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Difference between revisions of "Orchiectomy grossing"
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Orchiectomy grossing (view source)
Revision as of 18:04, 27 September 2024
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[[Image:Seminoma_of_the_Testis.jpg|thumb|150px|Orchiectomy specimen showing testis replaced by tumour (proven to be [[seminoma]]).]] | [[Image:Seminoma_of_the_Testis.jpg|thumb|150px|Orchiectomy specimen showing testis replaced by tumour (proven to be [[seminoma]]). (WC/Ed Uthman)]] | ||
This article deals with '''orchiectomy grossing'''. | This article deals with '''orchiectomy grossing'''. | ||
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Orchiectomies are typically done for [[testicular tumours]]. | Orchiectomies are typically done for [[testicular tumours]]. | ||
They may be done for chronic pain or to control [[prostate cancer]]. | They may be done for chronic pain<ref name=pmid23929499>{{Cite journal | last1 = Rönkä | first1 = K. | last2 = Vironen | first2 = J. | last3 = Kokki | first3 = H. | last4 = Liukkonen | first4 = T. | last5 = Paajanen | first5 = H. | title = Role of orchiectomy in severe testicular pain after inguinal hernia surgery: audit of the Finnish Patient Insurance Centre. | journal = Hernia | volume = 19 | issue = 1 | pages = 53-9 | month = Feb | year = 2015 | doi = 10.1007/s10029-013-1150-3 | PMID = 23929499 }}</ref> or to control [[prostate cancer]]. Occasionally done in the context of a [[hernia repair]].<ref name=pmid3425809>{{cite journal |authors=Curtsinger LJ, Page CP, Aust JB |title=Orchiectomy during herniorrhaphy: what should we tell the patient? |journal=Am J Surg |volume=154 |issue=6 |pages=636–9 |date=December 1987 |pmid=3425809 |doi=10.1016/0002-9610(87)90232-7 |url=}}</ref> | ||
==Specimen opening== | |||
*Orient the specimen. | |||
**Follow cord to hilum of testis and [[epididymis]]. | |||
*Bisect the testis with one cut toward the hilum. | |||
**Do not cut through. | |||
**If tumour is a large do additional cuts parallel to the first cut to ensure proper [[fixation]]. | |||
*Place specimen(s) in [[formalin]]. | |||
Note: | |||
*Cutting easier if blade wet before cutting. | |||
*[[Marking ink|Inking]] the cord at the margin and mid section of the cord in different colours allows one to reconstruct the location if one has to go back to the gross. | |||
==Protocol== | ==Protocol== | ||
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====Staging==== | ====Staging==== | ||
{{Main|Testicular cancer staging}} | |||
Based on AJCC 7th Edition:<ref>URL: [https://en.wikibooks.org/wiki/Radiation_Oncology/Testis/Staging https://en.wikibooks.org/wiki/Radiation_Oncology/Testis/Staging]. Accessed on: 15 December 2014.</ref><ref name=cancer_org>URL: [http://www.cancer.org/cancer/testicularcancer/detailedguide/testicular-cancer-staging http://www.cancer.org/cancer/testicularcancer/detailedguide/testicular-cancer-staging]. Accessed on: 15 December 2014.</ref> | Based on AJCC 7th Edition:<ref>URL: [https://en.wikibooks.org/wiki/Radiation_Oncology/Testis/Staging https://en.wikibooks.org/wiki/Radiation_Oncology/Testis/Staging]. Accessed on: 15 December 2014.</ref><ref name=cancer_org>URL: [http://www.cancer.org/cancer/testicularcancer/detailedguide/testicular-cancer-staging http://www.cancer.org/cancer/testicularcancer/detailedguide/testicular-cancer-staging]. Accessed on: 15 December 2014.</ref> | ||
*pT2 - into tunica vaginalis or | *pT1 - confined to the testis or epididymis, no [[lymphovascular invasion]]. | ||
*pT3 - into spermatic cord. | *pT2 - into tunica vaginalis or lymphovascular invasion. | ||
*pT3 - into [[spermatic cord]]. | |||
*pT4 - into the [[scrotum]]. | *pT4 - into the [[scrotum]]. | ||
===Alternate approaches=== | ===Alternate approaches=== | ||
==See also== | ==See also== | ||
*[[Testicular cancer staging]]. | |||
===Related protocols=== | ===Related protocols=== | ||
==References== | ==References== | ||
{{Reflist|1}} | {{Reflist|1}} | ||