Appendix: Difference between revisions
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{{Top | <noinclude>{{Top | ||
|author1=[[User:Mikael Häggström|Mikael Häggström]] | |author1=[[User:Mikael Häggström|Mikael Häggström]] | ||
|author2= | |author2= | ||
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{{Comprehensiveness}} | {{Comprehensiveness}} | ||
</noinclude> | |||
==Gross processing== | ==Gross processing== | ||
*Measure the '''length''' of the appendix.<ref name=lilla>{{Lilla utskärningen}}</ref> | *Measure the '''length''' of the appendix.<ref name=lilla>{{Lilla utskärningen}}</ref> | ||
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*Look mainly for:<ref name=lilla/> | *Look mainly for:<ref name=lilla/> | ||
:*Luminal '''pus''' or '''obstruction''', including stones. | :*Luminal '''pus''' or '''obstruction''', including stones. | ||
:*Look for any yellow firm areas at the tip, which may be '''carcinoids'''. Carcinoids may hide behind obstructions in the tip. If found grossly, submit entire appendix, and ink the surgical margin and submit separately | :*Look for any yellow firm areas at the tip, which may be '''carcinoids'''. Carcinoids may hide behind obstructions in the tip. If found grossly, submit entire appendix, and ink the surgical margin and submit separately {{en face}} | ||
:*'''Wall defects''' | :*'''Wall defects''' | ||
:*Exterior '''coatings'''. Note if it contains "stones" or fruit kernels. | :*Exterior '''coatings'''. Note if it contains "stones" or fruit kernels. | ||
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Submit the '''entire''' appendix if: | Submit the '''entire''' appendix if: | ||
[[File:Gross pathology of mucocele of the appendix.jpg|thumb| | [[File:Gross pathology of mucocele of the appendix.jpg|thumb|Excessive '''mucus'''.]] | ||
* | *There is excessive amounts of '''mucus''', {{Moderate-begin}}including a representative section of any free mucus if the eppendix is perforated{{Moderate-end}}. | ||
*The surgical report mentions perforation but none is found grossly. | *The surgical report mentions perforation but none is found grossly. | ||
*The surgical report mentions appendicitis but no significant inflammation is found grossly. | *The surgical report mentions appendicitis but no significant inflammation is found grossly. | ||
===Gross report=== | ===Gross report=== | ||
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No perforation is identified. {{Comprehensive-begin}}Representative sections are submitted for microscopic examination in __ cassette(s).{{Comprehensive-end}} | No perforation is identified. {{Comprehensive-begin}}Representative sections are submitted for microscopic examination in __ cassette(s).{{Comprehensive-end}} | ||
|} | |} | ||
{{Gross processing}} | |||
==Microscopic evaluation== | ==Microscopic evaluation== | ||
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*Presence or absence of malignancy. | *Presence or absence of malignancy. | ||
Example, using image at right: | Example, using image at right: | ||
[[File:Histopathology of appendicitis.jpg|150px| | [[File:Histopathology of appendicitis.jpg|150px|thumb]] | ||
{|class="wikitable" | {|class="wikitable" | ||
| | | | ||
Mucosa with ulceration. {{Comprehensive-begin}}No atypia in residual mucosa.{{Comprehensive-end}} Inflammatory cells in the stroma and all muscle layers, as well as on the serosal surface and adherent adipose tissue. No evidence of malignancy. {{Comprehensive-begin}}Optionally: No perforation{{Comprehensive-end}} | Mucosa with ulceration. {{Comprehensive-begin}}No atypia in residual mucosa.{{Comprehensive-end}} Inflammatory cells in the stroma and all muscle layers, as well as on the serosal surface and adherent adipose tissue. No evidence of malignancy. {{Comprehensive-begin}}Optionally: No perforation{{Comprehensive-end}} | ||
|} | |} | ||
{{CAP}} | |||
{{Reporting}} | {{Reporting}} | ||
{{Bottom}} | {{Bottom}} | ||