Gross Findings:

The specimen received in pathology conisted of a segment of small bowel 13 cm in
length x 2.5 cm in diameter with a polypoid, tan-gray, 11 x 7 x 4 cm mass. The tumor extended from the serosal surface and surrounded the bowel wall in a near circumferential fashion. The bowel mucosa appeared tan-pink with normal folds and a
0.6 cm mucosal defect which extended into the tumor mass. The mucosal defect was 5.5 cm from the nearest end of the specimen. The cut-surface of the tumor was heterogenous with firm gray areas, soft, yellow tan areas, hemorrhagic, red-brown areas, and foci of calcifications. Dissection of the attached adipose tissue revealed eight lymph nodes up to 1.2 cm in greatest dimension.

See Figures 1-3.

Figure 1. Gross specimen photograph. Tumor nearly encircling segment of small bowel.

Figure 2. Gross specimen photograph. Mucosal ulceration overlying tumor.

Figure 3. Gross specimen photograph. Cut surface of tumor.

Figure 1	Figure 2	Figure 3