Gallbladder grossing - Revision history

Michael: /* Protocol */

2017-06-22T21:20:05Z

Protocol

← Older revision		Revision as of 21:20, 22 June 2017
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	*Wall: [pliable/firm].		*Wall: [pliable/firm].
	*Neck: [pliable/firm].		*Neck: [pliable/firm].
	*Cystic duct: [patent/not patent].		*Cystic duct: [patent/not patent because it [contain calculus/___]].
	*Cystic duct lymph node: [not identified/present, measuring ___ cm in greatest dimension].		*Cystic duct lymph node: [not identified/present, measuring ___ cm in greatest dimension].

Michael: /* Protocol */

2017-06-22T21:18:15Z

Protocol

← Older revision		Revision as of 21:18, 22 June 2017
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	Appearance:		Appearance:
	*Serosal surface: [tan and smooth/rough].		*Serosal surface: [tan and smooth/rough].
	*Lumen contains: [thick green bile/multiple [yellow/green/black] calculi].		*Lumen contains: [thick green bile/[one/multiple] [yellow/green/black] [calculus/calculi]].
	*Mucosa: [dark green and velvety/granular, hemorrhagic/strawberry-like].		*Mucosa: [dark green and velvety/granular, hemorrhagic/strawberry-like].
	*Polyp/tumour: [not identified/___ cm in maximal dimension].		*Polyp/tumour: [not identified/___ cm in maximal dimension].
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	====Staging====		====Staging====
	===Alternate approaches===		===Alternate approaches===

	==See also==		==See also==
	===Related protocols===		===Related protocols===

Michael: /* References */

2017-04-09T14:40:08Z

References

← Older revision		Revision as of 14:40, 9 April 2017
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	==References==		==References==
	{{Reflist\|1}}		{{Reflist\|1}}

	==External links==		==External links==
	[[Category:Gross pathology]]		[[Category:Gross pathology]]

Michael at 14:39, 9 April 2017

2017-04-09T14:39:58Z

← Older revision		Revision as of 14:39, 9 April 2017
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	===Protocol notes===		===Protocol notes===
			*High-grade [[gallbladder dysplasia\|dysplasia]] ''should'' prompt submitting the gallbladder in total, if cancer is not present.<ref name=uscap2017_akki/>
	*[[Intestinal metaplasia of the gallbladder]] does ''not'' have to be [[submitted in total]].<ref name=uscap2017_akki>Akki ''et al.'' (2017) "Detecting Incidental Gallbladder Adenocarcinoma: When to Submit the Entire Gallbladder". Available at: [http://www.abstracts2view.com/uscap17/view.php?nu=USCAP17L_2016 http://www.abstracts2view.com/uscap17/view.php?nu=USCAP17L_2016]. United States and Canadian Academy of Pathology Annual Meeting. Accessed on: April 9, 2017.</ref>		*[[Intestinal metaplasia of the gallbladder]] does ''not'' have to be [[submitted in total]].<ref name=uscap2017_akki>Akki ''et al.'' (2017) "Detecting Incidental Gallbladder Adenocarcinoma: When to Submit the Entire Gallbladder". Available at: [http://www.abstracts2view.com/uscap17/view.php?nu=USCAP17L_2016 http://www.abstracts2view.com/uscap17/view.php?nu=USCAP17L_2016]. United States and Canadian Academy of Pathology Annual Meeting. Accessed on: April 9, 2017.</ref>
	*High-grade [[gallbladder dysplasia\|dysplasia]] ''should'' prompt submitting the gallbladder in total, if cancer is not present.<ref name=uscap2017_akki/>
	====Staging====		====Staging====
	===Alternate approaches===		===Alternate approaches===

Michael at 14:38, 9 April 2017

2017-04-09T14:38:23Z

← Older revision		Revision as of 14:38, 9 April 2017
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	*Representive sections of the neck, body and fundus, including the cystic duct lymph node, are submitted in one cassette.		*Representive sections of the neck, body and fundus, including the cystic duct lymph node, are submitted in one cassette.

