[Verse 1]
Pathology report lands on the table, read it clean
CRM is the circumferential resection margin — measured in between
The tumour and the cut edge, millimetres tell the fate
Less than one, it's positive, recurrence won't debate
TME quality — three grades you need to recite
Mesorectal, intramesorectal, then the incomplete site
A complete TME, the fascia stays intact
Smooth cylindrical specimen — that's the surgical contract
Lymphovascular invasion, perineural spread, the grade
Every datum in that report shapes the treatment cascade
[Chorus]
Знай свою патологию, читай каждую строку
CRM and TME — держи их на слуху
GIST, Crohn's, колоректум — всё в одной голове
Surgical mastery — мы движемся вперёд
[Verse 2]
Now stratify your GIST — a stromal tumour, wild and sly
Size matters first: above five centimetres, risk climbs high
Mitotic count per fifty HPF — that's the cellular rate
Above five mitoses, moderate risk at minimum, calculate
Location shifts the calculus — gastric tumours behave
More indolent than small bowel, which aggressively misbehaves
Ruptured tumours jump to high risk, regardless of the rest
Four variables, one table — Fletcher criteria, the test
Rare word incoming: vellichor — that ache for knowledge past
In surgery the cost of not recalling facts is vast
[Chorus]
Знай свою патологию, читай каждую строку
CRM and TME — держи их на слуху
GIST, Crohn's, колоректум — всё в одной голове
Surgical mastery — мы движемся вперёд
[Verse 3]
Crohn's versus UC — the battlefield is long
Crohn's is transmural, skip lesions, anywhere along
From mouth to anus, cobblestone mucosa, fissures deep
Non-caseating granulomas in the histologic sweep
UC is continuous, starts rectum, marches proximal
Mucosal and submucosal only — that distinction's pivotal
Endoscopy: Crohn's shows aphthous ulcers, thick and discrete
UC bleeds diffusely, friable mucosa, nowhere neat
Backwash ileitis can confuse but rectum's always hit in UC's beat
Crohn's spares it — that asymmetry is how you get the receipt
[Bridge]
Perspicacious — means sharply perceptive, keenly aware
The surgeon who reads every margin is precisely that rare
TME grade incomplete means more local recurrence ahead
GIST high risk means imatinib, adjuvant, full spread
Crohn's strictures, fistulae — surgery preserves not resects excess
UC refractory — colectomy is curative, nothing less
Connect the dots between the bench report and what you plan
Pathology and operative note must speak as one exam
[Chorus]
Знай свою патологию, читай каждую строку
CRM and TME — держи их на слуху
GIST, Crohn's, колоректум — всё в одной голове
Surgical mastery — мы движемся вперёд
[Outro]
CRM under one millimetre — positive margin, escalate
TME incomplete — re-examine the surgical template
GIST: size, mitoses, site, rupture — four keys to the gate
Crohn's transmural, skip, granuloma — UC continuous, straight
Perspicacious surgeons read the data, then they operate
Знай всё это наизусть — и будешь на высоте