48,584
edits
Difference between revisions of "Breast grossing"
Jump to navigation
Jump to search
wikify
(wikify) |
|||
| (4 intermediate revisions by the same user not shown) | |||
| Line 1: | Line 1: | ||
[[Image:BreastCancer.jpg|thumb|A breast mastectomy. (WC/Emmanuelm)]] | [[Image:BreastCancer.jpg|thumb|A breast mastectomy. (WC/Emmanuelm)]] | ||
[[Image:Inked Lumpectomy Specimen (6464023675).jpg|thumb|An ink breast lumpectomy specimen. (WC/Ed Uthman)]] | [[Image:Inked Lumpectomy Specimen (6464023675).jpg|thumb|An [[ink]]ed breast lumpectomy specimen. (WC/Ed Uthman)]] | ||
This article deals with '''breast grossing'''. | This article deals with '''breast grossing'''. | ||
| Line 8: | Line 8: | ||
==Specimen opening== | ==Specimen opening== | ||
*Orientation | *Orientation: | ||
**Lumpectomies are usually oriented with a short and long suture as per the surgeon; '''s'''hort is typically '''s'''uperior (aspect) and '''l'''ong is typically '''l'''ateral (aspect). | **Lumpectomies are usually oriented with a short and long suture as per the surgeon; '''s'''hort is typically '''s'''uperior (aspect) and '''l'''ong is typically '''l'''ateral (aspect). | ||
**Mastectomies typically have tissue | **Mastectomies typically have tissue extending toward the axilla known as the "tail". | ||
*Inking. | **The deep aspect in larger specimens can often be identified by the (flat) fascial plane. | ||
*Inking - colours usually as per an institutional standard - see ''Protocol notes'' section. | |||
*Slicing - medial to lateral. | *Slicing - medial to lateral. | ||
| Line 51: | Line 52: | ||
*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>). | *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''. | *‡ 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. | **Hua<ref name=pmid21745648/> suggests: black = posterior, blue = superior, green = inferior, yellow = anterior, red = medial & lateral. | ||