His staging as per AJCC will be:
Colorectal Cancer Staging: AJCC Criteria
The American Joint Committee on Cancer (AJCC) staging system uses the TNM classification to describe the extent of cancer. We need to determine the T, N, and M components based on the provided histopathology report.
Determining the T (Tumor) Stage
The report states the tumor is invading the submucosa and muscularis propria.
- T1 stage indicates tumor invasion limited to the submucosa.
- T2 stage indicates tumor invasion into the muscularis propria.
Since the tumor invades the muscularis propria, the T stage is T2.
Determining the N (Node) Stage
The report mentions that out of 16 harvested regional lymph nodes, 2 were positive for malignant deposits.
- N0 means no regional lymph node metastasis.
- N1 means metastasis in 1 to 3 regional lymph nodes.
- N2 means metastasis in 4 or more regional lymph nodes.
With 2 positive lymph nodes, the N stage is N1.
Determining the M (Metastasis) Stage
The question does not provide any information regarding distant metastasis. By convention in staging, if distant metastasis is not mentioned or detected, it is assumed to be absent.
Therefore, the M stage is M0.
Final AJCC Staging
Combining the T, N, and M stages, the patient's AJCC staging is T2, N1, M0.
This corresponds to Option B.
Important Questions from Intestines
- An eight month old male child is brought to the emergency with recurrent episodes of screaming and drawing up of legs. The child appears to be listless in between the attacks. Local examination of abdomen reveals feeling of emptiness in the right iliac fossa and blood stained mucus is found on the finger on per rectal examination. The most probable clinical diagnosis in this child is
Which of the following statements regarding Ogilvie's syndrome are correct?
1. It presents as acute large bowel mechanical obstruction
2. Marked caecal dilatation is a common feature on X-ray abdo- men
3. Caecal perforation is a well recog- nized complication of this condi- tion
4. Intravenous Neostigmine is used for the treatment of this condition
Select the correct answer using the code given below :
- Among the extra intestinal manifesta- tions of Crohn's disease which one of the following is related to the disease activity?
- A 35 year old male patient with enteric fever presents to the emergency with sudden onset of generalised abdominal pain, abdominal distension, nausea, vomiting and constipation for last 48 hours. On examination, patient is dehydrated with PR = $110/min$ and BP = $100/60$ mm Hg. There is genera- lised tenderness, rebound tenderness present and board like rigidity on per- abdomen examination. The most likely complication of enteric fever in this patient is
- Which of the following are the intraoperative features of viable small bowel?
1. Visible peristalsis
2. Flabby intestinal musculature
3. Shiny appearance of small bowel wall
4. Visible pulsation in the mesenteric artery
Select the correct answer using the code given below.
