Changes

Jump to navigation Jump to search

Breast biopsy or excision

31 bytes added, 13:13, 23 April 2021
*'''Palpate''' the specimen for masses. Compare with radiography if available.<ref name=Roychowdhury/> Confirm the presence of any known biopsy clips, either visibly or by post-operative radiography (in order to confirm that the specimen includes the region of interest).
*'''Serially section''' the specimen.
:*When performing '''triage''' of fresh lumpectomies, generally make slices 0.5 to 1.0 cm through any solid tumors, but otherwise 1.0 to 1.5 cm thick. When laid down and flattened, this is generally thin enough to allow for fixation over at least 6 hours, and thick enough to be further cut into 2 or 3 slices after fixation.:*When selecting tissue for submissionafter fixation, make 3-4 mm thick '''slices'''.<ref name=Roychowdhury/>
*'''Inspect''' for any grossly visible lesions. If found, measure at least the greatest dimension, including stacking slices or mathematically adding the thicknesses of involved slices. {{Moderate-begin}}Also compare it to the measurement of previous imaging, and note if it confers a staging discrepancy between imaging and gross dimensions, with cutoffs at 0.1 cm, 0.5 cm, 1.0 cm, 2.0 cm, and 5 cm.{{Moderate-end}}
*Submit:<ref name=Roychowdhury/>

Navigation menu