Difference between revisions of "DZI20-200-Case-4"

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{{ServiceRequestCase
+
{{dziCase
|identifier=DZI20-200-Case-4
+
|qc=yes
|intent=order
+
|qcuser=Aja51
|category=409073007
+
|qctime=Jan 15, 2021 14:33:25
|priority=routine
+
|order_date=January 05, 2021 03:57:58 PM
|orderDetail=case
+
|user=Mjf79
|locationCode=learn
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|dziorder=DZI20-200
|basedOn=DZI20-200
+
|case_id=4
|code=study
+
|publish_timestamp=2021/01/15 14:00
|requisition=Frozen Conference
+
|clinical_hx="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).
|supportingInfo="FX1(left hepatic duct margin): Positive for malignancy.
+
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)"
 +
|case_diagnosis="FX1(left hepatic duct margin): Positive for malignancy.
 
FX1A(Right hepatic duct margin): high-grade dysplasia with concern for cancerization of duct.  
 
FX1A(Right hepatic duct margin): high-grade dysplasia with concern for cancerization of duct.  
 
FX#1B(common hepatic duct margin): Adenocarcinoma.
 
FX#1B(common hepatic duct margin): Adenocarcinoma.
Line 20: Line 22:
 
FX2(jejunal margin of hepaticojejunostomy): Small intestine with marked reactive atypia and acute and chronic inflammation. TINEM.
 
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."
 
FX3(New proximal left duct margin): invasvie adenocarcinoma, best seen on FX slides."
|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)"
 
|subject=public
 
|performer=Vd019
 
|authoredOn=January 05, 2021 03:57:58 PM
 
|requester=Mjf79
 
|sequence=4
 
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|identifier=DZI20-200-Case-4_2
 
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Revision as of 15:10, March 9, 2022

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