Lower anterior resection for cancer grossing - Revision history

Michael: /* See also */

2017-01-02T13:39:35Z

Michael: /* Introduction */

2016-10-09T22:16:10Z

Introduction

← Older revision		Revision as of 22:16, 9 October 2016
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	==Introduction==		==Introduction==
	This is a very common specimen. It is done for proximal [[colorectal carcinoma\|rectal cancer]].		This is a very common specimen. It is done for proximal [[colorectal carcinoma\|rectal cancer]].

			When a LAR is not possible, as the cancer is too distal, an [[abdominoperineal resection]] is done.

	==Protocol==		==Protocol==

Michael at 22:03, 9 October 2016

2016-10-09T22:03:08Z

← Older revision		Revision as of 22:03, 9 October 2016
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	==See also==		==See also==
	===Related protocols===		===Related protocols===
			*[[Sigmoidectomy for diverticular disease]].
	*[[Abdominoperineal resection grossing]].		*[[Abdominoperineal resection grossing]].

Michael: /* Related protocols */

2016-10-09T22:02:39Z

Related protocols

← Older revision		Revision as of 22:02, 9 October 2016
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	==See also==		==See also==
	===Related protocols===		===Related protocols===
	*[[~~Sigmoidectomy for diverticular disease~~]].		*[[Abdominoperineal resection grossing]].

	==References==		==References==

Michael: fix - thanks to SP

2015-12-30T21:13:55Z

fix - thanks to SP

← Older revision		Revision as of 21:13, 30 December 2015
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	*Circumference - proximal end: ___ cm.		*Circumference - proximal end: ___ cm.
	*Circumference - distal end: ___ cm.		*Circumference - distal end: ___ cm.
	*Rectum ~~lenght~~ (distal margin to mesorectal reflection): ___ cm.		*Rectum length (distal margin to mesorectal reflection): ___ cm.

	Appearance - external:		Appearance - external:

Michael at 05:39, 18 October 2014

2014-10-18T05:39:29Z

← Older revision		Revision as of 05:39, 18 October 2014
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	The protocol deals with grossing a '''[[lower anterior resection]] for cancer''', abbreviated '''LAR4ca'''.		The protocol deals with grossing a '''lower anterior resection for cancer''', abbreviated '''LAR4ca'''.

	==Introduction==		==Introduction==

Michael: /* Introduction */

2014-09-24T05:20:27Z

Introduction

← Older revision		Revision as of 05:20, 24 September 2014
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	==Introduction==		==Introduction==
	This is a very common specimen. It is done for proximal [[colorectal carcinoma\|rectal ~~cancers~~]].		This is a very common specimen. It is done for proximal [[colorectal carcinoma\|rectal cancer]].

	==Protocol==		==Protocol==

Michael at 05:14, 24 September 2014

2014-09-24T05:14:35Z

← Older revision		Revision as of 05:14, 24 September 2014
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	Representative sections are submitted as follows:		Representative sections are submitted as follows:
	*Proximal margin.		*Proximal margin. ‡
	*Distal margin.		*Distal margin. ‡
	*Tumour - deepest invasion.		*Tumour - deepest invasion.
	*Additional sections of tumour (1 section/cm).		*Additional sections of tumour (1 section/cm).
	*All polyps (if less than 10).		*All polyps (if less than 10).
	*Normal appearing mucosa.		*Normal appearing mucosa.
	*Lymph nodes.		*Lymph nodes. †

	===Protocol notes===		===Protocol notes===
	*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>		*‡ 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>

	====Images====		====Images====
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	==References==		==References==
	{{Reflist\|2}}		{{Reflist\|1}}

	==External links==		==External links==

Michael at 05:11, 24 September 2014

2014-09-24T05:11:01Z

← Older revision		Revision as of 05:11, 24 September 2014
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	===Protocol notes===		===Protocol notes===
			*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>

	====Images====		====Images====
	<gallery>		<gallery>

Michael: create

2014-09-24T05:05:01Z

create

New page

The protocol deals with grossing a '''[[lower anterior resection]] for cancer''', abbreviated '''LAR4ca'''.

==Introduction==
This is a very common specimen. It is done for proximal [[colorectal carcinoma|rectal cancers]].

==Protocol==
Specimen:
*Lower anterior resection.

Dimensions:
*Length: ___ cm.
*Circumference - proximal end: ___ cm.
*Circumference - distal end: ___ cm.
*Rectum lenght (distal margin to mesorectal reflection): ___ cm.

Appearance - external:
*Completeness of mesorectal excision: [complete].
*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===
====Images====
<gallery>
Image: Rectum_-_anterior_view.jpg | APR specimen - anterior view. (WC/Hagemani)
Image: Rectum_-_lateral_view.jpg | APR specimen - lateral. (WC/Hagemani)
Image: Rectum_-_anterior_and_lateral_-_inked.jpg | APR specimen - inked (WC/Hagemani)
Image: Rectum_-_opened.jpg | APR specimen - opened (WC/Hagemani)
</gallery>

===Alternate approaches===
==See also==
===Related protocols===
*[[Sigmoidectomy for diverticular disease]].

==References==
{{Reflist|2}}

==External links==

[[Category:Gastrointestinal pathology]]
[[Category:Gross pathology]]

← Older revision		Revision as of 13:39, 2 January 2017
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	===Alternate approaches===		===Alternate approaches===
	==See also==		==See also==
			*[[Donuts]].
	===Related protocols===		===Related protocols===
	*[[Sigmoidectomy for diverticular disease]].		*[[Sigmoidectomy for diverticular disease]].