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Difference between revisions of "Radical cystectomy grossing"
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Radical cystectomy grossing (view source)
Revision as of 03:13, 11 October 2016
, 03:13, 11 October 2016no edit summary
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**Posterior - typically has serosa (shiny). | **Posterior - typically has serosa (shiny). | ||
**Uterus, uterine tubes and ovaries posterior to bladder. | **Uterus, uterine tubes and ovaries posterior to bladder. | ||
*Inking: | *[[Inking]]: | ||
**Urethra margin - green ink. | **Urethra margin - green ink. | ||
**Anterior urinary bladder site of | **Anterior urinary bladder site of opening (blue ink): | ||
***Line 1: anterior bladder base toward upper left. | ***Line 1: anterior bladder base toward upper left. | ||
***Line 2: anterior bladder base toward upper right. | ***Line 2: anterior bladder base toward upper right. | ||
**If total hysterectomy - soft tissue margin - black ink | **If total hysterectomy - soft tissue margin - black ink. | ||
*Opening: | *Opening: | ||
**Open anteriorly through the urethra and follow the ink upward to left and upward to right - such that anterior bladder wall can be flipped upward. | **Open anteriorly through the urethra and follow the ink upward to left and upward to right - such that anterior bladder wall can be flipped upward. | ||
**Open the uterus - if present - with | **Open the uterus - if present - with scissors through the external os with cuts on the lateral walls. | ||
*Specimen should be pinned open on a large block of paraffin wax. | *Specimen should be pinned open on a large block of paraffin wax. | ||
**A paper towel should be placed behind the specimen - between the specimen and | **A paper towel should be placed behind the specimen - between the specimen and paraffin wax. | ||
*Place specimen(s) in [[formalin]]. | *Place specimen(s) in [[formalin]]. | ||