Difference between revisions of "Oriented skin ellipse grossing"

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*Specimen labelled as: "[ ]".
*Specimen labelled as: "[ ]".
*Specimen received in: [formalin/fresh].  
*Specimen received in: [formalin/fresh].  
*Type: oriented portion of skin measuring [ ] x [ ] cm (in the plane of surface), by [ ] cm (depth).
*Type: oriented portion of skin measuring [ ] cm [lateral/medial/left/right/superior/inferior/anterior/posterior/proximal/distal] x [ ] cm [lateral/medial/left/right/superior/inferior/anterior/posterior/proximal/distal] (in the plane of surface), by [ ] cm (depth).
*Orientation: [long lateral, short superior].   
*Orientation: [long lateral, short superior].   
*Inking: resection margin blue [lateral/medial/left/right/superior/inferior/proximal/distal] and green [lateral/medial/left/right/superior/inferior/proximal/distal]. †
*Inking: resection margin blue [lateral/medial/left/right/superior/inferior/anterior/posterior/proximal/distal] and green [lateral/medial/left/right/superior/inferior/anterior/posterior/proximal/distal]. †
*Lesion: [ brown ] colour, [ diffuse / patchy] with a [ regular / irregular ] border.
*Lesion: [ brown ] colour, [ diffuse / patchy] with a [ regular / irregular ] border.
*Lesion dimensions: [ ] x [ ] cm (in the plane of surface), by [ ] cm (depth).
*Lesion dimensions: [ ] x [ ] cm (in the plane of surface), by [ ] cm (depth).
*Margins: [ ] peripheral cm, [ ] deep cm.
*Margins: [ ] peripheral cm, [ ] deep cm.


Serially section and submitted in toto:
Serially sectioned with cuts perpendicular to the long axis and submitted in toto:
*Block A1 - tip [lateral/medial/left/right/superior/inferior/proximal/distal].
*Block A1 - tip [lateral/medial/left/right/superior/inferior/anterior/posterior/proximal/distal].
*Block A2-A(X-1) - remainder of specimen.
*Block A2-A(X-1) - remainder of specimen.
*Block AX - tip [lateral/medial/left/right/superior/inferior/proximal/distal].
*Block AX - tip [lateral/medial/left/right/superior/inferior/anterior/posterior/proximal/distal].


===Protocol notes===
===Protocol notes===
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===Related protocols===
===Related protocols===
*[[Unoriented skin ellipses]].
*[[Grossing separately received oriented margins for a skin ellipse]].


==References==
==References==

Latest revision as of 16:18, 5 December 2023

The article deals with small oriented skin ellipse grossing.

Punch biopsies and unoriented skin ellipses are dealt with separately.

Introduction

These specimens are very common.

Protocol

  • Name and patient identifiers on the requisition match the specimen container.
  • Specimen labelled as: "[ ]".
  • Specimen received in: [formalin/fresh].
  • Type: oriented portion of skin measuring [ ] cm [lateral/medial/left/right/superior/inferior/anterior/posterior/proximal/distal] x [ ] cm [lateral/medial/left/right/superior/inferior/anterior/posterior/proximal/distal] (in the plane of surface), by [ ] cm (depth).
  • Orientation: [long lateral, short superior].
  • Inking: resection margin blue [lateral/medial/left/right/superior/inferior/anterior/posterior/proximal/distal] and green [lateral/medial/left/right/superior/inferior/anterior/posterior/proximal/distal]. †
  • Lesion: [ brown ] colour, [ diffuse / patchy] with a [ regular / irregular ] border.
  • Lesion dimensions: [ ] x [ ] cm (in the plane of surface), by [ ] cm (depth).
  • Margins: [ ] peripheral cm, [ ] deep cm.

Serially sectioned with cuts perpendicular to the long axis and submitted in toto:

  • Block A1 - tip [lateral/medial/left/right/superior/inferior/anterior/posterior/proximal/distal].
  • Block A2-A(X-1) - remainder of specimen.
  • Block AX - tip [lateral/medial/left/right/superior/inferior/anterior/posterior/proximal/distal].

Protocol notes

  • † One should avoid black ink if there is any suspicion of melanoma or if the lesion is pigmented. This can be remember by black is bad and green is good!
    • In general, green and blue are the preferred marking ink colours as they are easier to see at the time of embedding.[1]

Alternate approaches

See also

Related protocols

References

  1. Lester, Susan Carole (2010). Manual of Surgical Pathology (3rd ed.). Saunders. pp. 312. ISBN 978-0-323-06516-0.