49,260
edits
Difference between revisions of "Hysterectomy for endometrial cancer grossing"
Jump to navigation
Jump to search
Hysterectomy for endometrial cancer grossing (view source)
Revision as of 17:11, 15 October 2021
, 17:11, 15 October 2021→Introduction
(create) |
|||
| (4 intermediate revisions by the same user not shown) | |||
| Line 1: | Line 1: | ||
[[Image:Endometrial_adenocarcinoma_gross.jpg|thumb|300px|right|Gross image of endometrial adenocarcinoma.]] | |||
The protocol is for grossing a '''hysterectomy for endometrial cancer'''. | The protocol is for grossing a '''hysterectomy for endometrial cancer'''. | ||
| Line 5: | Line 6: | ||
==Introduction== | ==Introduction== | ||
This is a very common procedure as [[endometrial cancer]]. | This is a very common procedure as [[endometrial cancer]]. | ||
==Opening== | |||
===Orientation of hysterectomies=== | |||
*Less peritoneum on anterior (as the [[urinary bladder]] is there). | |||
**'''P'''osterior '''p'''eritoneal edge: '''p'''ointy (upside down triangle). | |||
***Anterior peritoneal edge: rounded/non-pointy. | |||
*Tubes on anterior-lateral aspect.<ref>{{Ref Lester3|425}}</ref> | |||
**Round ligaments posterior to tubes. | |||
==Protocol== | ==Protocol== | ||
| Line 51: | Line 60: | ||
***Necrosis: absent. | ***Necrosis: absent. | ||
Inking code: | |||
*Green - anterior serosa. | *Green - anterior serosa. | ||
*Black - posterior serosa. | *Black - posterior serosa. | ||
Representative sections: | |||
* Anterior cervix. | * Anterior cervix. | ||
* Anterior lower uterine segment. | * Anterior lower uterine segment. | ||
| Line 71: | Line 80: | ||
===Protocol notes=== | ===Protocol notes=== | ||
In [[BRCA|BRCA1 mutation or BRCA2 mutation carriers]], the ovaries and tubes should be [[submitted in total]].<ref name=pmid24495259>{{Cite journal | last1 = Downes | first1 = MR. | last2 = Allo | first2 = G. | last3 = McCluggage | first3 = WG. | last4 = Sy | first4 = K. | last5 = Ferguson | first5 = SE. | last6 = Aronson | first6 = M. | last7 = Pollett | first7 = A. | last8 = Gallinger | first8 = S. | last9 = Bilbily | first9 = E. | title = Review of findings in prophylactic gynaecological specimens in Lynch syndrome with literature review and recommendations for grossing. | journal = Histopathology | volume = 65 | issue = 2 | pages = 228-39 | month = Aug | year = 2014 | doi = 10.1111/his.12386 | PMID = 24495259 }}</ref> | |||
===Alternate approaches=== | ===Alternate approaches=== | ||