Summary Stage 2018 Coding Manual 1 We Would Also Like to Give a Special Thanks to the Following Individuals at Information Management Services, Inc
Total Page:16
File Type:pdf, Size:1020Kb
Load more
Recommended publications
-
Appendiceal GCC and LAMN Navigating the Alphabet Soup in the Appendix
2018 Park City AP Update Appendiceal GCC and LAMN Navigating the Alphabet Soup in the Appendix Sanjay Kakar, MD University of California, San Francisco Appendiceal tumors Low grade appendiceal mucinous neoplasm • Peritoneal spread, chemotherapy • But not called ‘adenocarcinoma’ Goblet cell carcinoid • Not a neuroendocrine tumor • Staged and treated like adenocarcinoma • But called ‘carcinoid’ Outline • Appendiceal LAMN • Peritoneal involvement by mucinous neoplasms • Goblet cell carcinoid -Terminology -Grading and staging -Important elements for reporting LAMN WHO 2010: Low grade carcinoma • Low grade • ‘Pushing invasion’ LAMN vs. adenoma LAMN Appendiceal adenoma Low grade cytologic atypia Low grade cytologic atypia At minimum, muscularis Muscularis mucosa is mucosa is obliterated intact Can extend through the Confined to lumen wall Appendiceal adenoma: intact muscularis mucosa LAMN: Pushing invasion, obliteration of m mucosa LAMN vs adenocarcinoma LAMN Mucinous adenocarcinoma Low grade High grade Pushing invasion Destructive invasion -No desmoplasia or -Complex growth pattern destructive invasion -Angulated infiltrative glands or single cells -Desmoplasia -Tumor cells floating in mucin WHO 2010 Davison, Mod Pathol 2014 Carr, AJSP 2016 Complex growth pattern Complex growth pattern Angulated infiltrative glands, desmoplasia Tumor cells in extracellular mucin Few floating cells common in LAMN Few floating cells common in LAMN Implications of diagnosis LAMN Mucinous adenocarcinoma LN metastasis Rare Common Hematogenous Rare Can occur spread -
Crohn's Disease of the Colon
Gut, 1968, 9, 164-176 Gut: first published as 10.1136/gut.9.2.164 on 1 April 1968. Downloaded from Crohn's disease of the colon V. J. McGOVERN AND S. J. M. GOULSTON From the Royal Prince Alfred Hospital, Sydney, Australia The fact that Crohn's disease may involve the colon never affected unless there had been surgical inter- either initially or in association with small bowel ference. There was no overt manifestation of mal- disease is now firmly established due largely to the absorption in any of these patients. evidence presented by Lockhart-Mummery and In 18 cases the colon alone was involved. Five had Morson (1960, 1964) and Marshak, Lindner, and universal involvement, five total involvement with Janowitz (1966). This entity is clearly distinct from sparing of the rectum, two involvement of the ulcerative colitis and other forms of colonic disease. descending colon only, two the transverse colon only, Our own experience with this disorder reveals many and in the other four there was variable involvement similarities with that published from the U.K. and of areas of large bowel (Fig. 2). the U.S.A. Thirty patients with Crohn's disease involving the large bowel were seen at the Royal CLINICAL FEATURES Prince Alfred Hospital during the last decade, the majority during the past five years. The criteria for The age incidence varied from 6 to 69 years when the inclusion were based on histological examination of patient was first seen, the majority being between the operative specimens in 28 and on clinical and radio- ages of 11 and 50. -
Head & Neck Surgery Course
Head & Neck Surgery Course Parapharyngeal space: surgical anatomy Dr Pierfrancesco PELLICCIA Pr Benjamin LALLEMANT Service ORL et CMF CHU de Nîmes CH de Arles Introduction • Potential deep neck space • Shaped as an inverted pyramid • Base of the pyramid: skull base • Apex of the pyramid: greater cornu of the hyoid bone Introduction • 2 compartments – Prestyloid – Poststyloid Anatomy: boundaries • Superior: small portion of temporal bone • Inferior: junction of the posterior belly of the digastric and the hyoid bone Anatomy: boundaries Anatomy: boundaries • Posterior: deep fascia and paravertebral muscle • Anterior: pterygomandibular raphe and medial pterygoid muscle fascia Anatomy: boundaries • Medial: pharynx (pharyngobasilar fascia, pharyngeal wall, buccopharyngeal fascia) • Lateral: