Vulvectomy grossing - Revision history

Michael at 02:52, 18 October 2014

2014-10-18T02:52:16Z

← Older revision		Revision as of 02:52, 18 October 2014
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	[[Image:Diagram of a 3 in 1 incision vulvectomy CRUK 018.svg\|thumb\|right\|Schematic showing what is removed in a vulvectomy.]]		[[Image:Diagram of a 3 in 1 incision vulvectomy CRUK 018.svg\|thumb\|right\|300px\|Schematic showing what is removed in a vulvectomy.]]
	The protocol is for '''vulvectomy grossing'''.		The protocol is for '''vulvectomy grossing'''.

Michael at 02:51, 18 October 2014

2014-10-18T02:51:53Z

← Older revision		Revision as of 02:51, 18 October 2014
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	[[Image:Diagram of a 3 in 1 incision vulvectomy CRUK 018.svg\|Schematic showing what is removed in a vulvectomy.]]		[[Image:Diagram of a 3 in 1 incision vulvectomy CRUK 018.svg\|thumb\|right\|Schematic showing what is removed in a vulvectomy.]]
	The protocol is for '''vulvectomy grossing'''.		The protocol is for '''vulvectomy grossing'''.

Michael at 02:51, 18 October 2014

2014-10-18T02:51:30Z

← Older revision		Revision as of 02:51, 18 October 2014
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			[[Image:Diagram of a 3 in 1 incision vulvectomy CRUK 018.svg\|Schematic showing what is removed in a vulvectomy.]]
	The protocol is for '''vulvectomy grossing'''.		The protocol is for '''vulvectomy grossing'''.

Michael at 02:48, 18 October 2014

2014-10-18T02:48:42Z

← Older revision		Revision as of 02:48, 18 October 2014
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	==Introduction==		==Introduction==
	This procedure is done for [[vulvar cancer]] ([[vulvar squamous cell carcinoma]] or [[malignant melanoma]]).		This procedure is done for [[vulvar cancer]] ([[vulvar squamous cell carcinoma]] or [[malignant melanoma]]).

	==Protocol==		==Protocol==
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	*Deep margin: ___ cm.		*Deep margin: ___ cm.

			Ink code:

	~~The surfaces of both labia majora have multiple well circumscribed, raised/patchy white plaques that range from ____ to _____ cm in largest dimension. [Describe any other findings].~~
	_________ possible lymph nodes are found in the attached fibroadipose tissue that ranges from _______ to _________cm in greatest dimension. ____lymph node(s) is/are grossly suspicious ( ___x ___x ___ cm) for involvement by tumour.

	~~INK CODE~~:
	*Blue:12-to 3-to 6 o’clock half;		*Blue:12-to 3-to 6 o’clock half;
	*Orange: 6-to-9-to12 o’clock half;		*Orange: 6-to-9-to12 o’clock half;
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	*Yellow: vaginal margin.		*Yellow: vaginal margin.

	~~SECTION CODE~~:		Section code:
	* ~~Block __,~~ 12 o’clock tip, en face, ink-side up.		* 12 o’clock tip, en face, ink-side up.
	* ~~Block __,~~ 6 o’clock tip, en face, ink-side up.		* 6 o’clock tip, en face, ink-side up.
	* ~~Block __,~~ 3 o’clock margin, en face, ink-side up [submit perpendicular section if tumour <=1cm from margin].		* 3 o’clock margin, en face, ink-side up [submit perpendicular section if tumour <=1cm from margin].
	* ~~Block __,~~ 9 o’clock margin, en face, ink-side up [submit perpendicular section if tumour <=1cm from margin].		* 9 o’clock margin, en face, ink-side up [submit perpendicular section if tumour <=1cm from margin].
	* ~~Block __ tumour~~ deepest invasion [submit three section with the greatest invasion, include soft tissue and fascia].		* Tumour deepest invasion [submit three section with the greatest invasion, include soft tissue and fascia].
	* ~~Block __, urethral~~ margin, en face.		* Urethral margin, en face.
	* ~~Block __, vaginal~~ margin, en, face.		* Vaginal margin, en, face.
	* ~~Block __, tumour,~~ clitoris.		* Tumour [clitoris/right labium minus/left labium minus/right labium majus/left labium majus/urethra/vagina].
	* Block __, tumour, right labium minus.		* Tumour with any other involved structure [perineum, anus, anal canal, rectum, bone, other structures].
	* Block __, tumour, left labium minus.		* Lymph nodes.
	* Block __, tumour and right labium majus.
	* Block __, tumour, and left labium majus.
	* Block __, tumour and urethra.
	* Block __, tumour and vagina.
	* ~~Block __, tumour~~ with any other involved structure [perineum, anus, anal canal, rectum, bone, other structures].
	* ~~Block __,~~ Lymph nodes.

