L4E rule 4 (2014)
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This article covers L4E rule 4 for the 2014 L4E workload system. An overview of the L4E rules is found in the L4E rules of 2014.
You can test your knowledge in the L4E rule 4 quiz.
Overview
- This rule applies to most benign resections.
- It applies to some small biopsies that are submitted in several blocks, e.g. an endoscopically resected large tubular adenoma of the colon without high-grade dysplasia submitted in 3 blocks.
Details
Specimen type(s) | Weight (L4E) | Details | Examples |
---|---|---|---|
Most non-malignant resection (see below) | 1 L2/block, 0.33 L4E/block, minimum 1 L3 (0.5 L4E) | 1 block = 0.5 L4E, 2 blocks = 0.66 L4E, 3 blocks = 1 L4E, 4 blocks = 1.33 L4E, 5 blocks = 1.66 L4E | benign hysterectomy in 12 blocks = 4 L4E, hemithyroid with nodular hyperplasia in 15 blocks = 5 L4E |
Incomplete list of specimens
Benign disease in:
- Hysterectomy.
- Thyroidectomy.
- Nephrectomy..
- Breast lumpectomy.
- Small bowel resection.
- Large bowel resection.
- Sleeve gastrectomy.