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Difference between revisions of "Gross pathology"
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===Components=== | ===Components=== | ||
#Orient the specimen. | #Orient the specimen. | ||
#Paint with ink - if applicable. | #Paint with [[marking ink|ink]] - if applicable. | ||
#*A good general rule is: ''ink before you think''. | #*A good general rule is: ''ink before you think''. | ||
#Cut open for fixation - if not immediately blocked. | #Cut open for fixation - if not immediately blocked. | ||
#+/-Weigh. | |||
#+/-Insert paper towels in the cuts (book marking) for [[fixation]]. | |||
==Gross only== | ==Gross only== | ||
Which specimens are "gross only" typically depends on institutional policy.<ref name=pmid10050786>{{Cite journal | last1 = Zarbo | first1 = RJ. | last2 = Nakhleh | first2 = RE. | title = Surgical pathology specimens for gross examination only and exempt from submission: a College of American Pathologists Q-Probes study of current policies in 413 institutions. | journal = Arch Pathol Lab Med | volume = 123 | issue = 2 | pages = 133-9 | month = Feb | year = 1999 | doi = 10.1043/0003-9985(1999)1230133:SPSFGE2.0.CO;2 | PMID = 10050786 }}</ref> | Gross only specimens are examined only at the grossing bench; no microscopy is done. Which specimens are considered "gross only" typically depends on institutional policy.<ref name=pmid10050786>{{Cite journal | last1 = Zarbo | first1 = RJ. | last2 = Nakhleh | first2 = RE. | title = Surgical pathology specimens for gross examination only and exempt from submission: a College of American Pathologists Q-Probes study of current policies in 413 institutions. | journal = Arch Pathol Lab Med | volume = 123 | issue = 2 | pages = 133-9 | month = Feb | year = 1999 | doi = 10.1043/0003-9985(1999)1230133:SPSFGE2.0.CO;2 | PMID = 10050786 }}</ref> | ||
===Common gross only specimens=== | ===Common gross only specimens=== | ||
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*[[Femoral head]] with [[osteoarthritis]] - no [[hip fracture|fracture]] & no history of cancer. | *[[Femoral head]] with [[osteoarthritis]] - no [[hip fracture|fracture]] & no history of cancer. | ||
*[[Calcific aortic stenosis]]. | *[[Calcific aortic stenosis]]. | ||
==How to gross== | |||
===Principles of grossing=== | |||
{{Main|Principles of grossing}} | |||
This article is discusses generalities in grossing. | |||
===Dermatopathology=== | |||
{| class="wikitable sortable" | |||
! Specimen | |||
! Comments | |||
|- | |||
| [[Abdominal pannus grossing|Abdominal pannus]] | |||
| often [[gross only]] | |||
|} | |||
===Cardiovascular=== | |||
{| class="wikitable sortable" | |||
! Specimen | |||
! Comments | |||
|- | |||
| [[Aortic valve grossing|Aortic valve]] | |||
| may be [[gross only]] | |||
|- | |||
| [[Mitral valve grossing|Mitral valve]] | |||
| may be [[gross only]] | |||
|} | |||
===Orthopedic=== | |||
{| class="wikitable sortable" | |||
! Specimen | |||
! Comments | |||
|- | |||
| [[Femoral head grossing|Femoral head]] | |||
| may be [[gross only]] | |||
|- | |||
| [[Knee replacement specimen grossing|Knee replacement]] | |||
| [[Soft tissue pathology]] | |||
|} | |||
===Genitourinary=== | |||
{| class="wikitable sortable" | |||
! Specimen | |||
! Comments | |||
|- | |||
| [[Cystoprostatectomy]] | |||
| indication: urothelial carcinoma | |||
|- | |||
| [[Orchiectomy]] | |||
| | |||
|- | |||
| [[Partial cystectomy]] | |||
| indication: [[urachal carcinoma]] | |||
|- | |||
| [[Partial nephrectomy]] | |||
| indication: [[renal cell carcinoma]] | |||
|- | |||
| [[Penectomy]] | |||
| | |||
|- | |||
| [[Prostate biopsy]] | |||
| | |||
|- | |||
| [[Prostate chips]] | |||
| indication: [[nodular hyperplasia of the prostate|BPH]] | |||
|- | |||
| [[Radical cystectomy]] | |||
| | |||
|- | |||
| [[Radical prostatectomy]] | |||
| | |||
|- | |||
| [[Total nephrectomy for tumour]] | |||
| | |||
|- | |||
| [[Nephroureterectomy]] | |||
| indication: [[urothelial carcinoma]] | |||
|} | |||
===Gastrointestinal=== | |||
{| class="wikitable sortable" | |||
! Specimen | |||
! Comments | |||
|- | |||
| [[Partial colectomy for diverticular disease]] | |||
| | |||
|- | |||
| [[Lower anterior resection for cancer]] | |||
| | |||
|} | |||
===Gynecologic=== | |||
{| class="wikitable sortable" | |||
! Specimen | |||
! Comments | |||
|- | |||
| [[Hysterectomy for fibroids]] | |||
| | |||
|- | |||
| [[Cervical cone]] | |||
| | |||
|- | |||
| [[Hysterectomy for endometrial hyperplasia]] | |||
| see also ''[[hysterectomy for endometrial cancer]]'' | |||
|- | |||
| [[Hysterectomy for endometrial cancer]] | |||
| see also ''[[hysterectomy for endometrial hyperplasia]]'' | |||
|- | |||
| [[Radical hysterectomy for cervical cancer]] | |||
| | |||
|- | |||
| [[Vulvectomy]] | |||
| | |||
|} | |||
==Gross pathology spot diagnoses== | ==Gross pathology spot diagnoses== | ||
{{Main|Gross pathology spot diagnoses}} | {{Main|Gross pathology spot diagnoses}} | ||
This is a long list of things that can be identified with a reasonable certainty on gross. | |||
==See also== | ==See also== | ||
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*[http://www.artandmedicine.com/Index.html Old (black & white) gross pathology (artandmedicine.com)]. | *[http://www.artandmedicine.com/Index.html Old (black & white) gross pathology (artandmedicine.com)]. | ||
*[http://www.rcpa.edu.au/Library/Practising-Pathology/Macroscopic-Cut-Up/Home.aspx Cut-up manual from the RCPA (rcpa.edu.au)]. | *[http://www.rcpa.edu.au/Library/Practising-Pathology/Macroscopic-Cut-Up/Home.aspx Cut-up manual from the RCPA (rcpa.edu.au)]. | ||
*[http://www.qmul.ac.uk/bartspathology/specimens/index.html Barts Pathology Museum (qmul.ac.uk)]. | |||
*[http://pathinfo.wikia.com/wiki/Specimen_Grossing_Manual Grossing Manual - Pathology Resident Wiki (wikia.com)]. | |||
*[https://grosspathology-sites.uchicago.edu/ Gross Pathology - U of Chicago (uchicago.edu)]. | |||
[[Category: | [[Category:Gross pathology]] | ||