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Consent Abstraction Report for : CI0000005940 Pathology Report Case Level Details : Ardais ID : AI0000005940 Consent ID : CI0000005940 Procedure : Lung lobectomy Pathology Report Summary : Section Primary Secondary Diagnosis Adenocarcinoma of lung Adenocarcinoma of lung Tissue of Origin of Dx Lung Lung Site of Finding Lung Lung Case Pathology Notes: Pathology Report Section Details (Primary) Diagnosis from DI Pathology Report : Adenocarcinoma of lung Tissue of Origin of Diagnosis : Lung Site of Finding : Lung Diseased Tissue Size (cm x cm x cm) : 1.1 x 0.8 x 0.7 Diseased Tissue Weight (gm) : Not Specified Histologic Type : Adenocarcinoma (acin,pap,bronchalv,solid w/mucus) Histologic Nuclear Grade : AJCC G2: Moderately differentiated Perineural Invasion Indicator : Lymphatic Vascular Invasion : Absent Margins Involved by Tumor : Margins Uninvolved (Including Distance) : Visceral pleura, bronchial margin, vascular margin Type of Inflammatory Cell Infiltrate : Cell Infiltrate Amount : Tumor Stage Classification : AJCC Sixth Edition Tumor Stage : T1 (Derived) Extranodal Spread : Not Specified Size of Largest Nodal Metastasis : Lymph Node Notes : ATS9R, ATS10R, ATS7, and ATS11R Total Number of Nodes Examined : CA010 Total Number of Positive Nodes : CA01042C Lymph Node Stage : N0 (Derived) Distant Metastasis : MX (Derived) Minimum Stage Grouping : IA Pathology Section Notes : Both of the foci of adenocarcinoma are keratin 7 positive and keratin 20 negative consistent with lung primary and inconsistent with colon cancer. The larger nodule is also positive for TTF1, although the other is negative. This appears to be two separate lung adenocarcinomas Additional Pathology Detail : Additional Pathology Finding : No evidence of malignancy Tissue : Lymph node Notes : Additional Pathology Finding : Hamartoma of lung Tissue : Lung Notes : Additional Pathology Finding : Emphysema Tissue : Lung Notes : Additional Pathology Finding : Pneumonitis, chronic Tissue : Lung Notes : Additional Pathology Finding : Fibrosis Tissue : Lung Notes : Pathology Report Section Details (Secondary) Diagnosis from DI Pathology Report : Adenocarcinoma of lung Tissue of Origin of Diagnosis : Lung Site of Finding : Lung Diseased Tissue Size (cm x cm x cm) : 0.7 x 0.6 x 0.6 Diseased Tissue Weight (gm) : Not Specified Histologic Type : Adenocarcinoma (acin,pap,bronchalv,solid w/mucus) Histologic Nuclear Grade : AJCC G2: Moderately differentiated Perineural Invasion Indicator : Not Specified Lymphatic Vascular Invasion : Absent Margins Involved by Tumor : Margins Uninvolved (Including Distance) : Bronchial, vascular, pleural Type of Inflammatory Cell Infiltrate : Cell Infiltrate Amount : Tumor Stage Classification : AJCC Sixth Edition Tumor Stage : T1 (Derived) Extranodal Spread : Size of Largest Nodal Metastasis : Lymph Node Notes : Total Number of Nodes Examined : CA010 Total Number of Positive Nodes : CA01042C Lymph Node Stage : N0 (Derived) Distant Metastasis : MX (Derived) Minimum Stage Grouping : IA Pathology Section Notes : This tumor expresses CK7 but not CK30 or TTF-1. Diagnostic Test Detail : Test Type : Immunohistochemistry and Flow Cytometry Test Name : CK20 Note : Result : Negative. (both tumors) Test Type : Immunohistochemistry and Flow Cytometry Test Name : CK7 Note : Result : Positive. (both tumors) Test Type : Immunohistochemistry and Flow Cytometry Test Name : TTF1 Note : Result : Large tumor positive, small tumor