Hysterectomy for endometrial hyperplasia grossing - Revision history

Michael: /* Introduction */

2021-10-15T17:11:21Z

Introduction

← Older revision		Revision as of 17:11, 15 October 2021
Line 7:		Line 7:

	Sampling in these specimens is important, as one wants to identify [[endometrial cancer]] if it is present or be relatively certain it is absent.		Sampling in these specimens is important, as one wants to identify [[endometrial cancer]] if it is present or be relatively certain it is absent.

			==Opening==
			===Orientation of hysterectomies===
			*Less peritoneum on anterior (as the [[urinary bladder]] is there).
			**'''P'''osterior '''p'''eritoneal edge: '''p'''ointy (upside down triangle).
			***Anterior peritoneal edge: rounded/non-pointy.
			*Tubes on anterior-lateral aspect.<ref>{{Ref Lester3\|425}}</ref>
			**Round ligaments posterior to tubes.

	==Protocol==		==Protocol==

Michael: /* Related protocols */

2018-06-06T19:50:10Z

Related protocols

← Older revision		Revision as of 19:50, 6 June 2018
Line 63:		Line 63:
	*[[Radical hysterectomy for cervical cancer]].		*[[Radical hysterectomy for cervical cancer]].
	*[[Hysterectomy for benign disease]].		*[[Hysterectomy for benign disease]].
			*[[Hysterectomy for endometrial cancer grossing]].

	==References==		==References==

Michael at 19:49, 6 June 2018

2018-06-06T19:49:17Z

← Older revision		Revision as of 19:49, 6 June 2018
Line 65:		Line 65:

	==References==		==References==
			{{Reflist\|1}}
	==External links==		==External links==

	[[Category:Gynecologic pathology]]		[[Category:Gynecologic pathology]]
	[[Category:Gross pathology]]		[[Category:Gross pathology]]

Michael: /* Protocol notes */

2018-06-06T19:48:46Z

Protocol notes

← Older revision		Revision as of 19:48, 6 June 2018
Line 54:		Line 54:

	===Protocol notes===		===Protocol notes===
	In [[BRCA\|BRCA1 mutation or BRCA2 mutation carriers]], the ovaries and tubes should be [[submitted in total]].<ref name=pmid24495259>{{Cite journal \| last1 = Downes \| first1 = MR. \| last2 = Allo \| first2 = G. \| last3 = McCluggage \| first3 = WG. \| last4 = Sy \| first4 = K. \| last5 = Ferguson \| first5 = SE. \| last6 = Aronson \| first6 = M. \| last7 = Pollett \| first7 = A. \| last8 = Gallinger \| first8 = S. \| last9 = Bilbily \| first9 = E. \| title = Review of findings in prophylactic gynaecological specimens in Lynch syndrome with literature review and recommendations for grossing. \| journal = Histopathology \| volume = 65 \| issue = 2 \| pages = 228-39 \| month = Aug \| year = 2014 \| doi = 10.1111/his.12386 \| PMID = 24495259 }}</ref>		In [[BRCA\|BRCA1 mutation or BRCA2 mutation carriers]] (in addition to the endometrium and lower uterine segment), the ovaries and tubes should be [[submitted in total]].<ref name=pmid24495259>{{Cite journal \| last1 = Downes \| first1 = MR. \| last2 = Allo \| first2 = G. \| last3 = McCluggage \| first3 = WG. \| last4 = Sy \| first4 = K. \| last5 = Ferguson \| first5 = SE. \| last6 = Aronson \| first6 = M. \| last7 = Pollett \| first7 = A. \| last8 = Gallinger \| first8 = S. \| last9 = Bilbily \| first9 = E. \| title = Review of findings in prophylactic gynaecological specimens in Lynch syndrome with literature review and recommendations for grossing. \| journal = Histopathology \| volume = 65 \| issue = 2 \| pages = 228-39 \| month = Aug \| year = 2014 \| doi = 10.1111/his.12386 \| PMID = 24495259 }}</ref>

	===Alternate approaches===		===Alternate approaches===

Michael: /* Protocol notes */

2018-06-06T19:47:22Z

Protocol notes

← Older revision		Revision as of 19:47, 6 June 2018
Line 54:		Line 54:

	===Protocol notes===		===Protocol notes===
			In [[BRCA\|BRCA1 mutation or BRCA2 mutation carriers]], the ovaries and tubes should be [[submitted in total]].<ref name=pmid24495259>{{Cite journal \| last1 = Downes \| first1 = MR. \| last2 = Allo \| first2 = G. \| last3 = McCluggage \| first3 = WG. \| last4 = Sy \| first4 = K. \| last5 = Ferguson \| first5 = SE. \| last6 = Aronson \| first6 = M. \| last7 = Pollett \| first7 = A. \| last8 = Gallinger \| first8 = S. \| last9 = Bilbily \| first9 = E. \| title = Review of findings in prophylactic gynaecological specimens in Lynch syndrome with literature review and recommendations for grossing. \| journal = Histopathology \| volume = 65 \| issue = 2 \| pages = 228-39 \| month = Aug \| year = 2014 \| doi = 10.1111/his.12386 \| PMID = 24495259 }}</ref>