superficial layer of deep fascia • Medial pterygoid muscle fascia • Mandibular ramus • Retromandibular portion of the deep lobe of the parotid gland • Posterior belly of digastric muscle • 2 ligaments – Sphenomandibular ligament – Stylomandibular ligament Aponeurosis and ligaments Aponeurosis and ligaments • Stylopharyngeal aponeurosis: separates parapharyngeal spaces to two compartments: – Prestyloid – Poststyloid • Cloison sagittale: separates parapharyngeal and retropharyngeal space Aponeurosis and ligaments Stylopharyngeal aponeurosis Muscles stylohyoidien Stylopharyngeal , And styloglossus muscles Prestyloid compartment Contents: – Retromandibular portion of the deep lobe of the parotid gland – Minor or ectopic salivary gland – CN V branch to tensor -
Head and Neck
DEFINITION OF ANATOMIC SITES WITHIN THE HEAD AND NECK adapted from the Summary Staging Guide 1977 published by the SEER Program, and the AJCC Cancer Staging Manual Fifth Edition published by the American Joint Committee on Cancer Staging. Note: Not all sites in the lip, oral cavity, pharynx and salivary glands are listed below. All sites to which a Summary Stage scheme applies are listed at the begining of the scheme. ORAL CAVITY AND ORAL PHARYNX (in ICD-O-3 sequence) The oral cavity extends from the skin-vermilion junction of the lips to the junction of the hard and soft palate above and to the line of circumvallate papillae below. The oral pharynx (oropharynx) is that portion of the continuity of the pharynx extending from the plane of the inferior surface of the soft palate to the plane of the superior surface of the hyoid bone (or floor of the vallecula) and includes the base of tongue, inferior surface of the soft palate and the uvula, the anterior and posterior tonsillar pillars, the glossotonsillar sulci, the pharyngeal tonsils, and the lateral and posterior walls. The oral cavity and oral pharynx are divided into the following specific areas: LIPS (C00._; vermilion surface, mucosal lip, labial mucosa) upper and lower, form the upper and lower anterior wall of the oral cavity. They consist of an exposed surface of modified epider- mis beginning at the junction of the vermilion border with the skin and including only the vermilion surface or that portion of the lip that comes into contact with the opposing lip. -
A Ally Long Epiglottis: a Case Report
Case Report Unusually long epiglottis: A case report Azhar A Siddiqui 1*, A G Shroff 2 1Professor, Department of Anatomy, Indian Institute of Medical Science and Research, Warudi, Tq. Badnapur, Dist. Jalna 2Dean, MGM Medical College, Aurangabad, Maharashtra, INDIA. Email : [email protected] Abstract The Epiglottis is thin leaf shaped cartilage of larynx attached to other cartilages of larynx, hyoid bone and tongue either directly or by mucosal folds. It is usually longer and higher in children than adults. Usually the epiglottis is not seen on oral examination, as it lies below the level of tongue. However rarely, it may be seen in chil dren if it is unusually long labeled as Visible Epiglottis, High Raising Epiglottis or High Arched Epiglottis, etc... A rare case report of Unusually Long Epiglottis is presented in an adult female, detected accidently during routine oral examination for c ommon cold. The patient was not having any complaints because of this condition. Literature states that this condition is rarely seen in children but very rare in adults. If asymptomatic it should be left alone with assurance to the patient and relatives. It may be treated only if creating obstruction to airway. Keywords: High-rising epiglottis, Long Epiglottis, Visible Epiglottis. *Address for Correspondence: Dr. Azhar A. Siddiqui, Professor, Flat No. 1, Saidham Apartment, Jaisingpura, Near University Gate, Aurangabad – 431001, Maharashtra, INDIA. Email: [email protected] Received Date: 25/04/2015 Revised Date: 04/0 5/2015 Accepted Date: 06/05/2015 Development: The epiglottis devel ops from fusion of Access this article online ventral ends of fourth arch with caudal part of hypobronchial eminence. -
Human Anatomy As Related to Tumor Formation Book Four
