Difference between revisions of "Breast grossing"
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*Surface disruption/intactness: [intact/disrupted at (location) - defect measures ___ cm]. | *Surface disruption/intactness: [intact/disrupted at (location) - defect measures ___ cm]. | ||
*Skin: [___ x ___ cm/absent]. | *Skin: [___ x ___ cm/absent]. | ||
*Inking code: [posterior-black, anterior-yellow, superior-blue, interior-red]. | *Inking code: [posterior-black, anterior-yellow, superior-blue, interior-red].‡ | ||
Slices: | Slices: | ||
| Line 34: | Line 34: | ||
*Other findings: [none/description of other findings]. | *Other findings: [none/description of other findings]. | ||
Sections: | |||
*Margins - [[on edge]] if section can be taken with tumour and margin. | |||
*Tumour - in total if small (<2 cm<ref name=pmid21745648>{{Cite journal | last1 = Huo | first1 = L. | title = A practical approach to grossing breast specimens. | journal = Ann Diagn Pathol | volume = 15 | issue = 4 | pages = 291-301 | month = Aug | year = 2011 | doi = 10.1016/j.anndiagpath.2011.03.005 | PMID = 21745648 }}</ref>). | |||
===Protocol notes=== | ===Protocol notes=== | ||
*‡ There is no universally accepted inking protocol. Blue for superior and green for inferior is common, as ''the sky is blue and the grass is green''. | |||
**Hua<ref name=pmid21745648/> suggests: black = posterior, blue = superior, green = inferior, yellow = anterior, red = medial & lateral. | |||
====Staging==== | ====Staging==== | ||
===Alternate approaches=== | ===Alternate approaches=== | ||
Revision as of 20:51, 10 March 2016
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This article deals with partial mastectomy grossing.
Introduction
A common procedure for breast lesions that are small.
Protocol
Specimen - type/size/characteristics:
- Specimen type: partial mastectomy.
- Specimen orientation: [short-superior, long-lateral, double deep].
- Surgical guidewire: [present/absent].
- Specimen size (superior-inferior, medial-lateral, anterior-posterior): [___ x ___ x ___] cm.
- Surface disruption/intactness: [intact/disrupted at (location) - defect measures ___ cm].
- Skin: [___ x ___ cm/absent].
- Inking code: [posterior-black, anterior-yellow, superior-blue, interior-red].‡
Slices:
- Slicing: [medial-to-lateral, parasagittal cuts].
- Number of slices: [number].
- Slices sent of x-ray: [yes/no].
- Calcifications: [present/not identified].
Tumour:
- Tumour location in slices: [___ to ___].
- Tumour size (superior-inferior, medial-lateral, anterior-posterior): [___ x ___ x ___] cm.
- Closest margin and distance: [___ margin, ___ cm].
- Distance to other margins: [anterior: [___ cm/not applicable], posterior: [___ cm/not applicable], superior [___ cm/not applicable], inferior [___ cm/not applicable], medial: [___ cm/not applicable], lateral: [___ cm/not applicable].
Other:
- Uninvolved parenchyma - appearance: [fibrous/fatty].
- Other findings: [none/description of other findings].
Sections:
- Margins - on edge if section can be taken with tumour and margin.
- Tumour - in total if small (<2 cm[1]).
Protocol notes
- ‡ There is no universally accepted inking protocol. Blue for superior and green for inferior is common, as the sky is blue and the grass is green.
- Hua[1] suggests: black = posterior, blue = superior, green = inferior, yellow = anterior, red = medial & lateral.