Pathologist just called to confirm a cancer diagnosis from frozen section. High grade poorly differentiated sarcoma... Poss rhabdomyosarcoma poss liposarcoma poss malignant fibrohistiocytoma.
Completely non-kidney origin.
Good thing we put it out of its misery.
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"Let every angler who loves to fish think what it would mean to him to find the fish were gone." (Zane Grey)
"If you don't kill them, they will spawn." (Carcassman)
I went to chat with my pathologist to show him the video, but the signal to my iPhone was almost non-existent in the lead-lined bowels of the hospital.
So we got on his computer to track down the YouTube video on a search of "salmon tumor", but came up with this instead....
Registered: 03/06/01
Posts: 1195
Loc: Gig Harbor, WA
I vote angiosarcoma,
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"Laugh if you want to, it really is kinda funny, cuz the world is a car and you're the crash test dummy" All Hail, The Devil Makes Three
Obviously my diagnosis based on gross examination was, to quote Parker, "an epic fail". It's a good thing they don't let the eye guys operate anywhere else on a human patient!
Well my pathologist colleague is gonna bring the slides to their next Grand Rounds as a "mystery case". That's where all of the pathologists get together to analyze and diagnose "interesting" cases.
Only he won't divulge that this specimen came from a salmon.
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"Let every angler who loves to fish think what it would mean to him to find the fish were gone." (Zane Grey)
"If you don't kill them, they will spawn." (Carcassman)
Seen a couple of those over the years, one in a Coho on the Sky and the other, much bigger from the North Fork Lewis on a Summer Run. Looked like the fish ate a golf ball from the course, that was the joke until we cut it open!
Registered: 03/06/01
Posts: 1195
Loc: Gig Harbor, WA
I trust you got negative margins,
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"Laugh if you want to, it really is kinda funny, cuz the world is a car and you're the crash test dummy" All Hail, The Devil Makes Three
Registered: 03/06/01
Posts: 1195
Loc: Gig Harbor, WA
sorry, didn't have a full grasp on the conditions in your OR. certainly not casting aspersions on your surgical skills,
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"Laugh if you want to, it really is kinda funny, cuz the world is a car and you're the crash test dummy" All Hail, The Devil Makes Three
I went to chat with my pathologist to show him the video, but the signal to my iPhone was almost non-existent in the lead-lined bowels of the hospital.
So we got on his computer to track down the YouTube video on a search of "salmon tumor", but came up with this instead....
Pretty aggressive tumor seeing as how it displaced the adjacent ribs and basically ate thru the others.
Never did followup with the final pathologic results from permanent section, but better late than never. Hope no one sues me for a delay in diagnosis.
FINAL DIAGNOSIS: I am attaching histology from permanent sections. What really threw me is the fish erythrocytes, which (apparently) are nucleated. What is shown, then, is a spindle cell malignant tumor with vascular spaces containing many red cells—a high grade angiosarcoma.
Unfortunately, the patient did NOT survive the operation.
_________________________
"Let every angler who loves to fish think what it would mean to him to find the fish were gone." (Zane Grey)
"If you don't kill them, they will spawn." (Carcassman)