Difference between revisions of "Splenectomy grossing"
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==Introduction== | ==Introduction== | ||
The spleen is typically removed as it is enlarged (splenomegaly) and/or a source of bleeding. | The spleen is typically removed as it is enlarged ([[splenomegaly]]) and/or a source of bleeding. | ||
It may be removed in the context of a hematological disorder | It may be removed in the context of a hematological disorder, such as [[idiopathic thrombocytopenic purpura]].<ref name=pmid24798604>{{Cite journal | last1 = Jankulovski | first1 = N. | last2 = Antovic | first2 = S. | last3 = Kuzmanovska | first3 = B. | last4 = Mitevski | first4 = A. | title = Splenectomy for haematological disorders. | journal = Pril (Makedon Akad Nauk Umet Odd Med Nauki) | volume = 35 | issue = 1 | pages = 181-7 | month = | year = 2014 | doi = | PMID = 24798604 }}</ref> If a hematological disorder is suspected, tissue should be sent for [[flow cytometry]]. | ||
==Specimen opening== | ==Specimen opening== | ||
*Weight specimen. | |||
*Cut for fixation. | |||
*Tissue for [[flow cytometry]] - if applicable. | |||
==Protocol== | ==Protocol== | ||
*Weight: ___ grams. | |||
*Dimensions: ___ x ___ x ___ cm. | |||
*External surface: [ smooth, negative for lesions, negative for lacerations / adhesions / lacerations / other ___ ]. | |||
*Cut surface - colour: [ brown / dark red colour ]. | |||
*Lesion(s): number of lesions, size ___ cm, location [ periphery/central ], colour, consistency [ firm/soft ]. | |||
*Lymph node(s): [ present - number ___, size ___ cm / absent ]. | |||
Sections: | |||
*Any lesions - at least representative. | |||
*Uninvolved spleen - 3 to 5 sections. | |||
*Lymph node(s). | |||
===Protocol notes=== | ===Protocol notes=== | ||
====Staging==== | ====Staging==== | ||
===Alternate approaches=== | ===Alternate approaches=== | ||
==See also== | ==See also== | ||
*[[Grossing]]. | *[[Grossing]]. | ||
Latest revision as of 17:42, 7 September 2016
Splenectomy grossing deals with the cut-up of spleen specimens.
Introduction
The spleen is typically removed as it is enlarged (splenomegaly) and/or a source of bleeding.
It may be removed in the context of a hematological disorder, such as idiopathic thrombocytopenic purpura.[1] If a hematological disorder is suspected, tissue should be sent for flow cytometry.
Specimen opening
- Weight specimen.
- Cut for fixation.
- Tissue for flow cytometry - if applicable.
Protocol
- Weight: ___ grams.
- Dimensions: ___ x ___ x ___ cm.
- External surface: [ smooth, negative for lesions, negative for lacerations / adhesions / lacerations / other ___ ].
- Cut surface - colour: [ brown / dark red colour ].
- Lesion(s): number of lesions, size ___ cm, location [ periphery/central ], colour, consistency [ firm/soft ].
- Lymph node(s): [ present - number ___, size ___ cm / absent ].
Sections:
- Any lesions - at least representative.
- Uninvolved spleen - 3 to 5 sections.
- Lymph node(s).