	~~Notes:~~		===Protocol notes===
	*[[Intestinal metaplasia of the gallbladder]] does ''not'' have to be [[submitted in total]].<ref name=uscap2017_akki>Akki ''et al.'' (2017) "Detecting Incidental Gallbladder Adenocarcinoma: When to Submit the Entire Gallbladder". Available at: [http://www.abstracts2view.com/uscap17/view.php?nu=USCAP17L_2016 http://www.abstracts2view.com/uscap17/view.php?nu=USCAP17L_2016]. United States and Canadian Academy of Pathology Annual Meeting. Accessed on: April 9, 2017.</ref>		*[[Intestinal metaplasia of the gallbladder]] does ''not'' have to be [[submitted in total]].<ref name=uscap2017_akki>Akki ''et al.'' (2017) "Detecting Incidental Gallbladder Adenocarcinoma: When to Submit the Entire Gallbladder". Available at: [http://www.abstracts2view.com/uscap17/view.php?nu=USCAP17L_2016 http://www.abstracts2view.com/uscap17/view.php?nu=USCAP17L_2016]. United States and Canadian Academy of Pathology Annual Meeting. Accessed on: April 9, 2017.</ref>
	*High-grade dysplasia should prompt submitting the gallbladder in total, if ~~not~~ cancer is present.<ref name=uscap2017_akki/>		*High-grade [[gallbladder dysplasia\|dysplasia]] ''should'' prompt submitting the gallbladder in total, if cancer is not present.<ref name=uscap2017_akki/>

	~~===Protocol notes===~~
	====Staging====		====Staging====
	===Alternate approaches===		===Alternate approaches===

Michael at 14:36, 9 April 2017

2017-04-09T14:36:58Z

← Older revision		Revision as of 14:36, 9 April 2017
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	*Cystic duct lymph node: [not identified/present, measuring ___ cm in greatest dimension].		*Cystic duct lymph node: [not identified/present, measuring ___ cm in greatest dimension].

	~~Secctions~~:		Sections:
	*Representive sections of the neck, body and fundus, including the cystic duct lymph node, are submitted in one cassette.		*Representive sections of the neck, body and fundus, including the cystic duct lymph node, are submitted in one cassette.

			Notes:
			*[[Intestinal metaplasia of the gallbladder]] does ''not'' have to be [[submitted in total]].<ref name=uscap2017_akki>Akki ''et al.'' (2017) "Detecting Incidental Gallbladder Adenocarcinoma: When to Submit the Entire Gallbladder". Available at: [http://www.abstracts2view.com/uscap17/view.php?nu=USCAP17L_2016 http://www.abstracts2view.com/uscap17/view.php?nu=USCAP17L_2016]. United States and Canadian Academy of Pathology Annual Meeting. Accessed on: April 9, 2017.</ref>
			*High-grade dysplasia should prompt submitting the gallbladder in total, if not cancer is present.<ref name=uscap2017_akki/>

	===Protocol notes===		===Protocol notes===

Michael: /* Introduction */

2016-02-08T03:47:59Z

Introduction

← Older revision		Revision as of 03:47, 8 February 2016
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	These specimens are very common and could be classified as a [[ditzel]].		These specimens are very common and could be classified as a [[ditzel]].

	Cholecystectomies are usually done for [[chronic cholecystitis]] (increasingly common due to prevalence of [[obesity]]). Less common indications are [[acute cholecystitis]] and [[gallstones]] (may cause [[gallstone pancreatitis]], [[Mirizzi syndrome]]<ref name=pmid7914773>{{Cite journal \| last1 = Hsu \| first1 = YB. \| last2 = Yu \| first2 = SC. \| last3 = Lee \| first3 = PH. \| last4 = Wei \| first4 = TC. \| title = An uncommon cause of biliary obstruction (Mirizzi syndrome): report of five cases. \| journal = J Formos Med Assoc \| volume = 93 \| issue = 4 \| pages = 314-9 \| month = Apr \| year = 1994 \| doi = \| PMID = 7914773 }}</ref>).		Cholecystectomies are usually done for [[chronic cholecystitis]] (increasingly common in western countries due to the increasing prevalence of [[obesity]]). Less common indications are [[acute cholecystitis]] and [[gallstones]] (may cause [[gallstone pancreatitis]], [[Mirizzi syndrome]]<ref name=pmid7914773>{{Cite journal \| last1 = Hsu \| first1 = YB. \| last2 = Yu \| first2 = SC. \| last3 = Lee \| first3 = PH. \| last4 = Wei \| first4 = TC. \| title = An uncommon cause of biliary obstruction (Mirizzi syndrome): report of five cases. \| journal = J Formos Med Assoc \| volume = 93 \| issue = 4 \| pages = 314-9 \| month = Apr \| year = 1994 \| doi = \| PMID = 7914773 }}</ref>).

	==Specimen opening==		==Specimen opening==

Michael: /* Introduction */

2016-02-08T03:46:58Z

Introduction

← Older revision		Revision as of 03:46, 8 February 2016
Line 5:		Line 5:
	These specimens are very common and could be classified as a [[ditzel]].		These specimens are very common and could be classified as a [[ditzel]].

