Perforated mucinous adenocarcinoma of the colon with carcinomatosis

Case contributed by Michael P Hartung , 10 Feb 2018
Diagnosis certain
Changed by Vikas Shah, 13 Apr 2020

Updates to Case Attributes

Age changed from 70 to 70 years.

Systems changed:

  • Oncology

Updates to Freetext Attributes

Description was changed:

PATHOLOGY REPORT SUMMARY:

FINAL DIAGNOSIS:

Specimen "A" - Omentum, biopsy - Metastatic mucinous adenocarcinoma.

Specimen "B" - Terminal ileum and right colon, right colectomy:

- Mucinous adenocarcinoma, right colon, with invasion through muscularis propria to

visceral peritoneum and macroscopic perforation.

- Innumerous tumor deposits.

- Lymph nodes (27), 13 positive for metastatic adenocarcinoma.

- Ileum and colon resection margins, negative for carcinoma

- iliocolitisileocolitis, predominantly involving ileum, without obvious granulomas.

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