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A separate focus of adenocarcinoma is seen. A synchronous primary cannot be entirely excluded; however, this is presumed to be an intrapulmonary metastasis, as it has a non-lepidic morphology. The case is staged as pT3 on account of the separate focus. | A separate focus of adenocarcinoma is seen. A synchronous primary cannot be entirely excluded; however, this is presumed to be an intrapulmonary metastasis, as it has a non-lepidic morphology. The case is staged as pT3 on account of the separate focus. | ||
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General Comment - Cancer Staging: | |||
The morphological similarity and immunostaining would be in keeping with a primary tumour and a metastasis; the case was staged under this presumption. | |||
The biomarker findings will provide additional information in the determination: two concurrent primaries VERSUS primary with metastasis. | |||
CLINICAL AND MOLECULAR CORRELATION IS REQUIRED for the staging of this case. | |||
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