SEER Program Self Instructional Manual for Cancer Registrars Human Anatomy as Related to Tumor Formation Book Four Second Edition U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Public Health Service National Institutesof Health SEER PROGRAM SELF-INSTRUCTIONAL MANUAL FOR CANCER REGISTRARS Book 4 - Human Anatomy as Related to Tumor Formation Second Edition Prepared by: SEER Program Cancer Statistics Branch National Cancer Institute Editor in Chief: Evelyn M. Shambaugh, M.A., CTR Cancer Statistics Branch National Cancer Institute Assisted by Self-Instructional Manual Committee: Dr. Robert F. Ryan, Emeritus Professor of Surgery Tulane University School of Medicine New Orleans, Louisiana Mildred A. Weiss Los Angeles, California Mary A. Kruse Bethesda, Maryland Jean Cicero, ART, CTR Health Data Systems Professional Services Riverdale, Maryland Pat Kenny Medical Illustrator for Division of Research Services National Institutes of Health CONTENTS BOOK 4: HUMAN ANATOMY AS RELATED TO TUMOR FORMATION Page Section A--Objectives and Content of Book 4 ............................... 1 Section B--Terms Used to Indicate Body Location and Position .................. 5 Section C--The Integumentary System ..................................... 19 Section D--The Lymphatic System ....................................... 51 Section E--The Cardiovascular System ..................................... 97 Section F--The Respiratory System ....................................... 129 Section G--The Digestive System ......................................... 163 Section -
II. DIGESTIV SYSTEM TESTS General Data 1. CS the Organ Represent: A
II. DIGESTIV SYSTEM TESTS General data 1. CS The organ represent: a) a structure made up by three layers b) a hollow element c) a part of the body built by complex of tissues integrated to realize the common functions d) a parenchymatous formation located in abdominal cavity e) a formation constituted by epithelium, vessels and nerves 2. CS The visceral apparatus is considered: a) The organs of different systems with diverse structure involved in performing some functions. b) the organs of neck region c) the organs located in the lesser pelvis d) the organs realized protective function e) the organs located at the border between thoracic and abdominal cavities 3. CS The primary gut is developed from: a) ectoderm b) mesoderm c) endoderm d) dermatome e) myotome 4. CS From which embryonic layer is developed the primary intestine : a) entoderm b) ectoderm c) sclerotome d) mesoderm e) splanhnopleura 5. CM The Viscera represents: a) the organs localized in abdominal cavity b) the systems of organs realized the connection of the body and external environment c) the organs and system of organs located in body’s cavities which realized the metabolic functions to sustain the life d) the complex of organs from abdominal and pelvic cavities e) the complex of organs from thoracic cavity 6. CM According by structure the organs are divided in: a) serous b) parenchymatous c) glandular d) epithelial e) hollow 7. CM Name two functions of the organic stroma: a) secretory b) trophic c) hematopoietic d) metabolic e) sustaining 8. CM The hollow organs distinguish the following layers: a) mucous b) submucous c) muscular d) membranous e) serous 9. -
Nomina Histologica Veterinaria, First Edition
NOMINA HISTOLOGICA VETERINARIA Submitted by the International Committee on Veterinary Histological Nomenclature (ICVHN) to the World Association of Veterinary Anatomists Published on the website of the World Association of Veterinary Anatomists www.wava-amav.org 2017 CONTENTS Introduction i Principles of term construction in N.H.V. iii Cytologia – Cytology 1 Textus epithelialis – Epithelial tissue 10 Textus connectivus – Connective tissue 13 Sanguis et Lympha – Blood and Lymph 17 Textus muscularis – Muscle tissue 19 Textus nervosus – Nerve tissue 20 Splanchnologia – Viscera 23 Systema digestorium – Digestive system 24 Systema respiratorium – Respiratory system 32 Systema urinarium – Urinary system 35 Organa genitalia masculina – Male genital system 38 Organa genitalia feminina – Female genital system 42 Systema endocrinum – Endocrine system 45 Systema cardiovasculare et lymphaticum [Angiologia] – Cardiovascular and lymphatic system 47 Systema nervosum – Nervous system 52 Receptores sensorii et Organa sensuum – Sensory receptors and Sense organs 58 