Difference between revisions of "Gallbladder grossing"

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Line 25: Line 25:
*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].



Latest revision as of 21:20, 22 June 2017

Schematic of a gallbladder. (WC/Madhero88)

This article covers gallbladder grossing, also cholecystectomy specimens.

Introduction

These specimens are very common and could be classified as a ditzel.

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[1]).

Specimen opening

These are not routinely opened before cut-up.

Protocol

  • Specimen: Gallbladder.
  • Received: [intact/opened/open with defect measuring ___ cm].

Dimensions:

  • External dimensions: ___ cm length, ___ cm diameter.
  • Wall thickness (maximal): ___ cm.

Appearance:

  • Serosal surface: [tan and smooth/rough].
  • Lumen contains: [thick green bile/[one/multiple] [yellow/green/black] [calculus/calculi]].
  • Mucosa: [dark green and velvety/granular, hemorrhagic/strawberry-like].
  • Polyp/tumour: [not identified/___ cm in maximal dimension].
  • Wall: [pliable/firm].
  • Neck: [pliable/firm].
  • Cystic duct: [patent/not patent because it [contain calculus/___]].
  • 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.

Protocol notes

Staging

Alternate approaches

See also

Related protocols

References

  1. Hsu, YB.; Yu, SC.; Lee, PH.; Wei, TC. (Apr 1994). "An uncommon cause of biliary obstruction (Mirizzi syndrome): report of five cases.". J Formos Med Assoc 93 (4): 314-9. PMID 7914773.
  2. 2.0 2.1 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. United States and Canadian Academy of Pathology Annual Meeting. Accessed on: April 9, 2017.

External links