Fistula tract
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Author:
Mikael Häggström [note 1]
Contents
Comprehensiveness
On this resource, the following formatting is used for comprehensiveness:
- Minimal depth
- (Moderate depth)
- ((Comprehensive))
Gross processing
Steps are as follows:[1]
- (Review operative notes or preoperative radiological studies.)
- ((Photograph the specimen.))
- Measure the specimen
- Probe for any tract
- Inspect, with particular focus on any visible mucosa adjoining the fistula, looking mainly for friable areas or ulcers. Usually there is limited mucosa.
- If successfully probed, dissect longitudinally with a pediatric or finer scissors along the inserted probe.
Tissue sampling
- If an area of friability and/or ulceration is found, submit that entire area.[1]
- Otherwise, submit one or two representative sections.
Microscopic examination
Look for:[1]
- Inflammation
- Scarring
- Dysplasia/malignancy
- Viral cytopathic effects, especially that of cytomegalovirus.
Notes
- ↑ For a full list of contributors, see article history. Creators of images are attributed at the image description pages, seen by clicking on the images. See Patholines:Authorship for details.
Main page
References
- ↑ 1.0 1.1 1.2 Arvind Rishi, M.D., M.B.B.S., Toby C. Cornish, M.D., Ph.D.. Anus & perianal area - Other nonneoplastic - Fistula. Pathology Outlines. Topic Completed: 1 April 2014. Minor changes: 16 November 2020
Image sources