Difference between revisions of "Oriented skin ellipse grossing"
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*Specimen labelled as: "[ ]". | *Specimen labelled as: "[ ]". | ||
*Specimen received in: [formalin/fresh]. | *Specimen received in: [formalin/fresh]. | ||
*Type: oriented portion of skin measuring [ ] x [ ] cm (in the plane of surface), by [ ] cm (depth). | *Type: oriented portion of skin measuring [ ] cm [lateral/medial/left/right/superior/inferior/anterior/posterior/proximal/distal] x [ ] cm [lateral/medial/left/right/superior/inferior/anterior/posterior/proximal/distal] (in the plane of surface), by [ ] cm (depth). | ||
*Orientation: [long lateral, short superior]. | *Orientation: [long lateral, short superior]. | ||
*Inking: resection margin blue [lateral/medial/left/right/superior/inferior/proximal/distal] and green [lateral/medial/left/right/superior/inferior/proximal/distal]. † | *Inking: resection margin blue [lateral/medial/left/right/superior/inferior/anterior/posterior/proximal/distal] and green [lateral/medial/left/right/superior/inferior/anterior/posterior/proximal/distal]. † | ||
*Lesion: [ brown ] colour, [ diffuse / patchy] with a [ regular / irregular ] border. | *Lesion: [ brown ] colour, [ diffuse / patchy] with a [ regular / irregular ] border. | ||
*Lesion dimensions: [ ] x [ ] cm (in the plane of surface), by [ ] cm (depth). | *Lesion dimensions: [ ] x [ ] cm (in the plane of surface), by [ ] cm (depth). | ||
*Margins: [ ] peripheral cm, [ ] deep cm. | *Margins: [ ] peripheral cm, [ ] deep cm. | ||
Serially | Serially sectioned with cuts perpendicular to the long axis and submitted in toto: | ||
*Block A1 - tip [lateral/medial/left/right/superior/inferior/proximal/distal]. | *Block A1 - tip [lateral/medial/left/right/superior/inferior/anterior/posterior/proximal/distal]. | ||
*Block A2-A(X-1) - remainder of specimen. | *Block A2-A(X-1) - remainder of specimen. | ||
*Block AX - tip [lateral/medial/left/right/superior/inferior/proximal/distal]. | *Block AX - tip [lateral/medial/left/right/superior/inferior/anterior/posterior/proximal/distal]. | ||
===Protocol notes=== | ===Protocol notes=== | ||
| Line 32: | Line 32: | ||
===Related protocols=== | ===Related protocols=== | ||
*[[Unoriented skin ellipses]]. | |||
*[[Grossing separately received oriented margins for a skin ellipse]]. | |||
==References== | ==References== | ||
Latest revision as of 16:18, 5 December 2023
The article deals with small oriented skin ellipse grossing.
Punch biopsies and unoriented skin ellipses are dealt with separately.
Introduction
These specimens are very common.
Protocol
- Name and patient identifiers on the requisition match the specimen container.
- Specimen labelled as: "[ ]".
- Specimen received in: [formalin/fresh].
- Type: oriented portion of skin measuring [ ] cm [lateral/medial/left/right/superior/inferior/anterior/posterior/proximal/distal] x [ ] cm [lateral/medial/left/right/superior/inferior/anterior/posterior/proximal/distal] (in the plane of surface), by [ ] cm (depth).
- Orientation: [long lateral, short superior].
- Inking: resection margin blue [lateral/medial/left/right/superior/inferior/anterior/posterior/proximal/distal] and green [lateral/medial/left/right/superior/inferior/anterior/posterior/proximal/distal]. †
- Lesion: [ brown ] colour, [ diffuse / patchy] with a [ regular / irregular ] border.
- Lesion dimensions: [ ] x [ ] cm (in the plane of surface), by [ ] cm (depth).
- Margins: [ ] peripheral cm, [ ] deep cm.
Serially sectioned with cuts perpendicular to the long axis and submitted in toto:
- Block A1 - tip [lateral/medial/left/right/superior/inferior/anterior/posterior/proximal/distal].
- Block A2-A(X-1) - remainder of specimen.
- Block AX - tip [lateral/medial/left/right/superior/inferior/anterior/posterior/proximal/distal].
Protocol notes
- † One should avoid black ink if there is any suspicion of melanoma or if the lesion is pigmented. This can be remember by black is bad and green is good!
- In general, green and blue are the preferred marking ink colours as they are easier to see at the time of embedding.[1]
Alternate approaches
See also
Related protocols
References
- ↑ Lester, Susan Carole (2010). Manual of Surgical Pathology (3rd ed.). Saunders. pp. 312. ISBN 978-0-323-06516-0.