Difference between revisions of "Hysterectomy for endometrial hyperplasia grossing"
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==Introduction== | ==Introduction== | ||
This is a very common procedure as [[ | This is a very common procedure as [[endometrial hyperplasia]] is common. | ||
==Protocol== | ==Protocol== | ||
Revision as of 03:38, 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 as endometrial hyperplasia is common.
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].