c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Palliative Gastrectomy: 28

A D V E R T I S E M E N T

   
 

The Roux anastomosis, completed with a transverse stapler is shown. The mesenteric defect was closed around the Roux limb.       

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Palliative Gastrectomy: 29

A D V E R T I S E M E N T

   
 

Poorly Differentiated Gastric Adenocarcinoma (high magnification)

The tumor is composed of irregular tubules, single cells, and solid areas of cells. The single cells show large, hyperchromatic nuclei, prominent nucleoli and scant cytoplasm. The intervening stroma contains inflammatory cells. The presence of some tubular structures makes this a poorly differentiated adenocarcinoma. The tubular structures are not as well developed as they would be in a well differentiated adenocarcinoma, but are nevertheless present. Undifferentiated carcinomas do not have glandular structures. Undifferentiated carcinomas require immunohistochemistry to help in making the diagnosis.    

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Palliative Gastrectomy: 30

A D V E R T I S E M E N T

   
 

Poorly Differentiated Gastric Adenocarcinoma Infiltrating Perigastric Fat

Irregular, poorly formed tubules and single cells with large hyperchromatic nuclei are seen adjacent to adipocytes. The tumor has infiltrated the muscularis propria and beyond into the perigastric fat.      

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This page was last modified on 8/2/2000.