Digit: Difference between revisions
Jump to navigation
Jump to search
→Tissue selection: Rewording |
→Microscopic examination: +Margins |
||
| (2 intermediate revisions by the same user not shown) | |||
| Line 31: | Line 31: | ||
:*If margin is close to gangrene: perpendicular sections | :*If margin is close to gangrene: perpendicular sections | ||
:*If far, submit {{en face}} | :*If far, submit {{en face}} | ||
*If you receive a '''separate''' thin or discoid bone slice, it is generally an additional bone margin. Preferably, have this decalcified and processed promptly, so that it may be used to make a preliminary report as to whether it is involved even before the main specimen is processed. | |||
<gallery mode=packed heights=180> | <gallery mode=packed heights=180> | ||
File:Gross pathology of amputated finger sections in cassette.jpg|Contiguous longitudinal sections from a finger with suspected osteomyelitis. | File:Gross pathology of amputated finger sections in cassette.jpg|Contiguous longitudinal sections from a finger with suspected osteomyelitis. | ||
| Line 50: | Line 51: | ||
<gallery mode=packed> | <gallery mode=packed> | ||
File:Histopathology of acute osteomyelitis.jpg|'''[[Osteomyelitis]]''', mainly by neutrophils in the stroma. {{further|Osteomyelitis|linebreak=no}} | File:Histopathology of acute osteomyelitis.jpg|'''[[Osteomyelitis]]''', mainly by neutrophils in the stroma. {{further|Osteomyelitis|linebreak=no}} | ||
File:Histopathology of ischemic necrotic gangrene with neutrophils, present at inked soft tissue margin.jpg|Significant pathologies at the margins, such as necrosis of soft tissue margins as shown with neutrophil involvement. | |||
</gallery> | </gallery> | ||
| Line 57: | Line 59: | ||
| {{Moderate-begin}}A. Left third toe, amputation:{{Moderate-end}}<br>Toe with ulcer, gangrene and osteomyelitis. Osteomyelitis involves the distal phalanx, middle phalanx and proximal phalanx.<br>Osteomyelitis is 2.0 cm from the proximal articular surface of the proximal phalanx.<br>{{Moderate-begin}}The skin and soft tissue at the surgical margin appear viable.{{Moderate-end}} | | {{Moderate-begin}}A. Left third toe, amputation:{{Moderate-end}}<br>Toe with ulcer, gangrene and osteomyelitis. Osteomyelitis involves the distal phalanx, middle phalanx and proximal phalanx.<br>Osteomyelitis is 2.0 cm from the proximal articular surface of the proximal phalanx.<br>{{Moderate-begin}}The skin and soft tissue at the surgical margin appear viable.{{Moderate-end}} | ||
|} | |} | ||
<noinclude> | |||
==See also== | ==See also== | ||
*[[Soft tissues]] | *[[Soft tissues]] | ||
{{Bottom}} | {{Bottom}} | ||
</noinclude> | |||