Sample ID
1780T
Organ Age
Lung 69
Gender
Male
Cancer Type
Adenosquamous Carcinoma
Grade
3
DIAGNOSIS
Specimens #1 through #4 - Left Upper Lobe Lung, Lobectomy:
PRIMARY TUMOR DIAGNOSIS (CELL TYPE):
- ADENOSQUAMOUS CARCINOMA. SEE NOTE.
DEGREE OF DIFFERENTIATION: Poor
SIZE OF TUMOR: 6.0 x 4.0 x 3.0 cm
HISTOLOGIC GRADE:
III
Poorly differentiated
EXTENT OF PRIMARY:
Tumor surrounded by lung and not invading visceral pleura.
ADDITIONAL TUMOR FEATURES:
Lymphatic vessel invasion in lung: Not identified
Blood vessel invasion in lung: Not identified
Comments:
Lymphoplasmacytic response: Mild
Stromal response: Absent
Tumor necrosis: Present
Additional tumor nodules: None
MARGINS OF RESECTION:
Bronchial Margin: Negative for tumor.
LYMPH NODES (HILAR AND PERIBRONCHIAL - Specimen #2):
(Stations 10 to 14):
Number examined: 3
Number positive: 0
LYMPH NODES (MEDIASTINAL - Specimens #3-4):
(Stations 6 and 7):
Number examined: 2
Number positive: 0
METASTASIS: No
NON NEOPLASTIC LUNG TISSUE:
A. Associated Obstructive Pneumonia: None
B. Other:
- Atelectasis: No
- Emphysema:
Yes
- Granulomas: No
- Emboli:
No
- Scars:
No
- Infarcts:
No
pTNM STAGE:
Primary Tumor
pT2
Tumor with any of the following features of size or extent:
More than 3 cm in greatest dimension
Regional Lymph Nodes
pN0
No regional lymph node metastasis.
Metastasis
pMX
Cannot be assessed.
Specimen #5 - Mediastinal Lymph Node, Biopsy:
- Benign lymph node (0/1).
STAGE GROUPING: Stage IB
pT2
N0
MX
Note: Tumor cells are focally positive for mucin. Immunohistochemistry
shows that the tumor cells are:
CK7
p63
PSA
PAP
POSITIVE
Focally positive (>10% squamous)
Negative
Negative
REFERENCE:
1. AJCC Cancer Staging Manual. Lippincott-Raven Press. 6th edition. 2002
(pg.167 - 177).
-----------------------------Family history: noncontributory
Personal history: smoker- up to 2 pks/day, COPD, emphysema, prostate
adenocarcinoma