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Difference between revisions of "Hysterectomy for endometrial hyperplasia grossing"
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Hysterectomy for endometrial hyperplasia grossing (view source)
Revision as of 17:11, 15 October 2021
, 17:11, 15 October 2021→Introduction
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Sampling in these specimens is important, as one wants to identify [[endometrial cancer]] if it is present or be relatively certain it is absent. | Sampling in these specimens is important, as one wants to identify [[endometrial cancer]] if it is present or be relatively certain it is absent. | ||
==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== | ||
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===Protocol notes=== | ===Protocol notes=== | ||
In [[BRCA|BRCA1 mutation or BRCA2 mutation carriers]] (in addition to the endometrium and lower uterine segment), 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=== | ||
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*[[Radical hysterectomy for cervical cancer]]. | *[[Radical hysterectomy for cervical cancer]]. | ||
*[[Hysterectomy for benign disease]]. | *[[Hysterectomy for benign disease]]. | ||
*[[Hysterectomy for endometrial cancer grossing]]. | |||
==References== | ==References== | ||
{{Reflist|1}} | |||
==External links== | ==External links== | ||
[[Category:Gynecologic pathology]] | [[Category:Gynecologic pathology]] | ||
[[Category:Gross pathology]] | [[Category:Gross pathology]] | ||