Difference between revisions of "Breast grossing"

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*Surface disruption/intactness: [intact/disrupted at (location) - defect measures ___ cm].
*Surface disruption/intactness: [intact/disrupted at (location) - defect measures ___ cm].
*Skin: [___ x ___ cm/absent].
*Skin: [___ x ___ cm/absent].
*Inking code: [posterior-black, anterior-yellow, superior-blue, interior-red].
*Inking code: [posterior-black, anterior-yellow, superior-blue, interior-red].


Slices:
Slices:
Line 34: Line 34:
*Other findings: [none/description of other findings].
*Other findings: [none/description of other findings].


Sections:
*Margins - [[on edge]] if section can be taken with tumour and margin.
*Tumour - in total if small (<2 cm<ref name=pmid21745648>{{Cite journal  | last1 = Huo | first1 = L. | title = A practical approach to grossing breast specimens. | journal = Ann Diagn Pathol | volume = 15 | issue = 4 | pages = 291-301 | month = Aug | year = 2011 | doi = 10.1016/j.anndiagpath.2011.03.005 | PMID = 21745648 }}</ref>).
===Protocol notes===
===Protocol notes===
*‡ There is no universally accepted inking protocol. Blue for superior and green for inferior is common, as ''the sky is blue and the grass is green''.
**Hua<ref name=pmid21745648/> suggests: black = posterior, blue = superior, green = inferior, yellow = anterior, red = medial & lateral.
====Staging====
====Staging====
===Alternate approaches===
===Alternate approaches===

Revision as of 20:51, 10 March 2016

An ink breast lumpectomy specimen. (WC/Ed Uthman)

This article deals with partial mastectomy grossing.

Introduction

A common procedure for breast lesions that are small.

Protocol

Specimen - type/size/characteristics:

  • Specimen type: partial mastectomy.
  • Specimen orientation: [short-superior, long-lateral, double deep].
  • Surgical guidewire: [present/absent].
  • Specimen size (superior-inferior, medial-lateral, anterior-posterior): [___ x ___ x ___] cm.
  • Surface disruption/intactness: [intact/disrupted at (location) - defect measures ___ cm].
  • Skin: [___ x ___ cm/absent].
  • Inking code: [posterior-black, anterior-yellow, superior-blue, interior-red].‡

Slices:

  • Slicing: [medial-to-lateral, parasagittal cuts].
  • Number of slices: [number].
  • Slices sent of x-ray: [yes/no].
  • Calcifications: [present/not identified].

Tumour:

  • Tumour location in slices: [___ to ___].
  • Tumour size (superior-inferior, medial-lateral, anterior-posterior): [___ x ___ x ___] cm.
  • Closest margin and distance: [___ margin, ___ cm].
  • Distance to other margins: [anterior: [___ cm/not applicable], posterior: [___ cm/not applicable], superior [___ cm/not applicable], inferior [___ cm/not applicable], medial: [___ cm/not applicable], lateral: [___ cm/not applicable].

Other:

  • Uninvolved parenchyma - appearance: [fibrous/fatty].
  • Other findings: [none/description of other findings].

Sections:

  • Margins - on edge if section can be taken with tumour and margin.
  • Tumour - in total if small (<2 cm[1]).

Protocol notes

  • ‡ There is no universally accepted inking protocol. Blue for superior and green for inferior is common, as the sky is blue and the grass is green.
    • Hua[1] suggests: black = posterior, blue = superior, green = inferior, yellow = anterior, red = medial & lateral.

Staging

Alternate approaches

See also

Related protocols

References

  1. 1.0 1.1 Huo, L. (Aug 2011). "A practical approach to grossing breast specimens.". Ann Diagn Pathol 15 (4): 291-301. doi:10.1016/j.anndiagpath.2011.03.005. PMID 21745648.

External links