Difference between revisions of "Gastrointestinal tract polyps"

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(→‎Margins: rework)
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*Others comment on what they see and then disclaim based on limitations with something like "... margin clear in plane of section."
*Others comment on what they see and then disclaim based on limitations with something like "... margin clear in plane of section."


The ''Haggitt classification'' is margin call taken to the extreme.
===Haggitt classification===
Surgeons may ask about it 'cause a guy (who probably didn't do a lot of pathology) put it in a widely read surgery textbook.
The ''Haggitt classification'' is a [[staging]] scheme. Surgeons may ask about it 'cause a guy (who probably didn't do a lot of pathology) put it in a widely read surgery textbook.
In short:<ref>URL: [http://www.ganfyd.org/index.php?title=Haggitt_classification http://www.ganfyd.org/index.php?title=Haggitt_classification]. Accessed on: 19 March 2011.</ref><ref name=pmid4007423>{{Cite journal  | last1 = Haggitt | first1 = RC. | last2 = Glotzbach | first2 = RE. | last3 = Soffer | first3 = EE. | last4 = Wruble | first4 = LD. | title = Prognostic factors in colorectal carcinomas arising in adenomas: implications for lesions removed by endoscopic polypectomy. | journal = Gastroenterology | volume = 89 | issue = 2 | pages = 328-36 | month = Aug | year = 1985 | doi =  | PMID = 4007423 }}</ref>
In short:<ref>URL: [http://www.ganfyd.org/index.php?title=Haggitt_classification http://www.ganfyd.org/index.php?title=Haggitt_classification]. Accessed on: 19 March 2011.</ref><ref name=pmid4007423>{{Cite journal  | last1 = Haggitt | first1 = RC. | last2 = Glotzbach | first2 = RE. | last3 = Soffer | first3 = EE. | last4 = Wruble | first4 = LD. | title = Prognostic factors in colorectal carcinomas arising in adenomas: implications for lesions removed by endoscopic polypectomy. | journal = Gastroenterology | volume = 89 | issue = 2 | pages = 328-36 | month = Aug | year = 1985 | doi =  | PMID = 4007423 }}</ref>
*0 - intramucosal carcinoma.
*0 - intramucosal carcinoma.
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*3 - stalk of polyp.
*3 - stalk of polyp.
*4 - submucosa of the bowel wall but above muscularis propria.
*4 - submucosa of the bowel wall but above muscularis propria.
It is a little scheme that is mostly useless. In the real world surgical pathology most polyps do not have a discernible neck or stalk.  
It is mostly useless; most polyps do not have a discernible neck or stalk.  


Note:  
Note:  
*Dr. Haggitt is know for his tragic demise. He was shot by a resident that was about to be fired.<ref>Two die in UW medical school shooting. seattlepi.com. URL: [http://www.seattlepi.com/local/pathweb.shtml http://www.seattlepi.com/local/pathweb.shtml]. Accessed on: April 23, 2009.</ref>
*Dr. Haggitt is know for his tragic demise. He was shot by a resident that was about to be fired.<ref>Rodger C. Haggitt Endowed Chair in Gastroenterology. URL: [http://depts.washington.edu/givemed/prof-chair/endowments/rodger-haggitt/ http://depts.washington.edu/givemed/prof-chair/endowments/rodger-haggitt/]. Accessed on: February 2, 2013.</ref>


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