Hepatic metastasis with tumor thrombus extending to the right atrium
Updates to Freetext Attributes
The patientTumor markers was sent for tumor markerstaken and a liver biopsy was done for this patient.
TUMOUR MARKERS: AFP :1000 , Ca 125 :145 , Ca 19-9 :14.9 , CEA :1.5 , vitamin D :44 .
HISTOPATHOLOGY:
MACROSCOPIC DESCRIPTION: Four grey-brown cores of tissues longest measuring 1.5cm in length. All processed.
MICROSCOPIC DESCRIPTION: sections show liver cores involved by malignant glandular tumor. The cells are large with pleomorphic nuclei and many mitoses. The tumor seems to bleed within surrounding hepatocytes.
IMMUNOHISTOCHEMISTRY: Cytokeratin 7 - negative , cytokeratin 20 - positive , Villin - positive , Hepar - negative.
DIAGNOSIS: Poorly differentiated adenocarcinoma.