Integumentum – Integument 64 INTRODUCTION The preparations leading to the publication of the present first edition of the Nomina Histologica Veterinaria has a long history spanning more than 50 years. Under the auspices of the World Association of Veterinary Anatomists (W.A.V.A.), the International Committee on Veterinary Anatomical Nomenclature (I.C.V.A.N.) appointed in Giessen, 1965, a Subcommittee on Histology and Embryology which started a working relation with the Subcommittee on Histology of the former International Anatomical Nomenclature Committee. In Mexico City, 1971, this Subcommittee presented a document entitled Nomina Histologica Veterinaria: A Working Draft as a basis for the continued work of the newly-appointed Subcommittee on Histological Nomenclature. This resulted in the editing of the Nomina Histologica Veterinaria: A Working Draft II (Toulouse, 1974), followed by preparations for publication of a Nomina Histologica Veterinaria. -
Computed Tomography of the Buccomasseteric Region: 1
605 Computed Tomography of the Buccomasseteric Region: 1. Anatomy Ira F. Braun 1 The differential diagnosis to consider in a patient presenting with a buccomasseteric James C. Hoffman, Jr. 1 region mass is rather lengthy. Precise preoperative localization of the mass and a determination of its extent and, it is hoped, histology will provide a most useful guide to the head and neck surgeon operating in this anatomically complex region. Part 1 of this article describes the computed tomographic anatomy of this region, while part 2 discusses pathologic changes. The clinical value of computed tomography as an imaging method for this region is emphasized. The differential diagnosis to consider in a patient with a mass in the buccomas seteric region, which may either be developmental, inflammatory, or neoplastic, comprises a rather lengthy list. The anatomic complexity of this region, defined arbitrarily by the soft tissue and bony structures including and surrounding the masseter muscle, excluding the parotid gland, makes the accurate anatomic diagnosis of masses in this region imperative if severe functional and cosmetic defects or even death are to be avoided during treatment. An initial crucial clinical pathoanatomic distinction is to classify the mass as extra- or intraparotid. Batsakis [1] recommends that every mass localized to the cheek region be considered a parotid tumor until proven otherwise. Precise clinical localization, however, is often exceedingly difficult. Obviously, further diagnosis and subsequent therapy is greatly facilitated once this differentiation is made. Computed tomography (CT), with its superior spatial and contrast resolution, has been shown to be an effective imaging method for the evaluation of disorders of the head and neck. -
Dynamic Manoeuvres on MRI in Oral Cancers – a Pictorial Essay Diva Shah HCG Cancer Centre, Sola Science City Road, Ahmedabad, Gujarat, India
Published online: 2021-07-19 HEAD AND NECK IMAGING Dynamic manoeuvres on MRI in oral cancers – A pictorial essay Diva Shah HCG Cancer Centre, Sola Science City Road, Ahmedabad, Gujarat, India Correspondence: Dr. Diva Shah, HCG Cancer Centre, Sola Science City Road, Ahmedabad ‑ 380060, Gujarat, India. E‑mail: [email protected] Abstract Magnetic resonance imaging has been shown to be a useful tool in the evaluation of oral malignancies because of direct visualization of lesions due to high soft tissue contrast and multiplanar capability. However, small oral cavity tumours pose an imaging challenge due to apposed mucosal surfaces of oral cavity, metallic denture artefacts and submucosal fibrosis. The purpose of this pictorial essay is to show the benefits of pre and post contrast MRI sequences using various dynamic manoeuvres that serve as key sequences in the evaluation of various small oral (buccal mucosa and tongue as well as hard/soft palate) lesions for studying their extent as well as their true anatomic relationship. Key words: Dynamic manoeuvres; MRI; oral cavity lesions Introduction oral cavity lesions particularly in patients with sub‑mucosal fibrosis, RMT lesions, post‑operative evaluation and in In the imaging of oral cavity lesions, it is important presence of metallic dental streak artefacts. MRI in these to determine precisely the site of tumour origin, size, circumstances scores over MDCT and is a preferred modality trans‑spatial extension and invasion of deep structures.[1] with excellent soft tissue contrast resolution. Evaluation of small tumours of the oral cavity is always a diagnostic challenge for both the head and neck surgeon MR imaging with various dynamic manoeuvres provides and the head and neck radiologist. -
