SUMMARY. | |||
- PROLIFERATIVE ENDOMETRIUM. | |||
- UTERINE LEIOMYOMAS. | |||
- UTERINE TUBES WITH CHANGES COMPATIBLE WITH LIGATION, NO SIGNIFICANT PATHOLOGY. | |||
- OVARIES WITHOUT SIGNIFICANT PATHOLOGY. | |||
</pre> | </pre> | ||