Difference between revisions of "Splenectomy grossing"

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==Introduction==
==Introduction==
The spleen is typically removed as it is enlarged (splenomegaly) and/or a source of bleeding.  
The spleen is typically removed as it is enlarged ([[splenomegaly]]) and/or a source of bleeding.  


It may be removed in the context of a hematological disorder and the most common in that context is [[idiopathic thrombocytopenic purpura]].<ref name=pmid24798604>{{Cite journal  | last1 = Jankulovski | first1 = N. | last2 = Antovic | first2 = S. | last3 = Kuzmanovska | first3 = B. | last4 = Mitevski | first4 = A. | title = Splenectomy for haematological disorders. | journal = Pril (Makedon Akad Nauk Umet Odd Med Nauki) | volume = 35 | issue = 1 | pages = 181-7 | month =  | year = 2014 | doi =  | PMID = 24798604 }}</ref> If a splenectomy, is associated with a whiff of hematological disorder, tissue should be sent for [[flow cytometry]].
It may be removed in the context of a hematological disorder, such as [[idiopathic thrombocytopenic purpura]].<ref name=pmid24798604>{{Cite journal  | last1 = Jankulovski | first1 = N. | last2 = Antovic | first2 = S. | last3 = Kuzmanovska | first3 = B. | last4 = Mitevski | first4 = A. | title = Splenectomy for haematological disorders. | journal = Pril (Makedon Akad Nauk Umet Odd Med Nauki) | volume = 35 | issue = 1 | pages = 181-7 | month =  | year = 2014 | doi =  | PMID = 24798604 }}</ref> If a hematological disorder is suspected, tissue should be sent for [[flow cytometry]].


==Specimen opening==
==Specimen opening==
*Weight specimen.
*Cut for fixation.
*Tissue for [[flow cytometry]] - if applicable.
==Protocol==
==Protocol==
*Weight: ___ grams.
*Dimensions: ___ x ___ x ___ cm.
*External surface: [ smooth, negative for lesions, negative for lacerations / adhesions / lacerations / other ___ ].
*Cut surface - colour: [ brown / dark red colour ].
*Lesion(s): number of lesions, size ___ cm, location [ periphery/central ], colour, consistency [ firm/soft ].
*Lymph node(s): [ present - number ___, size ___ cm / absent ].
Sections:
*Any lesions - at least representative.
*Uninvolved spleen - 3 to 5 sections.
*Lymph node(s).
===Protocol notes===
===Protocol notes===
====Staging====
====Staging====
===Alternate approaches===
===Alternate approaches===
==See also==
==See also==
*[[Grossing]].
*[[Grossing]].

Latest revision as of 17:42, 7 September 2016

Splenectomy grossing deals with the cut-up of spleen specimens.

Introduction

The spleen is typically removed as it is enlarged (splenomegaly) and/or a source of bleeding.

It may be removed in the context of a hematological disorder, such as idiopathic thrombocytopenic purpura.[1] If a hematological disorder is suspected, tissue should be sent for flow cytometry.

Specimen opening

  • Weight specimen.
  • Cut for fixation.
  • Tissue for flow cytometry - if applicable.

Protocol

  • Weight: ___ grams.
  • Dimensions: ___ x ___ x ___ cm.
  • External surface: [ smooth, negative for lesions, negative for lacerations / adhesions / lacerations / other ___ ].
  • Cut surface - colour: [ brown / dark red colour ].
  • Lesion(s): number of lesions, size ___ cm, location [ periphery/central ], colour, consistency [ firm/soft ].
  • Lymph node(s): [ present - number ___, size ___ cm / absent ].

Sections:

  • Any lesions - at least representative.
  • Uninvolved spleen - 3 to 5 sections.
  • Lymph node(s).

Protocol notes

Staging

Alternate approaches

See also

Related protocols

References

  1. Jankulovski, N.; Antovic, S.; Kuzmanovska, B.; Mitevski, A. (2014). "Splenectomy for haematological disorders.". Pril (Makedon Akad Nauk Umet Odd Med Nauki) 35 (1): 181-7. PMID 24798604.