The Structure and Movement of Clarinet Playing D.M.A
The Structure and Movement of Clarinet Playing D.M.A. DOCUMENT Presented in Partial Fulfilment of the Requirements for the Degree Doctor of Musical Arts in the Graduate School of The Ohio State University By Sheri Lynn Rolf, M.D. Graduate Program in Music The Ohio State University 2018 D.M.A. Document Committee: Dr. Caroline A. Hartig, Chair Dr. David Hedgecoth Professor Katherine Borst Jones Dr. Scott McCoy Copyrighted by Sheri Lynn Rolf, M.D. 2018 Abstract The clarinet is a complex instrument that blends wood, metal, and air to create some of the world’s most beautiful sounds. Its most intricate component, however, is the human who is playing it. While the clarinet has 24 tone holes and 17 or 18 keys, the human body has 205 bones, around 700 muscles, and nearly 45 miles of nerves. A seemingly endless number of exercises and etudes are available to improve technique, but almost no one comments on how to best use the body in order to utilize these studies to maximum effect while preventing injury. The purpose of this study is to elucidate the interactions of the clarinet with the body of the person playing it. Emphasis will be placed upon the musculoskeletal system, recognizing that playing the clarinet is an activity that ultimately involves the entire body. Aspects of the skeletal system as they relate to playing the clarinet will be described, beginning with the axial skeleton. The extremities and their musculoskeletal relationships to the clarinet will then be discussed. The muscles responsible for the fine coordinated movements required for successful performance on the clarinet will be described. -
Small Intestine Cancer Early Detection, Diagnosis, and Staging Detection and Diagnosis
cancer.org | 1.800.227.2345 Small Intestine Cancer Early Detection, Diagnosis, and Staging Detection and Diagnosis Catching cancer early often allows for more treatment options. Some early cancers may have signs and symptoms that can be noticed, but that is not always the case. ● Can Small Intestine Cancer (Adenocarcinoma) Be Found Early? ● Signs and Symptoms of Small Intestine Cancer (Adenocarcinoma) ● Tests for Small Intestine Cancer (Adenocarcinoma) Stages and Outlook (Prognosis) After a cancer diagnosis, staging provides important information about the extent of cancer in the body and anticipated response to treatment. ● Small Intestine Cancer (Adenocarcinoma) Stages ● Survival Rates for Small Intestine Cancer (Adenocarcinoma) Questions to Ask About Small Intestine Cancer Get some questions you can ask your cancer care team to help you better understand your cancer diagnosis and treatment options. ● Questions to Ask Your Doctor About Small Intestine Cancer 1 ____________________________________________________________________________________American Cancer Society cancer.org | 1.800.227.2345 Can Small Intestine Cancer (Adenocarcinoma) Be Found Early? (Note: This information is about small intestine cancers called adenocarcinomas. To learn about other types of cancer that can start in the small intestine, see Gastrointestinal Carcinoid Tumors1, Gastrointestinal Stromal Tumors2, or Non-Hodgkin Lymphoma3.) Screening is testing for diseases like cancer in people who do not have any symptoms. Screening tests can find some types of cancer early, when treatment is most likely to be effective. But small intestine adenocarcinomas are rare, and no effective screening tests have been found for these cancers, so routine testing for people without any symptoms is not recommended. For people at high risk For people with certain inherited genetic syndromes4 who are at increased risk of small intestine cancer, doctors might recommend regular tests to look for cancer early, especially in the duodenum (the first part of the small intestine).