Содержание
- 2. SUMMARY OF CLINICAL HISTORY: Patient N, 67 years old, suffered from ovarian cancer. She underwent bilateral
- 3. EXTERNAL EXAMINATION: The body of 77 year old women, well developed, well nourished. Skin: pale gray
- 4. INTERNAL EXAMINATION
- 5. Heart Size – 11х9х5 cm Weight– 336 g Wall thickness of the left ventricle 1.5 cm,
- 6. Heart Heart valves cusps are thin, translucent coronary arteries with whitish-yellow spots and stripes, as well
- 7. Peritoneum Visceral and parietal sheets of the peritoneum are dull, moist On the surface there are
- 8. Lungs In the right pleural cavity - 200 ml, in the left - 700 ml of
- 9. Lungs Bronchi: protrude above the cut surface, their walls are thickened, dense, whitish Hilar and paratracheal
- 10. Large vessels Aorta: intima of the thoracic and abdominal region with yellow plaques, fibrous plaques, up
- 11. Gastrointestinal tract Esophagus: mucousa is gray, with longitudinal foldings Veins of the lower third are not
- 12. Small intestine
- 13. Small intestine
- 14. Gastrointestinal tract Liver. Size - 23х17х12х6 cm. Weight - 1045 g. Cut section shows alternating red
- 15. Brain Size – 17х16х7 cm, weight – 1067 g. Consistence: soft, flabby The major vessels at
- 16. Kidneys Size: left kidney - 10,5х5х3 cm, right kidney – 9,5x4x3 cm Weight: left kidney -
- 17. Kidneys Dark, full-blooded pyramids, pale gray cortical substance. Hemorrhage in the renal fascia on the right.
- 18. Organs of the urogenital system Bladder. The mucous membrane is grey, has foldings. Uterus - 7x3x2cm,
- 19. Splin Size - 11x8x3 cm Weight - 112 gWith a smooth capsule Flabby consistency Dark cherry
- 20. Endocrine system Thyroid. Size: the right lobe – 1,5x1x1 cm, the left lobe – is resected,
- 21. Microscopic examination
- 22. Peritoneal lesions, H&E, х100
- 23. Peritoneal lesions, H&E, х200
- 24. Peritoneal lesions, H&E , х00
- 25. Peritoneal lesions, H&E , х400
- 26. Mesenteric lymph node, H&E , х400
- 27. Heart, H&E, х200
- 28. Heart, H&E, х400
- 29. Heart, H&E, х200
- 30. Infarction of the Intestine, H&E, х100
- 31. Lungs, H&E, х200
- 32. Lungs, H&E, х200
- 33. Lungs, H&E, х200
- 34. Lungs, H&E, х200
- 35. Hilar lymph node, H&E, х100
- 36. Brain, H&E, х200
- 37. Liver, H&E, х400, x200
- 38. Kidney, H&E, х400
- 39. Uterus, H&E, х200
- 40. Thyroid, H&E, х200
- 41. Final clinical diagnosis: The underlying disease. Ovarian cancer T3N1M1, III A2: histologically - undifferentiated endometrioid adenocarcinoma
- 42. Pathological diagnosis (primary): The underlying disease. Ovarian cancer with parietal and visceral peritoneum carcinomatosis, liver metastases
- 43. Accompanying illnesses. Chronic obstructive mucous bronchitis. Diffuse reticular pneumosclerosis. Chronic obstructive pulmonary emphysema. Large focal cardiosclerosis
- 44. CLINICOPATHOLOGIC CORRELATION Patient N, 67 years old, suffered from ovarian cancer with carcinomatosis of the peritoneum
- 45. Pathological diagnosis after histological examination: . The histological examination confirmed the pathological diagnosis. Clarified the nature
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