PATHOLOGICAL REPORT
Name: Ben Hurtin Path.
No.: S91-1017 Reg.
No.: 000042
Age:74 Sex:Male
Race:White Location:______
Service:Surgery Date:
03/17/91
Address:________________________ Occupation:________________
HISTORY OF CASE: Melanoma (R) arm; pos (R) axillary node
CLINICAL DIAGNOSIS: Melanoma Stage III
POST-OPERATIVE DIAGNOSIS: Carcinoma
of bladder
Surgeon: Otto Fixum, MD
Operation: R
axillary node dissection
GROSS DESCRIPTION:
The specimen is received in two portions. Part 1 labeled
"axillary node, right" consists of a single lymph node with attached
fibroadipose tissue. The specimen is bisected and submitted in toto.
Part 2 is received in a steel pan. It is labeled "contents, right
axillary node dissection". A solitary silk suture identifies the highest
axillary level which is separated and designated #3. A portion of
pectoralis major muscle measuring 7.0 x 5.0 x 2.0 cm in thickness
is attached to this portion. Level II contains a mass 6.5 x 3.5 cm
which is firm and on cut surface contains a homogeneous flesh-like
mass which is light gray in color and firm in consistency. Photographs
are made. Several small nodes are identified in level I which consists
primarily of adipose tissue.
MICROSCOPIC:
Sections of 18 lymph nodes revealed in 3 of them diffuse
replacement of normal lymphoid tissue by epithelioid-in-appearance
malignant cells. The mitotic activity is marked and nuclei disclose
prominent pleomorphism. No melanin pigment is identified.
DIAGNOSIS:
Metastatic malignant melanoma, in 3 of 18 (Level I (one),
level II (one), and level III (one)), right axillary lymph nodes.
Mac McSmall,MD
Pathologist