Difference between revisions of "Lower anterior resection for cancer grossing"
Jump to navigation
Jump to search
(create) |
|||
| Line 39: | Line 39: | ||
===Protocol notes=== | ===Protocol notes=== | ||
*Recommended minimum number of lymph nodes is 12.<ref name=pmid25234197>{{Cite journal | last1 = Ihnát | first1 = P. | last2 = Delongová | first2 = P. | last3 = Horáček | first3 = J. | last4 = Ihnát Rudinská | first4 = L. | last5 = Vávra | first5 = P. | last6 = Zonča | first6 = P. | title = The Impact of Standard Protocol Implementation on the Quality of Colorectal Cancer Pathology Reporting. | journal = World J Surg | volume = | issue = | pages = | month = Sep | year = 2014 | doi = 10.1007/s00268-014-2796-4 | PMID = 25234197 }}</ref> | |||
====Images==== | ====Images==== | ||
<gallery> | <gallery> | ||
Revision as of 05:11, 24 September 2014
The protocol deals with grossing a lower anterior resection for cancer, abbreviated LAR4ca.
Introduction
This is a very common specimen. It is done for proximal rectal cancers.
Protocol
Specimen:
- Lower anterior resection.
Dimensions:
- Length: ___ cm.
- Circumference - proximal end: ___ cm.
- Circumference - distal end: ___ cm.
- Rectum lenght (distal margin to mesorectal reflection): ___ cm.
Appearance - external:
- Completeness of mesorectal excision: [complete].
- Serosal aspect of bowel: [shiny].
- Perforation: [present/not present].
Inking:
- Circumferential margin: [black].
- Serosal puckering: [blue].
Tumour characteristics:
- Dimensions (along axis, circumferential, depth): ___ x ___ x ___ cm.
- Distance to nearest mucosal margin: ___ cm, [distal] margin.
- Distance to circumferential margin: ___ cm.
- Circumferential location: [anterior/left/right/posterior/circumferential].
Representative sections are submitted as follows:
- Proximal margin.
- Distal margin.
- Tumour - deepest invasion.
- Additional sections of tumour (1 section/cm).
- All polyps (if less than 10).
- Normal appearing mucosa.
- Lymph nodes.
Protocol notes
- Recommended minimum number of lymph nodes is 12.[1]
Images
APR specimen - anterior view. (WC/Hagemani)
APR specimen - lateral. (WC/Hagemani)
APR specimen - inked (WC/Hagemani)
APR specimen - opened (WC/Hagemani)
Alternate approaches
See also
Related protocols
References
- ↑ Ihnát, P.; Delongová, P.; Horáček, J.; Ihnát Rudinská, L.; Vávra, P.; Zonča, P. (Sep 2014). "The Impact of Standard Protocol Implementation on the Quality of Colorectal Cancer Pathology Reporting.". World J Surg. doi:10.1007/s00268-014-2796-4. PMID 25234197.