Orchiectomy grossing

This article deals with the cut-up of orchiectomy specimens.

Introduction

Orchiectomies are typically done for testicular tumours.

They may be done for chronic pain or to control prostate cancer.

Protocol

Dimensions and weight:

• Laterality: [ left / right ].
• Weight: ___ grams.
• Testis: ___ x ___ x ___ cm.
• Epididymis: ___ x ___ x ___ cm.
• Spermatic cord - length: __ cm, diameter: ___ cm.
• Inking: [colour].

Tumour:

• Size: ___ x ___ x ___ cm.
• Colour: [tan / white / variable].
• Firmness: [firm / soft].
• Morphology: [solid / cystic / solid and cystic].
• Circumscription: [circumscribed / infiltrative border].
• Hemorrhage: [absent / present].
• Necrosis: [absent / present].
• Extension into tunica albuginea: [not identified/indeterminate/present].
• Extension into the epididymis: [not identified/indeterminate/present].

Testicular parenchyma: [brown-tan, unremarkable / ___ ]. Spermatic cord: [unremarkable / ___ ].