إسأل طبيب الآن
الدكتور احمد قدري
طبيب
الأسئلة المجابة 51123 | نسبة الرضا 98.8%
إجابة الخبير: الدكتور احمد قدري
الدكتور احمد قدري
طبيب
الأسئلة المجابة 51123 | نسبة الرضا 98.8%
الرد من العميل
لم اجد ايقونة لتحميل المرفقات ولذلك سوف احاول ارسالها بعد نسخ التقارير وشكرا ساتواصل لاحقا
الرد من العميل
هذا نص تقرير الرنين المغناطيسي :POST CONTRAST MULTI-SLICE CT SCAN OF THE CHEST. ABDOMEN AND PELVIS: - Findings: Evidence of heteregenous enhanced soft tissue mass 10.5x3.5 cm infiltrating surrounding fatty stranding and closed to right psoas muscle associated with multiple regional enlarged LAP. Multiple para-aortic enlarged pathological LAP. largest 19x13mm Multiple bilateral lower lung lobes small pulmonary nodules, largest at left lung base 5.5mm No hilar or mediastinal lymph nodes. No evidence of pleural effusion, pleural thickening or masses seen. Normal cardiac size and shape with no gross abnormality of the cardiac chambers. No pericardial effusion detected. Normal CT appearance of the thoracic aorta and the great vessels. Normal appearance of the chest wall. Normal appearance of the dorsal vertebrae. . The liver is of average size with homogenous CT texture. Multiple heteregenous enhanced soft tissues masses largest at left lobe 10.1x7cm with significant mass effect on adjacent stomach. Patent homogenously enhancing portal vein and is main branches as well as its main tributaries. No intra-hepatic or extra-hepatic biliary radicles dilatation. Normal size & parenchymal texture of the spleen with no focal lesions seen. Normal size, parenchymal thickness & density of both kidneys with no stones or back pressure changes. • Normal appearance of the pancreas, aorta, IV.C and both suprarenals. Smooth filling of the urinary bladder with no filling defects or diverticular outpouching. Normal appearance of the other pelvic organs. OPINION: Features of infiltrative caecal colonic malignant neoplasm with liver lung and para aortic LNs metastasis (T3N2M1 )...For lower GI endoscopy and histopathology correlation. Dr.AHMED MUSBAHوهذا نص تقرير المختبر عن الخزعة :SpecimenType:Colonic biopsy.History:The patient presented with right colonic necrotizing fungating growth occupying lumen with large rectal polyp.Macroscopic Examination:Received one container labeled by the patient's name and file number, it contains four white fragments of tissue, measuring 0.2cm up to 0.3cm. The tissue was submitted entirely in one block.Microscopic Examination:Microscopic examination of the submitted tissue show superficial fragments of colonic mucosa with villous structure formed fibrovascular cores lined by highly dysplastic epithelium with crowded, rounded stratification of pleomorphic cells with increased nuclear to cytoplasmic ratio and loos of cell polarity and occupying the upper half of cytoplasm. There is multiple neoplastic glands surrounded by desmoplastic stroma.Conclusion:Colonic biopsy: Villous adenoma (High grade dysplasia) with intra mucosal moderately differentiated adenocarcinoma.Consultant Pathologist Signature
إجابة الخبير: الدكتور احمد قدري
الدكتور احمد قدري
طبيب
الأسئلة المجابة 51123 | نسبة الرضا 98.8%
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إسأل طبيب
الدكتور احمد قدري
طبيب
الأسئلة المجابة 51123 | نسبة الرضا 98.8%
- 100% ضمان الرضا
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