	Cholecystectomies are usually done for [[chronic cholecystitis]] (increasingly common due to prevalence of [[obesity]]). Less common indications are [[acute cholecystitis]] and [[gallstones]] (may cause [[gallstone pancreatitis]], [[Mirizzi syndrome]].<ref name=pmid7914773>{{Cite journal \| last1 = Hsu \| first1 = YB. \| last2 = Yu \| first2 = SC. \| last3 = Lee \| first3 = PH. \| last4 = Wei \| first4 = TC. \| title = An uncommon cause of biliary obstruction (Mirizzi syndrome): report of five cases. \| journal = J Formos Med Assoc \| volume = 93 \| issue = 4 \| pages = 314-9 \| month = Apr \| year = 1994 \| doi = \| PMID = 7914773 }}</ref>).		Cholecystectomies are usually done for [[chronic cholecystitis]] (increasingly common due to prevalence of [[obesity]]). Less common indications are [[acute cholecystitis]] and [[gallstones]] (may cause [[gallstone pancreatitis]], [[Mirizzi syndrome]]<ref name=pmid7914773>{{Cite journal \| last1 = Hsu \| first1 = YB. \| last2 = Yu \| first2 = SC. \| last3 = Lee \| first3 = PH. \| last4 = Wei \| first4 = TC. \| title = An uncommon cause of biliary obstruction (Mirizzi syndrome): report of five cases. \| journal = J Formos Med Assoc \| volume = 93 \| issue = 4 \| pages = 314-9 \| month = Apr \| year = 1994 \| doi = \| PMID = 7914773 }}</ref>).

	==Specimen opening==		==Specimen opening==

Michael: /* Introduction */

2016-02-08T03:46:47Z

Introduction

← Older revision		Revision as of 03:46, 8 February 2016
Line 5:		Line 5:
	These specimens are very common and could be classified as a [[ditzel]].		These specimens are very common and could be classified as a [[ditzel]].

	Cholecystectomies are usually done for:		Cholecystectomies are usually done for [[chronic cholecystitis]] (increasingly common due to prevalence of [[obesity]]). Less common indications are [[acute cholecystitis]] and [[gallstones]] (may cause [[gallstone pancreatitis]], [[Mirizzi syndrome]].<ref name=pmid7914773>{{Cite journal \| last1 = Hsu \| first1 = YB. \| last2 = Yu \| first2 = SC. \| last3 = Lee \| first3 = PH. \| last4 = Wei \| first4 = TC. \| title = An uncommon cause of biliary obstruction (Mirizzi syndrome): report of five cases. \| journal = J Formos Med Assoc \| volume = 93 \| issue = 4 \| pages = 314-9 \| month = Apr \| year = 1994 \| doi = \| PMID = 7914773 }}</ref>).
	*[[~~Chronic~~ cholecystitis]] (increasingly common due to prevalence of [[obesity]]).

	Less common indications are:
	*[[~~Acute~~ cholecystitis]].
	*[[~~Gallstones~~]] ~~- as it~~ may cause [[gallstone pancreatitis]].
	*[[Mirizzi syndrome]].<ref name=pmid7914773>{{Cite journal \| last1 = Hsu \| first1 = YB. \| last2 = Yu \| first2 = SC. \| last3 = Lee \| first3 = PH. \| last4 = Wei \| first4 = TC. \| title = An uncommon cause of biliary obstruction (Mirizzi syndrome): report of five cases. \| journal = J Formos Med Assoc \| volume = 93 \| issue = 4 \| pages = 314-9 \| month = Apr \| year = 1994 \| doi = \| PMID = 7914773 }}</ref>

	==Specimen opening==		==Specimen opening==

Michael: /* Introduction */

2016-02-08T03:41:39Z

Introduction

← Older revision		Revision as of 03:41, 8 February 2016
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	==Introduction==		==Introduction==
	These specimens are very common and could be classified as a [[ditzel]].		These specimens are very common and could be classified as a [[ditzel]].

			Cholecystectomies are usually done for:
			*[[Chronic cholecystitis]] (increasingly common due to prevalence of [[obesity]]).

			Less common indications are:
			*[[Acute cholecystitis]].
			*[[Gallstones]] - as it may cause [[gallstone pancreatitis]].
			*[[Mirizzi syndrome]].<ref name=pmid7914773>{{Cite journal \| last1 = Hsu \| first1 = YB. \| last2 = Yu \| first2 = SC. \| last3 = Lee \| first3 = PH. \| last4 = Wei \| first4 = TC. \| title = An uncommon cause of biliary obstruction (Mirizzi syndrome): report of five cases. \| journal = J Formos Med Assoc \| volume = 93 \| issue = 4 \| pages = 314-9 \| month = Apr \| year = 1994 \| doi = \| PMID = 7914773 }}</ref>

	==Specimen opening==		==Specimen opening==