Abdominoperineal resection grossing - Revision history

Michael: remove broken image link

2024-10-15T14:11:20Z

remove broken image link

← Older revision		Revision as of 14:11, 15 October 2024
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	==Introduction==		==Introduction==
	~~[[Image:Abdominoperineal resection.jpg\|thumb\|right\|300px\|An illustration of what is done in an abdominoperineal resection and the result.]]~~
	This is a relatively uncommon specimen. APRs are done for distal [[colorectal carcinoma\|rectal cancer]]s when a [[lower anterior resection]] (LAR) is not feasible.		This is a relatively uncommon specimen. APRs are done for distal [[colorectal carcinoma\|rectal cancer]]s when a [[lower anterior resection]] (LAR) is not feasible.

Michael at 15:01, 5 October 2023

2023-10-05T15:01:01Z

← Older revision		Revision as of 15:01, 5 October 2023
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	{{Reflist\|1}}		{{Reflist\|1}}

	~~==External links==~~

	[[Category:Gastrointestinal pathology]]		[[Category:Gastrointestinal pathology]]
	[[Category:Gross pathology]]		[[Category:Gross pathology]]

Michael at 15:00, 5 October 2023

2023-10-05T15:00:44Z

← Older revision		Revision as of 15:00, 5 October 2023
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	*[[Sigmoidectomy for diverticular disease]].		*[[Sigmoidectomy for diverticular disease]].
	*[[Donuts]].		*[[Donuts]].
			*[[Rectum]].

	===Related protocols===		===Related protocols===
	*[[Lower anterior resection for cancer grossing]].		*[[Lower anterior resection for cancer grossing]].

Michael: /* See also */

2017-01-02T13:38:29Z

Michael: /* Protocol */

2016-10-09T22:46:05Z

Protocol

← Older revision		Revision as of 22:46, 9 October 2016
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	*Circumference - distal end: ___ cm.		*Circumference - distal end: ___ cm.
	*Rectum length (distal margin to mesorectal reflection): ___ cm.		*Rectum length (distal margin to mesorectal reflection): ___ cm.
			*Skin (anal): ___ cm.

	Appearance - external:		Appearance - external:
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	===Alternate approaches===		===Alternate approaches===

	==See also==		==See also==
	*[[Sigmoidectomy for diverticular disease]].		*[[Sigmoidectomy for diverticular disease]].

Michael: /* Introduction */

2016-10-09T22:23:35Z

Introduction

← Older revision		Revision as of 22:23, 9 October 2016
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	==Introduction==		==Introduction==
	This is a relatively uncommon specimen. APRs are done for distal [[colorectal carcinoma\|rectal cancer]]s when a [[lower anterior resection]] is not feasible.		[[Image:Abdominoperineal resection.jpg\|thumb\|right\|300px\|An illustration of what is done in an abdominoperineal resection and the result.]]
			This is a relatively uncommon specimen. APRs are done for distal [[colorectal carcinoma\|rectal cancer]]s when a [[lower anterior resection]] (LAR) is not feasible.

			LAR are the preferred surgery for rectal cancer, as individuals post-APR are left with a permanent [[stoma]] and expel fecal material into a bag.

	==Protocol==		==Protocol==

Michael at 22:12, 9 October 2016

2016-10-09T22:12:58Z

← Older revision		Revision as of 22:12, 9 October 2016
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			[[Image:Rectum - anterior view.jpg\|right\|thumb\|An addominoperineal resection specimen prior to opening and [[inking]].]]
	This protocol deals with '''abdominoperineal resection grossing'''.		This protocol deals with '''abdominoperineal resection grossing'''.

Michael: /* See also */

2016-10-09T22:02:11Z

Michael: /* Related protocols */

2016-10-09T22:02:03Z

Related protocols

← Older revision		Revision as of 22:02, 9 October 2016
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	==See also==		==See also==
	===Related protocols===		===Related protocols===
	*[[~~Sigmoidectomy~~ for ~~diverticular disease~~]].		*[[Lower anterior resection for cancer grossing]].

	==References==		==References==

Michael: create

2016-10-09T22:00:57Z

create

New page

This protocol deals with '''abdominoperineal resection grossing'''.

''Abdominoperineal resection'', abbreviated '''APR''', is also written as ''abdominal perineal resection''.

==Introduction==
This is a relatively uncommon specimen. APRs are done for distal [[colorectal carcinoma|rectal cancer]]s when a [[lower anterior resection]] is not feasible.

==Protocol==
Specimen:
*Abdominoperineal resection.

Dimensions:
*Length: ___ cm.
*Circumference - proximal end: ___ cm.
*Circumference - distal end: ___ cm.
*Rectum length (distal margin to mesorectal reflection): ___ cm.

Appearance - external:
*Completeness of mesorectal excision: [complete].
*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===
*‡ 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>

====Images====
<gallery>
Image: Rectum_-_anterior_view.jpg | APR specimen - anterior view. (WC/Hagemani)
Image: Rectum_-_lateral_view.jpg | APR specimen - lateral. (WC/Hagemani)
Image: Rectum_-_anterior_and_lateral_-_inked.jpg | APR specimen - inked (WC/Hagemani)
Image: Rectum_-_opened.jpg | APR specimen - opened (WC/Hagemani)
</gallery>

===Alternate approaches===
==See also==
===Related protocols===
*[[Sigmoidectomy for diverticular disease]].

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

==External links==

[[Category:Gastrointestinal pathology]]
[[Category:Gross pathology]]

← Older revision		Revision as of 13:38, 2 January 2017
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	==See also==		==See also==
	*[[Sigmoidectomy for diverticular disease]].		*[[Sigmoidectomy for diverticular disease]].
			*[[Donuts]].
	===Related protocols===		===Related protocols===
	*[[Lower anterior resection for cancer grossing]].		*[[Lower anterior resection for cancer grossing]].

← Older revision		Revision as of 22:02, 9 October 2016
Line 54:		Line 54:
	===Alternate approaches===		===Alternate approaches===
	==See also==		==See also==
			*[[Sigmoidectomy for diverticular disease]].
	===Related protocols===		===Related protocols===
	*[[Lower anterior resection for cancer grossing]].		*[[Lower anterior resection for cancer grossing]].