| _creationDate | January 5, 2021 |
| _modificationDate | December 9, 2024 |
| _creator | Mjf79 |
| _fullText | {{ServiceRequestCase
|identifier=DZI20-200-Case-4
|intent=order
|category=409073007
|priority=routine
|orderDetail=case
|locationCode=learn
|basedOn=DZI20-200
|code=study
|requisition=Frozen Conference
|supportingInfo="FX1(left hepatic duct margin): Positive for malignancy.
FX1A(Right hepatic d ... |
| _numRevisions | 7 |
| _isRedirect | No |
| identifier | DZI20-200-Case-4 |
| basedOn | DZI20-200 |
| requisition | Frozen Conference |
| intent | order |
| category | 409073007 |
| priority | routine |
| code | study |
| orderDetail | case |
| subject | MGH |
| occurrenceDateTime | December 31, 1969 7:00:00 PM |
| authoredOn | January 5, 2021 3:57:58 PM |
| requester | Mjf79 |
| performer | VD019 |
| locationCode | learn |
| reasonCode | "Cholangiocarcinoma. (Slides 1-3): ""Right • left and common hepatic duct"" - oriented Y-shaped tubular portion of ST. Left hepatic duct shaved --> FX1 (1st slide) • Right hepatic duct shaved --> FX1A (2nd slide) • common hepatic duct shaved --> FX1B (3rd slide). Specimen opened to reveal a thickened fibrotic wall (up to 0.6 cm).
4th slide: ""jejunal margin of hepatojejunostomy"" - tubular ST • EF-->FX2 (4th slide).
5th slide: ""new proximal left duct margin"" - tubular ST • EF-->FX3 (5th slide)" |
| supportingInfo | "FX1(left hepatic duct margin): Positive for malignancy.
FX1A(Right hepatic duct margin): high-grade dysplasia with concern for cancerization of duct.
FX#1B(common hepatic duct margin): Adenocarcinoma.
FX#2(jejunal margin of hepaticojejunostomy): c/w reactive atypia
FX#3(new proximal duct margin): Positive for adenocarcinoma"
"Permanent:
FX1 (left and common hepatic duct margin): Invasive adenocarcinoma
FX1A(Right hepatic duct margin): High-grade dysplasia
FX1B(common hepatic duct margin): invasive adenocarcinom
FX2(jejunal margin of hepaticojejunostomy): Small intestine with marked reactive atypia and acute and chronic inflammation. TINEM.
FX3(New proximal left duct margin): invasvie adenocarcinoma • best seen on FX slides." |
| specimen | null |
| bodySite | null |
| sequence | 4 |
| access | public |
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| status | completed |
| type | image |
| modality | NONE |
| view | show |
| createdDateTime | January 5, 2021 3:57:58 PM |
| operator | Mjf79 |
| reasonCode | H&E |
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| note | null |
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| createdDateTime | January 5, 2021 3:57:58 PM |
| operator | Mjf79 |
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| identifier | DZI20-200-Case-4_4 |
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| createdDateTime | January 5, 2021 3:57:58 PM |
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| createdDateTime | January 5, 2021 3:57:58 PM |
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| identifier | DZI20-200-Case-4_6 |
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| createdDateTime | January 5, 2021 3:57:58 PM |
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| status | active |
| identifier | DZI20-200-Case-4 |
| requester | Mjf79 |
| authoredOn | January 5, 2021 3:57:58 PM |
