.부인과 암등록 문의 드립니다!복통으로 내원하여 SPA TLH BSO 시행하였습니다.* 병 리 진 단1. Adnexa, left, adnexectomy ;   1) Endometrioid adenocarcinoma, grade 2, with endometrioid borderline adenofibromatous tumor,       ovary (1-8), and      (1) tumor size; 7.0x4.6x3.4cm      (2) ovarian surface involved (1,2,4,5)      (3) consistent with endometriosis      (4) lymphovascular spaces with tumor emboli (1)   2) Cystic follicle, ovary (2)   3) Hilus cells present, periadnexal soft tissue (1)   4) Walthard rest cyst, salpinx (8)   5) Unremarkable salpinx (8)   * Immunohistochemical stain results (7);     1) WT-1 (-)     2) p53 (3+, 20%, wild type pattern)     3) Progesterone receptor (+)   * 암종의 유형을 확인하기 위해 면역염색 시행.   * FIGO IIB2. Adnexa, right, adnexectomy ;   1) Endometrioid adenocarcinoma, grade 2, with endometrioid borderline adenofibromatous tumor,       ovary (2-5), and      (1) tumor size; 6.1x4.4x2.6cm      (2) ovarian surface involved (2,3,5)      (3) consistent with endometriosis      (4) lymphovascular spaces with tumor emboli (5)    2) Cystic follicle, ovary (3-5)   3) Walthard rest cyst, salpinx (1)   4) Unremarkable, salpinx (1)3. Uterus, total hysterectomy;    1) Endometrioid adenocarcinoma, grade 2, endometrium (4,7-9), with      (1) confined to the endometrium      (2) no tumor invasion, cervix and lower uterine segment (1-3)      (3) clear lines of resection      (4) tumor emboli in lymphovascular spaces; not identified   2) Endometrial adenomyomatous polyp (size; 0.4x0.3cm) (6,7)   3) Leiomyoma, intramural and subserosal types, multiple (6,10,11)   4) Chronic cervicitis with erosion (1,2)   * FIGO IA조직검사상 위와같고 전이의 언급이 없다면 다중원발암으로 보고1) C569, M8380/32) C541, M8380/3으로 각각 등록하면 되는지 확인 부탁드립니다.감사합니다!
ovary와 endometrium 각각의 원발이 확실하다면 다중원발암이므로 각각 등록하시면 됩니다.