Orchiectomy grossing

This article deals with the cut-up of orchiectomy specimens.

Introduction

Orchiectomies are typically done for testicular tumours.

They may be done for chronic pain or to control prostate cancer.

Protocol

Dimensions and weight:

• Laterality: [ left / right ].
• Weight: ___ grams.
• Testis: ___ x ___ x ___ cm.
• Epididymis: ___ x ___ x ___ cm.
• Spermatic cord - length: __ cm, diameter: ___ cm.
• Inking: [colour].

Tumour:

• Size: ___ x ___ x ___ cm.
• Colour: [ tan / white / variable ].
• Firmness: [ firm / soft ].
• Morphology: [ solid / cystic / solid and cystic ].
• Circumscription: [circumscribed / infiltrative border ].
• Hemorrhage: [ absent / present ].
• Necrosis: [ absent / present ].
• Extension into tunica albuginea: [ not identified / indeterminate / present ].
• Extension into the epididymis: [ not identified / indeterminate / present ].

Testicular parenchyma: [ brown-tan, unremarkable / ___ ]. Spermatic cord: [ unremarkable / ___ ].