Difference between revisions of "Breast grossing"
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====Staging==== | ====Staging==== | ||
{{Main|Breast cancer staging}} | {{Main|Breast cancer staging}} | ||
The important cut-points for tumour | The important cut-points (at the time of gross) for tumour staging are: 5, 10, 20, 50 mm. | ||
===Alternate approaches=== | ===Alternate approaches=== |
Revision as of 22:56, 10 March 2016
This article deals with partial mastectomy grossing.
Introduction
A common procedure for breast lesions that are small.
Specimen opening
- Orientation.
- Inking.
- Slicing - medial to lateral.
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
Main article: Breast cancer staging
The important cut-points (at the time of gross) for tumour staging are: 5, 10, 20, 50 mm.