Difference between revisions of "Hysterectomy for endometrial hyperplasia grossing"

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Revision as of 03:36, 24 September 2014

The protocol is for grossing a hysterectomy for endometrial hyperplasia.

Hysterectomies with biopsy proven cancer are dealt with in the hysterectomy for endometrial cancer protocol.

Introduction

This is a very common procedure.

Protocol

Specimen:

  • Hysterectomy for endometrial hyperplasia.

Dimensions:

  • Uterus and cervix: ___x___x___cm.
  • Specimen mass: ____grams.
  • Left ovary: [___x___x___cm / not present].
  • Left fallopian tube: [___x___ cm / not present].
  • Right ovary: [___x___x___cm / not present].
  • Right fallopian tube: [___x___ cm / not present].

Appearance:

  • Shape: [pear-shaped/distorted].
  • Serosal surface: [smooth shiny/
  • Nodules/lesions/masses: [none/____cm in greatest dimension].
  • Ectocervix: [tan-white glistening with a probe patent os of ____cm].
  • Maximal myometrial wall thickness: ___cm.

Internal measures:

  • Endometrial cavity (superior to inferior, cornu to cornu): ____x____cm.
  • Endometrium thickness: ____cm.
  • Masses: [non-identified/intramural and subserosal white, firm, and whorled nodules that range from ____to ____cm in greatest dimension without any hemorrhage or necrosis/ with hemorrahage and necrosis].
  • Right and left ovaries: [tan-white and appear to be atrophic/ ____cortical cysts with/without hemorrhage]. *Right and left fallopian tubes: [unremarkable/ show paratubal cysts, ____cm in greatest dimension].

INK CODE:

  • Blue - anterior serosa.
  • Black - posterior serosa.

SECTION CODE:

  • Anterior cervix.
  • Anterior lower uterine segment.
  • Posterior cervix.
  • Posterior lower uterine segment.
  • Anterior endomyometrium, full thickness.
  • Remainder of the anterior endometrium, entirely submitted sequentially from superior to inferior [include endometrium and 5mm thick myometrium in each section, can put multiple sections in one cassette].
  • Posterior endomyometrium, full thickness.
  • Remainder of the posterior endometrium, entirely submitted sequentially from superior to inferior [include endometrium and 5mm thick myometrium in each section, can put multiple sections in one cassette].
  • Section of firm whorled tan nodules in anterior/posterior myometrium.
  • Any other lesions.
  • Right ovary with hemorrhagic cortical cysts.
  • Right fallopian tube [fimbria submitted entirely], with paratubal cysts.
  • Left ovary.
  • Left fallopian tube [fimbria submitted entirely].

Protocol notes

Alternate approaches

See also

Related protocols

References

External links