Tumor Board July 2013

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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