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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does The Following Cytopathology Report Suggest?

I need your consultance
my sister had a tumor in ovary. The cytopathology report(Material given:Intraoperative cytology
1.left ovary 7x4cm-scrap smears
2.ascitic fluid-40 ml of haemorrhagic fluid deposit smears studied
3.nodule over rectum-impression smears) is:

1.Maligant neoplastic lesion left ovary.
2.Ascitic fluid shows reactionary mesotheliosis with?atypical cells
3.Nodule over rectum-Positive for malignancy.

SURGICAL PATHOLOGY REPORT
Material given:
1.Hystrectomy specimen
2.Bilateral ovarian tumors
The final pathological diagnosis is:

1.Hystrectomy specimen
-cervix-chronic cervictis , with nebothian cyst
-endometrium-oesrogen phase
-myometrium-unremarkable

2.bilateral ovarian tumors
-shows features of serous adenocarcinoma
-tumor is poorly differentiated showing solid papillae lined by multilayered pleomorphic cells with thin fibrovascular core.
-left ovarian malignancy limited with the ovarian,outer surface not involved
-right ovarian malignancy shows deposits of tumor on ovarian surface forming nodules.(AJCCpTIc)

both fallopian tubes unremarkable.


Bilateral Serous adenocarcinomas Ovaries:poorly Differentiated.

Right sided ovarian tumor shows deposits of malignancy on ovarian surface.Path Stage pTIc
Mon, 12 Oct 2015
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OBGYN 's  Response
Hello, and I hope I can help you today.

I apologize in advance for the bad news if you did not already know about your sister's condition, but your sister has a type of ovarian cancer called serous adenocarcinoma. This is one of the most common types of ovarian cancer and hers is poorly differentiated, which means it is more aggressive than the typical form. Because she had a nodule on her rectum and also on the surface of one of her ovaries, the disease is spread into her pelvis, which means it is at least stage 2.

It is extremely important that your sister consult with an oncologist, preferably one who specializes in gynecologic cancers. They can give you a detailed plan for her treatment and prognosis. Because I do not know your sister's age or where you live, I cannot speculate on what her chances are of recovery, but her surgeon should be able to refer her to the appropriate type of doctor to care for her properly.

I sincerely wish you the best through this difficult time in your sister's health, and I hope for a positive outcome with her treatment.

Best, Dr. Brown

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What Does The Following Cytopathology Report Suggest?

Hello, and I hope I can help you today. I apologize in advance for the bad news if you did not already know about your sister s condition, but your sister has a type of ovarian cancer called serous adenocarcinoma. This is one of the most common types of ovarian cancer and hers is poorly differentiated, which means it is more aggressive than the typical form. Because she had a nodule on her rectum and also on the surface of one of her ovaries, the disease is spread into her pelvis, which means it is at least stage 2. It is extremely important that your sister consult with an oncologist, preferably one who specializes in gynecologic cancers. They can give you a detailed plan for her treatment and prognosis. Because I do not know your sister s age or where you live, I cannot speculate on what her chances are of recovery, but her surgeon should be able to refer her to the appropriate type of doctor to care for her properly. I sincerely wish you the best through this difficult time in your sister s health, and I hope for a positive outcome with her treatment. Best, Dr. Brown