Difference between revisions of "Grossing of minimally invasive colorectal surgery"

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==Gross report==
 
==Gross report==
 
Example:
 
Example:
{{Grossreport-begin}} a rhomboid-shaped fragment of pink-tan rectal wall measuring 4.5 x 3.7 cm and varying from 0.5 cm to 0.7 cm in thickness. The specimen has been oriented by the surgeon. The proximal margin is designated as 12:00 and the distal margin is designated as 6:00. The right margin is designated as 3:00 and the left margin is designated as 9:00. The surgical margins are inked as follows: 12:00 to 3:00 blue, 3:00 to 6:00 red, 6:00 to 9:00 green, 9:00 to 12:00 orange and deep black. The mucosal surface is tan and smooth and displays a central pale area measuring approximately 1.3 x 1.2 cm. The specimen is serially sectioned from 12:00 to 6:00 (proximal to distal) and entirely submitted for microscopic examination in eight cassettes, with the pale area in cassettes A3-A6. The 12:00 and 6:00 margins are submitted en face.
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{{Grossreport-begin|fresh=yes}} a rhomboid-shaped fragment of pink-tan rectal wall measuring 4.5 x 3.7 cm and varying from 0.5 cm to 0.7 cm in thickness. The specimen has been oriented by the surgeon. The proximal margin is designated as 12:00 and the distal margin is designated as 6:00. The right margin is designated as 3:00 and the left margin is designated as 9:00. The surgical margins are inked as follows: 12:00 to 3:00 blue, 3:00 to 6:00 red, 6:00 to 9:00 green, 9:00 to 12:00 orange and deep black. The mucosal surface is tan and smooth and displays a central pale area measuring approximately 1.3 x 1.2 cm. The specimen is serially sectioned from 12:00 to 6:00 (proximal to distal) and entirely submitted for microscopic examination in eight cassettes, with the pale area in cassettes A3-A6. The 12:00 and 6:00 margins are submitted en face.
 
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Revision as of 12:45, 17 September 2021

Author: Mikael Häggström [note 1]

Gross pathology of minimally invasive colorectal surgery of tubulovillous adenoma.jpg

For a flat intestinal specimen from minimally invasive colorectal surgery:

  • Measure dimensions
  • Ink the surgical margins. If unoriented, ink at least the radial and deep margin in different colors.
  • Describe any lesions
  • Serially section the specimen.
Grossing of minimally invasive colorectal surgery specimen
  • Select tissue for submission:

Gross report

Example:

((A. Labeled - ___. The specimen is received fresh and consists of)) a rhomboid-shaped fragment of pink-tan rectal wall measuring 4.5 x 3.7 cm and varying from 0.5 cm to 0.7 cm in thickness. The specimen has been oriented by the surgeon. The proximal margin is designated as 12:00 and the distal margin is designated as 6:00. The right margin is designated as 3:00 and the left margin is designated as 9:00. The surgical margins are inked as follows: 12:00 to 3:00 blue, 3:00 to 6:00 red, 6:00 to 9:00 green, 9:00 to 12:00 orange and deep black. The mucosal surface is tan and smooth and displays a central pale area measuring approximately 1.3 x 1.2 cm. The specimen is serially sectioned from 12:00 to 6:00 (proximal to distal) and entirely submitted for microscopic examination in eight cassettes, with the pale area in cassettes A3-A6. The 12:00 and 6:00 margins are submitted en face.

Notes

  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.
  2. En face means that the section is tangential to the region of interest (such as a lesion) of a specimen. Further information: Gross_processing#Cutting

Main page

References


Image sources