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Difference between revisions of "Gallbladder grossing"
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These specimens are very common and could be classified as a [[ditzel]]. | These specimens are very common and could be classified as a [[ditzel]]. | ||
Cholecystectomies are usually done for [[chronic cholecystitis]] (increasingly common due to prevalence of [[obesity]]). Less common indications are [[acute cholecystitis]] and [[gallstones]] (may cause [[gallstone pancreatitis]], [[Mirizzi syndrome]] | Cholecystectomies are usually done for [[chronic cholecystitis]] (increasingly common in western countries due to the increasing prevalence of [[obesity]]). Less common indications are [[acute cholecystitis]] and [[gallstones]] (may cause [[gallstone pancreatitis]], [[Mirizzi syndrome]]<ref name=pmid7914773>{{Cite journal | last1 = Hsu | first1 = YB. | last2 = Yu | first2 = SC. | last3 = Lee | first3 = PH. | last4 = Wei | first4 = TC. | title = An uncommon cause of biliary obstruction (Mirizzi syndrome): report of five cases. | journal = J Formos Med Assoc | volume = 93 | issue = 4 | pages = 314-9 | month = Apr | year = 1994 | doi = | PMID = 7914773 }}</ref>). | ||
==Specimen opening== | ==Specimen opening== | ||
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Appearance: | Appearance: | ||
*Serosal surface: [tan and smooth/rough]. | *Serosal surface: [tan and smooth/rough]. | ||
*Lumen contains: [thick green bile/multiple [yellow/green/black] calculi]. | *Lumen contains: [thick green bile/[one/multiple] [yellow/green/black] [calculus/calculi]]. | ||
*Mucosa: [dark green and velvety/granular, hemorrhagic/strawberry-like]. | *Mucosa: [dark green and velvety/granular, hemorrhagic/strawberry-like]. | ||
*Polyp/tumour: [not identified/___ cm in maximal dimension]. | *Polyp/tumour: [not identified/___ cm in maximal dimension]. | ||
*Wall: [pliable/firm]. | *Wall: [pliable/firm]. | ||
*Neck: [pliable/firm]. | *Neck: [pliable/firm]. | ||
*Cystic duct: [patent/not patent]. | *Cystic duct: [patent/not patent because it [contain calculus/___]]. | ||
*Cystic duct lymph node: [not identified/present, measuring ___ cm in greatest dimension]. | *Cystic duct lymph node: [not identified/present, measuring ___ cm in greatest dimension]. | ||
Sections: | |||
*Representive sections of the neck, body and fundus, including the cystic duct lymph node, are submitted in one cassette. | *Representive sections of the neck, body and fundus, including the cystic duct lymph node, are submitted in one cassette. | ||
===Protocol notes=== | ===Protocol notes=== | ||
*High-grade [[gallbladder dysplasia|dysplasia]] ''should'' prompt submitting the gallbladder in total, if cancer is not present.<ref name=uscap2017_akki/> | |||
*[[Intestinal metaplasia of the gallbladder]] does ''not'' have to be [[submitted in total]].<ref name=uscap2017_akki>Akki ''et al.'' (2017) "Detecting Incidental Gallbladder Adenocarcinoma: When to Submit the Entire Gallbladder". Available at: [http://www.abstracts2view.com/uscap17/view.php?nu=USCAP17L_2016 http://www.abstracts2view.com/uscap17/view.php?nu=USCAP17L_2016]. United States and Canadian Academy of Pathology Annual Meeting. Accessed on: April 9, 2017.</ref> | |||
====Staging==== | ====Staging==== | ||
===Alternate approaches=== | ===Alternate approaches=== | ||
==See also== | ==See also== | ||
===Related protocols=== | ===Related protocols=== | ||
==References== | ==References== | ||
{{Reflist|1}} | {{Reflist|1}} | ||
==External links== | ==External links== | ||
[[Category:Gross pathology]] | [[Category:Gross pathology]] | ||