Difference between revisions of "Penectomy grossing"
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===Protocol notes=== | ===Protocol notes=== | ||
*Margin inked. | *Margin inked. | ||
*A slice is cut-off the penis at the site of the resection margin. This slice is then divided into left and right with a sagittal cut. Each portion (left and right) is sectioned with parasagittal cuts such that it is submitted as an on edge margin. | *A slice is cut-off the penis at the site of the resection margin. This slice is then divided into left and right with a sagittal cut. Each portion (left and right) is sectioned with parasagittal cuts such that it is submitted as an on edge margin. | ||
*The glans penis should be cut in the midline in the sagittal plane, and parasagittally.<ref name=pmid11474296>{{Cite journal | last1 = Cubilla | first1 = AL. | last2 = Piris | first2 = A. | last3 = Pfannl | first3 = R. | last4 = Rodriguez | first4 = I. | last5 = Agüero | first5 = F. | last6 = Young | first6 = RH. | title = Anatomic levels: important landmarks in penectomy specimens: a detailed anatomic and histologic study based on examination of 44 cases. | journal = Am J Surg Pathol | volume = 25 | issue = 8 | pages = 1091-4 | month = Aug | year = 2001 | doi = | PMID = 11474296 }}</ref> | |||
===Alternate approaches=== | ===Alternate approaches=== | ||
Revision as of 08:11, 2 March 2015
Penectomy is the total or partial removal of the penis.
Introduction
It is done for penile cancer.
Orientation/anatomy note
- Dorsal aspect of penis = where the corpora cavernosa are; "anterior" when the penis is limp and hanging downward.
- Ventral aspect of penis = where the urethra/frenulum are; "posterior" when the penis is limp and hanging downward.
Protocol
Dimensions, weight and inking:
- Type: [partial penectomy / penectomy].
- Size of specimen (length, left-right, dorsal-ventral): ___ x ___ x ___ cm.
- Foreskin size (length, thickness): ___ x ___ cm.
- Inking of margin: [colour].
Tumour:
- Dimensions (length, left-right, dorsal-ventral): ___ x ___ x ___ cm.
- Location: [glans / coronal sulcus].
- Colour: [tan / white].
- Growth pattern: [friable / fungating / papillary / verrucous / ulcerated].
- Consistency: [friable / soft / rubbery / hard ].
- Circumscription: [well demarcated / pushing border / infiltrative border].
- Hemorrhage: [present / absent].
- Necrosis: [present / absent].
- Margin: [nearest margin ___, distance ___ cm / positive margin, location ___].
- Extension into:
- Frenulum: [absent / suspicious / present].
- Glans penis: [absent / suspicious / present].
- Corpora cavernosa: [absent / suspicious / present].
- Corpora spongiosum: [absent / suspicious / present].
- Urethra: [absent / suspicious / present].
Representative sections:
- Resection margin on edge serially sectioned.
Protocol notes
- Margin inked.
- A slice is cut-off the penis at the site of the resection margin. This slice is then divided into left and right with a sagittal cut. Each portion (left and right) is sectioned with parasagittal cuts such that it is submitted as an on edge margin.
- The glans penis should be cut in the midline in the sagittal plane, and parasagittally.[1]