	===Alternate approaches===		===Alternate approaches===

Michael at 03:12, 11 October 2016

2016-10-11T03:12:43Z

← Older revision		Revision as of 03:12, 11 October 2016
Line 57:		Line 57:

	==See also==		==See also==
			*[[Marking ink]].
	===Related protocols===		===Related protocols===
	*[[Radical hysterectomy for cervical cancer]].		*[[Radical hysterectomy for cervical cancer]].

Michael: /* Introduction */

2015-07-24T03:14:25Z

Introduction

← Older revision		Revision as of 03:14, 24 July 2015
Line 4:		Line 4:

	==Introduction==		==Introduction==
	This is a very common procedure as [[endometrial hyperplasia]] is common.		This is a very common procedure as [[endometrial hyperplasia]] is common.

			Sampling in these specimens is important, as one wants to identify [[endometrial cancer]] if it is present or be relatively certain it is absent.

	==Protocol==		==Protocol==

Michael at 03:38, 24 September 2014

2014-09-24T03:38:26Z

← Older revision		Revision as of 03:38, 24 September 2014
Line 4:		Line 4:

	==Introduction==		==Introduction==
	This is a very common procedure as [[~~endoometrial~~ hyperplasia]] is common.		This is a very common procedure as [[endometrial hyperplasia]] is common.

	==Protocol==		==Protocol==

Michael at 03:38, 24 September 2014

2014-09-24T03:38:17Z

← Older revision		Revision as of 03:38, 24 September 2014
Line 4:		Line 4:

	==Introduction==		==Introduction==
	This is a very common procedure.		This is a very common procedure as [[endoometrial hyperplasia]] is common.

	==Protocol==		==Protocol==

Michael: create

2014-09-24T03:36:09Z

create

New page

The protocol is for grossing a '''hysterectomy for endometrial hyperplasia'''.

Hysterectomies with biopsy proven cancer are dealt with in the ''[[hysterectomy for endometrial cancer]]'' protocol.

==Introduction==
This is a very common procedure.

==Protocol==
Specimen:
*Hysterectomy for endometrial hyperplasia.

Dimensions:
*Uterus and cervix: ___x___x___cm.
*Specimen mass: ____grams.
*Left ovary: [___x___x___cm / not present].
*Left fallopian tube: [___x___ cm / not present].
*Right ovary: [___x___x___cm / not present].
*Right fallopian tube: [___x___ cm / not present].

Appearance:
*Shape: [pear-shaped/distorted].
*Serosal surface: [smooth shiny/
*Nodules/lesions/masses: [none/____cm in greatest dimension].
*Ectocervix: [tan-white glistening with a probe patent os of ____cm].
*Maximal myometrial wall thickness: ___cm.

Internal measures:
*Endometrial cavity (superior to inferior, cornu to cornu): ____x____cm.
*Endometrium thickness: ____cm.
*Masses: [non-identified/intramural and subserosal white, firm, and whorled nodules that range from ____to ____cm in greatest dimension without any hemorrhage or necrosis/ with hemorrahage and necrosis].
*Right and left ovaries: [tan-white and appear to be atrophic/ ____cortical cysts with/without hemorrhage]. *Right and left fallopian tubes: [unremarkable/ show paratubal cysts, ____cm in greatest dimension].

INK CODE:
*Blue - anterior serosa.
*Black - posterior serosa.

SECTION CODE:
* Anterior cervix.
* Anterior lower uterine segment.
* Posterior cervix.
* Posterior lower uterine segment.
* Anterior endomyometrium, full thickness.
* Remainder of the anterior endometrium, entirely submitted sequentially from superior to inferior [include endometrium and 5mm thick myometrium in each section, can put multiple sections in one cassette].
* Posterior endomyometrium, full thickness.
* Remainder of the posterior endometrium, entirely submitted sequentially from superior to inferior [include endometrium and 5mm thick myometrium in each section, can put multiple sections in one cassette].
* Section of firm whorled tan nodules in anterior/posterior myometrium.
* Any other lesions.
* Right ovary with hemorrhagic cortical cysts.
* Right fallopian tube [fimbria submitted entirely], with paratubal cysts.
* Left ovary.
* Left fallopian tube [fimbria submitted entirely].

===Protocol notes===
===Alternate approaches===

==See also==
===Related protocols===
*[[Radical hysterectomy for cervical cancer]].
*[[Hysterectomy for benign disease]].

==References==

==External links==

[[Category:Gynecologic pathology]]
[[Category:Gross pathology]]