안녕하셔요 교수님. 갑상선 조직검사 해석 부탁드립니다

[신흥귀족]

*질문 :

임상소견: Neck, Lt.

임상 진단명: Malignant neoplasm of thyroid gland

Previous biopsy: S613-05000, N613-00366, N613-00252, N612-00062, S611-01733, S611-01641

Current biopsy: S611-01734

[Gross]

The specimen labeled 'neck, recur thyroid ca" consists of unilateral left neck dissection

products, which are labeled as "level lla, ll-lll, Lt lla-llb. Lt lll, Lt IV, Lt lll-V-VI". On

serial sections, the cut surface show rare enlarged lymph node, but severely scleotic and

adhered fibrous tissue. At the Lt lV compartment, there is a round nodular solid tumor lesion,

measuring 1.1x0.8cm. All dissected lymph nodes with representative sections are embedded.

[Diagnosis]

     Soft tissue, 'left lV' , state of post-total thyroidectomy, neck dissection ;

      1. Metastatic papillary carcinoma, follicular variant, infiltrative,

           solid palpable mass

       with 1) lesion of location at frozen no.1 'level lV' specimen (1.1cm)

                 lesion of iocation at permanent Lt lV specimen (1.1cm)

              2) no lymph node structure or loss of LN structure

              3) ovoid nodular & solid infiltraative tumor at the sclerotic stroma

              4) no scattered lymphatic or vascular tumor emboli

              5) free resection margins

      2. No lymphatic or vascular tumor emboli (in soft tissue part)

Lymph nodes, neck dissection ;

      1. Metastasis in one among 10 neck lymph nodes (1/10)

              ; NECK DISSECTION

               a) lla-llb (1/2) ; metastatic lesion size (0.5cm)

               b) Lt lll-V-Vl ; (0/1)

               c) frozen & frozen permanent Lt llb (0/7)

      2. Other findings

           ; (#other areas) dense fibrosis and granullation tissue 

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