Male, 58 years old, good physical condition, hypertension under control with meds, no heart problems; Invasive grade 2
adenocarcinoma of the colon with invasion of pericolonic adipose tissue and venous involvement of the mesenteric margin of
resection. Metastatic adenocarcinoma invoiving 1 to 8 pericolonic lymph. sigmoidectomy length 15cm; tumor site sigmoid
colon; tumor configuaration ulcerating; tumor size 5 cm; histologic type adenocarcinoma; histologic grade low grade (well to
moderately differentiated). Gross description: Adhesions involving the surface of the mesentery that slightly distort the
segment of bowel. Slicing these reveals a serosal surface of the colon to be generally smooth with an area of whitish-tan
discoloration and retraction located appx 4 cm from the nearest stapled end. The segment is opened revealing a
circumferential ulcerated sessile mass lying 4 cm from the nearest margin. It measures appx 5 cm in curcumference, 5 cm in
length and .7 cm in maximum thickness. Within the mesentery beneath the colon & seperated from the colonic wall by appx 1 cm
of grossly unremarkable appearing adipose tissue is a moss of what apppears to be a necrotic tumor possibly involving lymph
nodes. It measures 1.5 cm in diameter. Can you provide me with a more clear picture with this new information?