19 October 2006 Pathology Report

Here is the pathology report.
A 44-year old male presented with left neck mass. Patient underwent biopsy to rule out lymphoma.
Pre-operative diagnosis: left neck mass
Post-operative diagnosis: left squamous cell CA
Specimens (a): left neck mass (FD)
(b): left tonsil biopsy
Gross description:
A: Received is one appropriately labeled container additionally labeled "left neck mass, rule out lymphoma:. It consists of a 3.2 x 2.2 x 2.2 cm large necrotic lymph node. A small portion of the tissue is submitted as (FSA1). The remaining tissue is submitted in (A1) through (A6). NTR
B: The specimen is received in buffered formalin labeled with the patients name and "left tonsil biopsy". The specimen consists of two portions of brown and tan, soft tissue. This is filtered into a biopsy bad and measures 1 x 0.5 x 0.3 cm in greatest dimensions. The specimen is totally submitted in one cassette labeled (B).
Diagnosis:
A: Left neck mass, biopsy, frozen and permanent section diagnosis:
- Metastatic squamous cell carcinoma, moderately differentiated, focally keratinizing in lymph node. The metastatic focus measures 3.2 cm in greatest dimension. Extracapsular extension is identified.
B: Left tonsil, biopsy:
- Invasive moderately differentiated squamous cell carcinoma.

The pathology report in a nutshell showed squamous cell carcinoma (T1 N 2 a of the left Tonsil.)