Difference between revisions of "Thyroid"
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*'''Weigh'''<ref name=chicago/> | *'''Weigh'''<ref name=chicago/> | ||
*'''Measure''' each lobe and isthmus in 3 dimensions, respectively.<ref name=chicago/> | *'''Measure''' each lobe and isthmus in 3 dimensions, respectively.<ref name=chicago/> | ||
− | *'''Ink''' outer surface | + | *'''Ink''' outer surface,<ref name=chicago/> at least if malignancy is suspected.<ref>{{Stora utskärningen}}:{{Ink note}} |
<gallery> | <gallery> | ||
File:Grossing of hemithyroidectomy.svg|Hemithyroidecomy (lobe + isthmus) or lobectomy, including completion thyroidectomies: Use separate colors over the cut surface and the outer “capsular” surface.<ref group="notes" name="coloring">Separate coloring allows to distinguish the thyroid margin (continuous with the other lobe) from the peripheral margin (towards soft tissues).</ref> | File:Grossing of hemithyroidectomy.svg|Hemithyroidecomy (lobe + isthmus) or lobectomy, including completion thyroidectomies: Use separate colors over the cut surface and the outer “capsular” surface.<ref group="notes" name="coloring">Separate coloring allows to distinguish the thyroid margin (continuous with the other lobe) from the peripheral margin (towards soft tissues).</ref> | ||
Line 15: | Line 15: | ||
File:Grossing of thyroidectomy with isthmus.svg|Intact total thyroidectomy: Separate colors for each lobe and the isthmus. | File:Grossing of thyroidectomy with isthmus.svg|Intact total thyroidectomy: Separate colors for each lobe and the isthmus. | ||
File:Grossing of thyroidectomy without isthmus.svg|If no appreciable isthmus, Separate colors for each lobe. | File:Grossing of thyroidectomy without isthmus.svg|If no appreciable isthmus, Separate colors for each lobe. | ||
+ | </gallery> | ||
+ | Serially '''section''' the specimen at 3-4mm intervals,<ref>{{cite web|url=https://www.rcpa.edu.au/Manuals/Macroscopic-Cut-Up-Manual/Endocrine/Thyroid|title=THYROID|website=Royal College of pathologists of Australia|accessdate=2019-12-17}}</ref> such as follows:<ref name=chicago/> | ||
+ | <gallery> | ||
+ | File:Sectioning of hemithyroidectomy.svg|Hemithyroidecomy (lobe + isthmus) or lobectomy: Include isthmic orange margins in your transverse sections. | ||
+ | File:Sectioning of thyroidectomy with isthmus.svg|Intact total thyroidectomy: Transverse lobe sections and sagittal isthmus sections | ||
+ | File:Sectioning of thyroidectomy without isthmus.svg|Short/inconspicious isthmus: The isthmus can be included in the transverse sections. | ||
</gallery> | </gallery> | ||
{{Selection and trimming}} | {{Selection and trimming}} | ||
{{Bottom}} | {{Bottom}} |
Revision as of 11:59, 17 December 2019
Author:
Mikael Häggström [note 1]
Contents
Fixation
Generally 10% neutral buffered formalin. Fix all thyroids at least overnight to avoid artifactual nuclear atypia.[1]
See also: General notes on fixation
Gross processing
Selection and trimming
- Weigh[1]
- Measure each lobe and isthmus in 3 dimensions, respectively.[1]
- Ink outer surface,[1] at least if malignancy is suspected.Cite error: Closing
</ref>
missing for<ref>
tag
File:How to not gross hemithyroidectomy.svg|None of the outer “capsular” surface should be inked like the cut surface.[notes 1] File:Grossing of thyroidectomy with isthmus.svg|Intact total thyroidectomy: Separate colors for each lobe and the isthmus. File:Grossing of thyroidectomy without isthmus.svg|If no appreciable isthmus, Separate colors for each lobe. </gallery> Serially section the specimen at 3-4mm intervals,[2] such as follows:[1]
See also: General notes on gross processing
Notes
- ↑ Cite error: Invalid
<ref>
tag; no text was provided for refs namedcoloring
- ↑ 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
Image sources