Vulvectomy grossing: Difference between revisions

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[[Image:Diagram of a 3 in 1 incision vulvectomy CRUK 018.svg|thumb|right|300px|Schematic showing what is removed in a vulvectomy.]]
The protocol is for '''vulvectomy grossing'''.  
The protocol is for '''vulvectomy grossing'''.  


==Introduction==
==Introduction==
This procedure is done for [[vulvar cancer]] ([[vulvar squamous cell carcinoma]] or [[malignant melanoma]]).
This procedure is done for [[vulvar cancer]] ([[vulvar squamous cell carcinoma]] or [[malignant melanoma]]).


==Protocol==
==Protocol==
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*Deep margin: ___ cm.
*Deep margin: ___ cm.


 
Ink code:  
 
The surfaces of both labia majora have multiple well circumscribed, raised/patchy white plaques that range from ____ to _____ cm in largest dimension. [Describe any other findings].
_________ possible lymph nodes are found in the attached fibroadipose tissue that ranges from _______ to _________cm in greatest dimension. ____lymph node(s) is/are grossly suspicious ( ___x ___x ___ cm) for involvement by tumour.
 
INK CODE:  
*Blue:12-to 3-to 6 o’clock half;  
*Blue:12-to 3-to 6 o’clock half;  
*Orange: 6-to-9-to12 o’clock half;  
*Orange: 6-to-9-to12 o’clock half;  
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*Yellow: vaginal margin.
*Yellow: vaginal margin.


SECTION CODE:
Section code:
* Block __, 12 o’clock tip, en face, ink-side up.  
* 12 o’clock tip, en face, ink-side up.  
* Block __, 6 o’clock tip, en face, ink-side up.
* 6 o’clock tip, en face, ink-side up.
* Block __, 3 o’clock margin, en face, ink-side up [submit perpendicular section if tumour <=1cm from margin].
* 3 o’clock margin, en face, ink-side up [submit perpendicular section if tumour <=1cm from margin].
* Block __, 9 o’clock margin, en face, ink-side up [submit perpendicular section if tumour <=1cm from margin].
* 9 o’clock margin, en face, ink-side up [submit perpendicular section if tumour <=1cm from margin].
* Block __ tumour deepest invasion [submit three section with the greatest invasion, include soft tissue and fascia].
* Tumour deepest invasion [submit three section with the greatest invasion, include soft tissue and fascia].
* Block __, urethral margin, en face.
* Urethral margin, en face.
* Block __, vaginal margin, en, face.
* Vaginal margin, en, face.
* Block __, tumour, clitoris.
* Tumour [clitoris/right labium minus/left labium minus/right labium majus/left labium majus/urethra/vagina].
* Block __, tumour, right labium minus.
* Tumour with any other involved structure [perineum, anus, anal canal, rectum, bone, other structures].
* Block __, tumour, left labium minus.
* Lymph nodes.
* Block __, tumour and right labium majus.
* Block __, tumour, and left labium majus.
* Block __, tumour and urethra.
* Block __, tumour and vagina.
* Block __, tumour with any other involved structure [perineum, anus, anal canal, rectum, bone, other structures].
* Block __, Lymph nodes.


===Protocol notes===
===Protocol notes===
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==References==
==References==
 
{{Reflist|2}}
==External links==
==External links==


[[Category:Gynecologic pathology]]
[[Category:Gynecologic pathology]]
[[Category:Gross pathology]]
[[Category:Gross pathology]]
Retrieved from "https://librepathology.org/wiki/Vulvectomy_grossing"