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Difference between revisions of "Right hemicolectomy for cancer grossing"
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Right hemicolectomy for cancer grossing (view source)
Revision as of 03:30, 18 October 2014
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==Protocol== | ==Protocol== | ||
Specimen: | |||
*Right hemicolectomy. | |||
Dimensions: | |||
*Length large bowel: ___ cm. | |||
*Length small bowel: ___ cm. | |||
*Circumference - proximal end: ___ cm. | |||
*Circumference - distal end: ___ cm. | |||
*Appendix: length ___ cm, diameter ___ cm. | |||
Appearance - external: | |||
*Serosal aspect of bowel: [shiny]. | |||
*Perforation: [present/not present]. | |||
Inking: | |||
*Circumferential margin: [black]. | |||
*Serosal puckering: [blue]. | |||
Tumour characteristics: | |||
*Dimensions (along axis, circumferential, depth): ___ x ___ x ___ cm. | |||
*Distance to nearest mucosal margin: ___ cm, [distal] margin. | |||
*Distance to circumferential margin: ___ cm. | |||
*Circumferential location: [anterior/left/right/posterior/circumferential]. | |||
Representative sections are submitted as follows: | |||
*Proximal margin. ‡ | |||
*Distal margin. ‡ | |||
*Tumour - deepest invasion. | |||
*Additional sections of tumour (1 section/cm). | |||
*All polyps (if less than 10). | |||
*Normal appearing mucosa. | |||
*Lymph nodes. † | |||
===Protocol notes=== | ===Protocol notes=== | ||
*‡ Usually submitted completely and [[en face]]; if the margin is close (<2 cm) [[on edge margin|on edge]] is typically preferred. | |||
*† Recommended minimum number of lymph nodes is 12.<ref name=pmid25234197>{{Cite journal | last1 = Ihnát | first1 = P. | last2 = Delongová | first2 = P. | last3 = Horáček | first3 = J. | last4 = Ihnát Rudinská | first4 = L. | last5 = Vávra | first5 = P. | last6 = Zonča | first6 = P. | title = The Impact of Standard Protocol Implementation on the Quality of Colorectal Cancer Pathology Reporting. | journal = World J Surg | volume = | issue = | pages = | month = Sep | year = 2014 | doi = 10.1007/s00268-014-2796-4 | PMID = 25234197 }}</ref> | |||
*The retroperitoneal margin in right hemicolectomies should be treated like the radial margin in total mesorectal excisions; it should be inked.<ref>URL: [http://www.cancercare.on.ca/common/pages/UserFile.aspx?fileId=13954 http://www.cancercare.on.ca/common/pages/UserFile.aspx?fileId=13954]. Accessed on: 6 February 2013.</ref> Involvement is a poor prognosticator.<ref name=pmid15790712/> | *The retroperitoneal margin in right hemicolectomies should be treated like the radial margin in total mesorectal excisions; it should be inked.<ref>URL: [http://www.cancercare.on.ca/common/pages/UserFile.aspx?fileId=13954 http://www.cancercare.on.ca/common/pages/UserFile.aspx?fileId=13954]. Accessed on: 6 February 2013.</ref> Involvement is a poor prognosticator.<ref name=pmid15790712/> | ||
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===Alternate approaches=== | ===Alternate approaches=== | ||
==See also== | ==See also== | ||
===Related protocols=== | ===Related protocols=== | ||