Difference between revisions of "Gross processing"

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{{General notes}}
 
{{General notes}}
Following are general notes on selection and trimming in pathology:
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Following are general notes on selection and trimming in pathology.
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{{Comprehensiveness}}
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*Generally '''measure''' estimated volume or 3 dimensions for samples greater than 0.4 cm in greatest dimension.<ref group=notes>Specifying dimensions in 3 dimensions is generally a waste of time for specimens less than 0.4 cm.</ref>
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*{{Comprehensive-begin}}Note the color of the sample, even when unremarkable.{{Comprehensive-begin}}
 
*Generally, use '''inking''' for resection margins where cancer radicality is important.{{Ink note}} Excisions made by laser do not need inking on the excision surfaces, since the coagulated surface can be easily identified in the microscope.<ref>{{Stora utskärningen}}</ref>
 
*Generally, use '''inking''' for resection margins where cancer radicality is important.{{Ink note}} Excisions made by laser do not need inking on the excision surfaces, since the coagulated surface can be easily identified in the microscope.<ref>{{Stora utskärningen}}</ref>
*Preferably '''photograph''' or make a drawing where slices have been taken.<ref name=Roychowdhury>{{cite web|url=https://www.pathologyoutlines.com/topic/breastmalignantgrossing.html|title=Grossing (histologic sampling) of breast lesions|author=Monika Roychowdhury|website=Pathologyoutlines.com}} Topic Completed: 1 August 2012. Revised: 19 September 2019</ref>
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*{{Moderate-begin}}Preferably '''photograph''' or make a drawing where slices have been taken.{{Moderate-end}}<ref name=Roychowdhury>{{cite web|url=https://www.pathologyoutlines.com/topic/breastmalignantgrossing.html|title=Grossing (histologic sampling) of breast lesions|author=Monika Roychowdhury|website=Pathologyoutlines.com}} Topic Completed: 1 August 2012. Revised: 19 September 2019</ref>
 
*Remove any surgical '''stitches''' from samples before microtomy.
 
*Remove any surgical '''stitches''' from samples before microtomy.
*At least for larger samples, consider looking for '''medical imaging''' or '''biopsy reports''' in order to better guide the process.<ref name=chicago>{{cite web|url=https://voices.uchicago.edu/grosspathology/head-neck/thyroid/#primary-column|title=Gross Pathology Manual By The University of Chicago Department of Pathology}} Updated 2-14-19 NAC.</ref>
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*{{Moderate-begin}}At least for larger samples, consider looking for '''medical imaging''' or '''biopsy reports''' in order to better guide the process.{{Moderate-end}}<ref name=chicago>{{cite web|url=https://voices.uchicago.edu/grosspathology/head-neck/thyroid/#primary-column|title=Gross Pathology Manual By The University of Chicago Department of Pathology}} Updated 2-14-19 NAC.</ref>
*Generally, strive to make slices perpendicular to visible '''interfaces''' of different tissues.
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*Generally, strive to make slices perpendicular to visible '''interfaces''' of relevant tissues.
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==Notes==
 
{{Bottom}}
 
{{Bottom}}

Revision as of 14:44, 24 July 2020

Author: Mikael Häggström [note 1]

General notes edit

Further reading:

Following are general notes on selection and trimming in pathology.

Comprehensiveness

On this resource, the following formatting is used for comprehensiveness:

  • Minimal depth
  • (Moderate depth)
  • ((Comprehensive))
  • Generally measure estimated volume or 3 dimensions for samples greater than 0.4 cm in greatest dimension.[notes 1]
  • ((Note the color of the sample, even when unremarkable.((
  • Generally, use inking for resection margins where cancer radicality is important.Template:Ink note Excisions made by laser do not need inking on the excision surfaces, since the coagulated surface can be easily identified in the microscope.[1]
  • (Preferably photograph or make a drawing where slices have been taken.)[2]
  • Remove any surgical stitches from samples before microtomy.
  • (At least for larger samples, consider looking for medical imaging or biopsy reports in order to better guide the process.)[3]
  • Generally, strive to make slices perpendicular to visible interfaces of relevant tissues.

Notes

Notes

  1. Specifying dimensions in 3 dimensions is generally a waste of time for specimens less than 0.4 cm.
  1. 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. Monica Dahlgren, Janne Malina, Anna Måsbäck, Otto Ljungberg. Stora utskärningen. KVAST (Swedish Society of Pathology). Retrieved on 2019-09-26.
  2. Monika Roychowdhury. Grossing (histologic sampling) of breast lesions. Pathologyoutlines.com. Topic Completed: 1 August 2012. Revised: 19 September 2019
  3. . Gross Pathology Manual By The University of Chicago Department of Pathology. Updated 2-14-19 NAC.

Image sources