Self Instructional Manual for Cancer Registrars - SEER - National ...

EXAMPLE
G4
DEPARTMENT
OF PATHOLOGY
Path. No. $91-0100
Name Phineas Feltbad Reg. No. 000040
Age 79 Sex Male Race White Location Service
Date 5/23/91
Address Occupation Drugllist
PREOPERATIVE DIAGNOSIS: Cancer of left floor of mouth
OPERATIVE FINDINGS: Cancer of left floor of mouth
POSTOPERATIVE DIAGNOSIS: Same
GROSS:
The specimen
SURGICAL PATHOLOGY SECTION
is received in three parts, all fresh.
Part #1 which is labeled "? metastatic tumor in jugular vein lymph node" consists of an
elliptical fragment of light whitish-tan tissue which measures approximately 0.3 x 0.2 x 0.2
cm. The specimen is examined by the frozen section technique, and the diagnosis is
"ganglion." The remainder of part #1 of the specimen is submitted as frozen section control
#1.
Part #2 is labeled "resection of floor of mouth continuous with tongue and mandible plus
left radical neck dissection." As received in the frozen section room, the specimen consists
of a grossly identifiable left radical neck dissection and also the entire left ascending ramus
of the mandible, the posterior three-fourths of the left mandible proper, the left lateral
portion of the tongue, and the submental and submaxillary salivary glands. The main lesion
is identified on the left side of the floor of the mouth. There is a craterform lesion which
measures approximately 1.2 x 0.5 cm in greatest dimensions. With the assistance of Dr. U.
No Whoo, the specimen is properly oriented. Two areas of interest are defined. The first
of these is the anterior tongue margin. The second of these is the medial tongue margin.
Fragments from each of these areas are examined by the frozen section technique. The
diagnosis on frozen section #2 (anterior tongue margin) is "no tumor seen" and on frozen
section #3 (medial tongue margin) is "no tumor seen. N Two additional areas of special
interest are identified. The first of these is that portion of the left radical neck dissection
which was nearest to the carotid artery. A fragment of tissue from this area is excised and
submitted for sectioning labeled "CM." The second area of interest is that portion of the
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