Right hemicolectomy for cancer grossing - Revision history

Michael: tweak

2014-10-18T03:35:01Z

tweak

← Older revision		Revision as of 03:35, 18 October 2014
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	Inking:		Inking:
	*Circumferential margin: [black].		*Circumferential margin: [black]. §
	*Serosal puckering: [blue].		*Serosal puckering: [blue].

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	*‡ Usually submitted completely and [[en face]]; if the margin is close (<2 cm) [[on edge margin\|on edge]] is typically preferred.		*‡ 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>		*† 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>
	*The retroperitoneal margin in right hemicolectomies should be treated like the radial margin in total mesorectal excisions; it should be inked.<ref>URL: [http://www.cancercare.on.ca/common/pages/UserFile.aspx?fileId=13954 http://www.cancercare.on.ca/common/pages/UserFile.aspx?fileId=13954]. Accessed on: 6 February 2013.</ref> Involvement is a poor prognosticator.<ref name=pmid15790712/>		*§ The retroperitoneal margin in right hemicolectomies should be treated like the radial margin in total mesorectal excisions; it should be inked.<ref>URL: [http://www.cancercare.on.ca/common/pages/UserFile.aspx?fileId=13954 http://www.cancercare.on.ca/common/pages/UserFile.aspx?fileId=13954]. Accessed on: 6 February 2013.</ref> Involvement is a poor prognosticator.<ref name=pmid15790712/>

	Image:		Image:

Michael: /* Protocol */ tweak

2014-10-18T03:30:34Z

Protocol: tweak

← Older revision		Revision as of 03:30, 18 October 2014
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	==Protocol==		==Protocol==
			Specimen:
			*Right hemicolectomy.

			Dimensions:
			*Length large bowel: ___ cm.
			*Length small bowel: ___ cm.
			*Circumference - proximal end: ___ cm.
			*Circumference - distal end: ___ cm.
			*Appendix: length ___ cm, diameter ___ cm.

			Appearance - external:
			*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===		===Protocol notes===
			*‡ 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>
	*The retroperitoneal margin in right hemicolectomies should be treated like the radial margin in total mesorectal excisions; it should be inked.<ref>URL: [http://www.cancercare.on.ca/common/pages/UserFile.aspx?fileId=13954 http://www.cancercare.on.ca/common/pages/UserFile.aspx?fileId=13954]. Accessed on: 6 February 2013.</ref> Involvement is a poor prognosticator.<ref name=pmid15790712/>		*The retroperitoneal margin in right hemicolectomies should be treated like the radial margin in total mesorectal excisions; it should be inked.<ref>URL: [http://www.cancercare.on.ca/common/pages/UserFile.aspx?fileId=13954 http://www.cancercare.on.ca/common/pages/UserFile.aspx?fileId=13954]. Accessed on: 6 February 2013.</ref> Involvement is a poor prognosticator.<ref name=pmid15790712/>

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

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

Michael at 03:25, 18 October 2014

2014-10-18T03:25:13Z

← Older revision		Revision as of 03:25, 18 October 2014
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	==See also==		==See also==
	===Related protocols===		===Related protocols===
			*[[Lower anterior resection for cancer grossing]].

	==References==		==References==

Michael at 03:19, 18 October 2014

2014-10-18T03:19:06Z

← Older revision		Revision as of 03:19, 18 October 2014
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	[[Category:Gastrointestinal pathology]]		[[Category:Gastrointestinal pathology]]
	[[Category:~~Grossing~~ pathology]]		[[Category:Gross pathology]]

Michael: Created page with "This protocol deals with '''right hemicolectomy for cancer grossing'''. It is done for cancers in the cecum, right colon, and appendix. Right hemicolectomies are al..."

2014-10-18T03:18:53Z

Created page with "This protocol deals with '''right hemicolectomy for cancer grossing'''. It is done for cancers in the cecum, right colon, and appendix. Right hemicolectomies are al..."

New page

This protocol deals with '''right hemicolectomy for cancer grossing'''.

It is done for cancers in the [[cecum]], right colon, and [[appendix]]. Right hemicolectomies are also commonly done for [[Crohn's disease]]; this is dealt with in a separate article.

==Introduction==
It is very common.

==Protocol==
===Protocol notes===
*The retroperitoneal margin in right hemicolectomies should be treated like the radial margin in total mesorectal excisions; it should be inked.<ref>URL: [http://www.cancercare.on.ca/common/pages/UserFile.aspx?fileId=13954 http://www.cancercare.on.ca/common/pages/UserFile.aspx?fileId=13954]. Accessed on: 6 February 2013.</ref> Involvement is a poor prognosticator.<ref name=pmid15790712/>

Image:
*[http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1770631/figure/f1/ Schematic of the retroperitoneal margin (nih.gov)].<ref name=pmid15790712>{{Cite journal | last1 = Bateman | first1 = AC. | last2 = Carr | first2 = NJ. | last3 = Warren | first3 = BF. | title = The retroperitoneal surface in distal caecal and proximal ascending colon carcinoma: the Cinderella surgical margin? | journal = J Clin Pathol | volume = 58 | issue = 4 | pages = 426-8 | month = Apr | year = 2005 | doi = 10.1136/jcp.2004.019802 | PMID = 15790712 }}</ref>

===Alternate approaches===
==See also==
===Related protocols===

==References==
{{Reflist|1}}

[[Category:Gastrointestinal pathology]]
[[Category:Grossing pathology]]