Gallbladder: Difference between revisions

Line 22:

*Cut through the '''wall''', and look for any tumors or Rokitansky-Aschoff sinuses

*Look for gallstones in the '''container'''

;Gross report:

{|class=wikitable

| {{Comprehensive-begin}}Labeled - gallbladder. The specimen is received in formalin and consists of a resected}}Comprehensive-end}} {{Finding-begin}}

*focally disrupted?

*edematous?{{Finding-end}}

gallbladder measuring __ cm in length and __ cm in maximum diameter. The serosa is {{Finding-begin}}

*(mottled) tan / pink / red (generally combinations thereof)

*and smooth / with patchy adhesions{{Finding-end}}

Upon opening, the lumen contains {{Finding-begin}}

*__ {{Comment-begin}}volume in cc/mm<sup>3</sup>{{Comment-end}}

*green / brown / blood-tinged / yellow-white and chalky / clear colorless

*viscid / sludge-like / thick{{Finding-end}}

bile {{Finding-begin}}and

*(approximately) __ (number) / multiple

*black / brown / green / yellow / tan / white (generally combinations thereof)

*irregular / multifaceted / spiculated / ovoid / mulberry-like / barrel-like

gallstones measuring up to __ cm in greatest dimension.{{Finding-end}}

The mucosa is

*green {{Finding-begin}}/ tan / yellow-red / brown / pink{{Finding-end}}

*and velvety {{Finding-begin}}/ granular / trabecular

*with diffuse cholesterol stippling?{{Finding-end}}

The spiral neck is patent {{Finding-begin}}/ obstructed by one additional similar gallstone measuring __ cm{{Finding-end}}. The wall measures up to __ cm in thickness. {{Finding-begin}} Rokitansky-Aschoff sinuses are present within the fundus. There is a __ (color) cystic duct lymph node present measuring __ cm in greatest dimension. {{Finding-end}} {{Comprehensive-begin}}Representative sections are submitted for microscopic examination in __ cassette(s). {{Comprehensive-end}}

|}

====Carcinoma====

@@ Line 22: / Line 22: @@
 *Cut through the '''wall''', and look for any tumors or Rokitansky-Aschoff sinuses
 *Look for gallstones in the '''container'''
+;Gross report:
+{|class=wikitable
+| {{Comprehensive-begin}}Labeled - gallbladder. The specimen is received in formalin and consists of a resected}}Comprehensive-end}} {{Finding-begin}}
+*focally disrupted?
+*edematous?{{Finding-end}}
+gallbladder measuring __ cm in length and __ cm in maximum diameter. The serosa is {{Finding-begin}}
+*(mottled) tan / pink / red (generally combinations thereof)
+*and smooth / with patchy adhesions{{Finding-end}}
+Upon opening, the lumen contains {{Finding-begin}}
+*__ {{Comment-begin}}volume in cc/mm<sup>3</sup>{{Comment-end}}
+*green / brown / blood-tinged / yellow-white and chalky / clear colorless
+*viscid / sludge-like / thick{{Finding-end}}
+bile {{Finding-begin}}and
+*(approximately) __ (number) / multiple
+*black / brown / green / yellow / tan / white (generally combinations thereof)
+*irregular / multifaceted / spiculated / ovoid / mulberry-like / barrel-like
+gallstones measuring up to __ cm in greatest dimension.{{Finding-end}}
+The mucosa is
+*green {{Finding-begin}}/ tan / yellow-red / brown / pink{{Finding-end}}
+*and velvety {{Finding-begin}}/ granular / trabecular
+*with diffuse cholesterol stippling?{{Finding-end}}
+The spiral neck is patent {{Finding-begin}}/ obstructed by one additional similar gallstone measuring __ cm{{Finding-end}}. The wall measures up to __ cm in thickness. {{Finding-begin}} Rokitansky-Aschoff sinuses are present within the fundus. There is a __ (color) cystic duct lymph node present measuring __ cm in greatest dimension. {{Finding-end}} {{Comprehensive-begin}}Representative sections are submitted for microscopic examination in __ cassette(s). {{Comprehensive-end}}
+|}
 ====Carcinoma====

Gallbladder: Difference between revisions

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