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Gross Description Liver Wedge : Received specimen of lower wedge measuring 6x4. 2x3.8 cm. Resection margin is inked. On serial slicing, no lesion identified grossly. Representative section submitted entirely. Intra Aortocaval Nodes : No lymph node identified. Fibrofatty tissue measuring 1x1 cm, submitted entirely. Hilar Nodes : Single lymph node measuring 0.4x0.4 cm. Fibrofatty tissue measuring 1x1 cm, submitted entirely. Left Periportal node: Single lymph node measuring 0.5x0.4 cm. Fibrofatty tissue measuring 1x1 cm, submitted entirely. Hepatic Artery Nodes: No lymph node identified. Fibrofatty tissue measuring 0.5x0.5 cm, submitted entirely. Right Periportal node: No lymph node identified. Fibrofatty tissue measuring 1x0. 5x0.5 cm, submitted entirely. Cystic Duct Margin: Received single soft tissue bit measuring 3x1x0. 9 cm. ?Ink identified at end of the ?duct like structure. Representative section submitted entirely. Tissue is submitted entirely. Sections: 1-3) Liver Wedge, 4) Hilar Nodes, 5) Left Periportal node, 6) Hepatic Artery Nodes, 7) Right Periportal node, 8) Intra Aortocaval Nodes, 9-11) Cystic Duct Margin (9 with cut margin). Grossed by: Dr. Prranjali Microscopic Description Liver wedge resection (Post chemotherapy): No residual tumour seen. Focal foreign body giant cell reaction seen. Hilar Nodes : Two reactive lymph nodes (0/2). Left Periportal node : Two reactive lymph nodes (0/2). Hepatic Artery Nodes : No lymph nodes identified. Unremarkable fibrofatty tissue only. Right Periportal node: Single reactive lymph node (0/1). Intra-aortocaval nodes : No lymph nodes identified. Unremarkable fibrofatty tissue only. Total lymph node 0/5. Separately sent, Cystic Duct Margin is unremarkable. Periductal tissue shows suture granuloma. Impression Liver wedge resection (Post chemotherapy): No residual tumour with reactive regional lymph nodes. TNM What is the meaning of this?
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In simple terms it means that the person had taken chemotherapy and due to which the tumour in the liver has dissolved but there is metastasis with lymphadenopathy and than surgery was planned and this is the histopathological report of a part of resected liver with surrounding lymphnodes and which shows that there was still presence of cancer cells in the lymphnodes.
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