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Intestine with tumor

296 bytes added, 09:42, 26 September 2019
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==Gross examination==
*Determine the proximal (oral) and distal (aboral) parts of the specimen if possible.<ref name=Stora>Unless otherwise specified, refereence is: {{cite web|url=http://www.svfp.se/stora_utskarningen|title=Stora utskärningen|website=KVAST (Swedish Society of Pathology)|author=Monica Dahlgren, Janne Malina, Anna Måsbäck, Otto Ljungberg|accessdate=2019-09-26}}</ref>
*Measure the length and diameter of the entire specimen.<ref name=Stora/>
*Surfaces that appear to overlie a tumor can be inked{{Ink note}}.
*Initial cutting can be:
:*A ''longitudinal'' cut opposite to the tumor if it is relatively demarcated(by sight and/or palpation).:*''CrossTransverse'' (cross-sectional'' ) slicing, until reacing the tumor, particularly for circumferential tumors or those not readily visible.*Measure the distance proximal and distal of to the tumor.<ref name=Stora/>
*Note any accompanying "polyps".<ref name=Stora/>
*Describe the serosa, and whether there are any suspected tumor breakthroughs hereof.<ref name=Stora/>
*Further tumor evaluationEvaluate the following either before or after slicing it up:<ref name=Stora/>:*SizeTumor size
:*The proportion of the circumference involved
:*Distance to Slice the resection edgestumor, either by transverse or longitudinal slicing.<!--ref name=Stora/>· Cut through *Review each slice and note the tumor, preferably depth (in parallel slicesterms of anatomic layer, either transversely possibly with rough percentage thereof) and distance to the serosa or transverse resection margin for any tumor invasion and/or longitudinallyinfiltration.<ref name=Stora/>
· Review each disc ===Tissue selection===Should include:<ref name=Stora/>*The tumor slices that show the deepest penetration. The slices should include tumor relation to the serosa or resection margin, as well as adjacent normal mucosa.*Proximal and distal resection margin, respectively. Take transverse slices except if the tumor is critically close to the margin, in which case it is advisable to take slices perpendicular to that margin, including both the tumor border and note the resection margin.*Take slices of any infiltration in other suspicious findings*Take a slice of the normal intestinal wall *Take slices from any adherent structures and its greatest depth/or organ parts*Carefully go through included mesentery for lymph nodes, and cut each in two parts.
 ===Gross report===Should include:<ref name=Stora/>Bits *Dimensions of entire sample, as well as for microscopic examination: · Take pieces from the tumor that show the deepest penetration, its relation *Distance to the outside proximal and distal resection margins*Depth of the preparation tumor invasion and to normal mucosa/or infiltration{{Reporting}}
· Take pieces from ==Microscopy report==It should include:<ref name=Stora/>*Tumor type<ref name=Stora/>*Degree of differentiation<ref name=Stora/>*Depth of growth and/or infiltration:*Whether the respective resection border, from transverse discs. If the tumor is critically close to a resection border, it is advisable to take pieces perpendicular to the resection border, which includes both the edge portion radical:*Any breakthrough of the tumor serosa and the /or resection border itself.margin*Number of lymph nodes found:*Number of them with metastases:*Number of them with periglandular growth
· Take pieces from any other changes that may occur
 
· Take a piece from the normal intestinal wall and from any adherent structures and organs nearby
 
· Look carefully for lymph nodes in mesocolon and mesentery and all take histology
 
 
 
 
 
 
 
The answer must include information on:
 
· Tumor type and degree of differentiation
 
· Depth of infiltration, as well as radicality
 
· Ev. breakthrough to the surface of the preparation, localization
 
· Number of lymph nodes found, number thereof with metastases, as well as number with periglandular plant (similar to breast cancer). Divided if necessary. in lymph nodes outside the tumor, above and below the same
 
· For colon cancer, Dukes' classification is stated
-->
 
 
===Tissue selection===
===Gross report===
==Microscopic evaluation==
===Microscopyreport===
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