	===Protocol notes===		===Protocol notes===
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	==References==		==References==
			{{Reflist\|2}}
	==External links==		==External links==

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

Michael: Created page with "The protocol is for '''vulvectomy grossing'''. ==Introduction== This procedure is done for vulvar cancer (vulvar squamous cell carcinoma or malignant melanoma)...."

2014-10-18T02:45:39Z

Created page with "The protocol is for '''vulvectomy grossing'''. ==Introduction== This procedure is done for vulvar cancer (vulvar squamous cell carcinoma or malignant melanoma)...."

New page

The protocol is for '''vulvectomy grossing'''.

==Introduction==
This procedure is done for [[vulvar cancer]] ([[vulvar squamous cell carcinoma]] or [[malignant melanoma]]).

==Protocol==
*Specimen: vulvectomy.
*Overall dimesions: ___x ___x ___ cm.
*Right labium majus: ___x ___x ___cm.
*Left labium majus: ___x ___x ___ cm.
*Right labium minus: ___x ___x ___ cm.
*Left labium minus: ___x ___x ___ cm.
*Clitoris: ___x ___x ___ cm.
*Urethral orifice: ___x ___cm.
*Urethra: ___cm in length, ___cm in diameter.
*Vagina ___cm in length, ___cm in diameter.
*Perineal skin: ___x___cm.
*Anus: ___x___ cm.
*Anal canal: ___ cm in length, ____cm in diameter.
*Rectum ___cm in length, ___cm in diameter.
*Urinary bladder: ___x ___x ___ cm.
*Pelvic bone: ___x ___x ___ cm.
*Underlying soft tissue: ___x ___x ___ cm, and fascia ___x ___x ___ cm.

Tumour:
*Focality: unifocal / multifocal.
*Size: ___ x ___ cm, maximum depth: ___cm.
*Location (center of lesion): ___.
*Lesion extent: right labium majus, left labium majus, right labium minus, left labium minus, clitoris, soft tissue/fascia, urethral orifice, lower 1/3 of urethra, vagina, anal canal, rectum, pelvic bone.
*Ulceration: absent / present.
*Exophytic component: [absent / present].
*Colour and consistency: white-tan, soft.
*Borders: pushing / infiltrative, ill-defined.

Margins:
*Skin margins (clitoris or stitch = 12 o'clock):
**12 o’clock: ___ cm.
**3 o’clock: ___ cm.
**6 o’clock: ___ cm.
**9 o’clock: ___ cm.
*Deep margin: ___ cm.

The surfaces of both labia majora have multiple well circumscribed, raised/patchy white plaques that range from ____ to _____ cm in largest dimension. [Describe any other findings].
_________ possible lymph nodes are found in the attached fibroadipose tissue that ranges from _______ to _________cm in greatest dimension. ____lymph node(s) is/are grossly suspicious ( ___x ___x ___ cm) for involvement by tumour.

INK CODE:
*Blue:12-to 3-to 6 o’clock half;
*Orange: 6-to-9-to12 o’clock half;
*Black: urethral margin;
*Yellow: vaginal margin.

SECTION CODE:
* Block __, 12 o’clock tip, en face, ink-side up.
* Block __, 6 o’clock tip, en face, ink-side up.
* Block __, 3 o’clock margin, en face, ink-side up [submit perpendicular section if tumour <=1cm from margin].
* Block __, 9 o’clock margin, en face, ink-side up [submit perpendicular section if tumour <=1cm from margin].
* Block __ tumour deepest invasion [submit three section with the greatest invasion, include soft tissue and fascia].
* Block __, urethral margin, en face.
* Block __, vaginal margin, en, face.
* Block __, tumour, clitoris.
* Block __, tumour, right labium minus.
* Block __, tumour, left labium minus.
* Block __, tumour and right labium majus.
* Block __, tumour, and left labium majus.
* Block __, tumour and urethra.
* Block __, tumour and vagina.
* Block __, tumour with any other involved structure [perineum, anus, anal canal, rectum, bone, other structures].
* Block __, Lymph nodes.

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

==See also==

===Related protocols===

==References==

==External links==

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