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TUMOR BOARDJULY 2013
DEPARTMENT OF SURGERY
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TUMOR BOARD
ORGAN/SYSTEM JULY
CASES
HEAD AND NECK 3
BREAST 2SKIN/SOFT TISSUE 0
UROGENITAL 1
STOMACH 0
ESOPHAGUS 0
HEPATOBILIARY 0
COLORECTAL 2
OTHERS
TOTAL 8
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JULY 2013
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LP 69M
Specimen: Rectal Tissue Procedure: Exlap, Sigmoid Loop
Colostomy, Punch Biopsy
Histopath:Adenocarcinoma, Moderately
Differentiated, Sigmoid Colon
Diagnosis:
Adenocarcinoma, Sigmoid ColonPlan:
Chemotherapy (5-FU and Leucovorin) Radiotherapy
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EM 32F
Specimen: Breast R
Procedure: MRM R
Histopath:
Invasive Ductal Carcinoma, Moderately to Poorly Differentiated
14/14 Axillary Lymph Nodes Negative for Metastasis
Nipple, Base, and Lines of Resection Clear Tumor size: 2.5x1.5cm
Presence of Lymphovascular Space Invasion
Diagnosis:
Invasive Ductal Carcinoma R Stage IIA (T2N0M0) Plan:
Her2 neu, ER/PR determination for possibleHormonal Tx
Chemotherapy (FAC Regimen)
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SR 58M
Specimen: Kidney L Procedure: Radical Nephrectomy L Histopath:
Clear Cell Carcinoma, Papillary Type, Kidney L
Renal Veins, Artery, Pelvis, Ureter Clear Diagnosis:
Clear Cell Carcinoma, Kidney L Stage I(T1bN0M0)
Plan: Surveillance Every 6 months for 2 yrs then Annually for 5 years
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MR 56F
Specimen: Breast R
Procedure: MRM R
Histopath:
Invasive Ductal Carcinoma, Moderately to Poorly
Differentiated, Breast
14/14 Axillary lymph Nodes Negative for Metastasis
Lines of Resections, Base, and Nipple Clear
Tumor Size: 3.5x2cm
Presence of Lymphovascular Space Invasion
Diagnosis:
Invasive Ductal Carcinoma, R Stage IIA (T2N0M0)
Plan:
Her2 neu, ER/PR determination for possible Hormonal Tx
Chemotherapy ( FAC Regimen)
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BA 65M
Specimen: Thyroid Gland Procedure: Total Thyroidectomy with Central
Node Dissection
Histopath: Papillary Carcinoma, L Lobe
Multiple Colloid Adenomatous Goiter, R Lobe
5/5 Cervical Lymph Nodes Positive for Metastasis
Diagnosis: Papillay Carcinoma, L Thyroid Lobe Stage III
(T3N1aM0)
Plan:
RAI
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AA 72M
Specimen: Transverse Colon
Procedure: Transverse Colectomy, Resection
of Jejunum, and Wedge Resection of
Stomach, Greater Curvature
Histopath: Adenocarcinoma, Moderately Differentiated
26/26 Peri-Colic lymph nodes negative for
metastasis
Lines of resection clear
Diagnosis:
Colonic Adenocarcinoma Stage IIC (T4BN0M0)
Plan: -
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BG 56F
Specimen: Anterior Neck Mass
Procedure: R Thyroid Lobectomy with
Isthmusectomy
Histopath: Multiple Colloid Adenomatous Goiter with
Microfocus of Papillary Carcinoma, Thyroid Gland
, R Lobe
Diagnosis:
Papillary Carcinoma, R Thyroid Lobe Stage III
T3N0M0
Plan:
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DN 47F
Specimen: Parotid Mass R
Procedure: Incision Biopsy
Histopath:
Muco-Epidermoid Carcinoma, High Grade, ParotidGland, R
Diagnosis:
Muco-Epidermoid Carcinoma, Parotid Gland, R
Plan: For Parotidectomy
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Thank you
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