Splenectomy grossing
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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).