Breast grossing - Revision history

Michael: wikify

2016-10-11T03:05:19Z

wikify

← Older revision		Revision as of 03:05, 11 October 2016
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	[[Image:BreastCancer.jpg\|thumb\|A breast mastectomy. (WC/Emmanuelm)]]		[[Image:BreastCancer.jpg\|thumb\|A breast mastectomy. (WC/Emmanuelm)]]
	[[Image:Inked Lumpectomy Specimen (6464023675).jpg\|thumb\|An ink breast lumpectomy specimen. (WC/Ed Uthman)]]		[[Image:Inked Lumpectomy Specimen (6464023675).jpg\|thumb\|An [[ink]]ed breast lumpectomy specimen. (WC/Ed Uthman)]]
	This article deals with '''breast grossing'''.		This article deals with '''breast grossing'''.

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	*Tumour - in total if small (<2 cm<ref name=pmid21745648>{{Cite journal \| last1 = Huo \| first1 = L. \| title = A practical approach to grossing breast specimens. \| journal = Ann Diagn Pathol \| volume = 15 \| issue = 4 \| pages = 291-301 \| month = Aug \| year = 2011 \| doi = 10.1016/j.anndiagpath.2011.03.005 \| PMID = 21745648 }}</ref>).		*Tumour - in total if small (<2 cm<ref name=pmid21745648>{{Cite journal \| last1 = Huo \| first1 = L. \| title = A practical approach to grossing breast specimens. \| journal = Ann Diagn Pathol \| volume = 15 \| issue = 4 \| pages = 291-301 \| month = Aug \| year = 2011 \| doi = 10.1016/j.anndiagpath.2011.03.005 \| PMID = 21745648 }}</ref>).
	===Protocol notes===		===Protocol notes===
	*‡ There is no universally accepted inking protocol. Blue for superior and green for inferior is common, as ''the sky is blue and the grass is green''.		*‡ There is no universally accepted [[inking]] protocol. Blue for superior and green for inferior is common, as ''the sky is blue and the grass is green''.
	**Hua<ref name=pmid21745648/> suggests: black = posterior, blue = superior, green = inferior, yellow = anterior, red = medial & lateral.		**Hua<ref name=pmid21745648/> suggests: black = posterior, blue = superior, green = inferior, yellow = anterior, red = medial & lateral.

Michael: /* Specimen opening */

2016-09-08T11:51:02Z

Specimen opening

← Older revision		Revision as of 11:51, 8 September 2016
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	**Mastectomies typically have tissue extending toward the axilla known as the "tail".		**Mastectomies typically have tissue extending toward the axilla known as the "tail".
	**The deep aspect in larger specimens can often be identified by the (flat) fascial plane.		**The deep aspect in larger specimens can often be identified by the (flat) fascial plane.
	*Inking - colours usually as per an institutional standard - see ~~below~~.		*Inking - colours usually as per an institutional standard - see ''Protocol notes'' section.
	*Slicing - medial to lateral.		*Slicing - medial to lateral.

Michael: /* Specimen opening */

2016-09-08T11:50:41Z

Specimen opening

← Older revision		Revision as of 11:50, 8 September 2016
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	**Mastectomies typically have tissue extending toward the axilla known as the "tail".		**Mastectomies typically have tissue extending toward the axilla known as the "tail".
	**The deep aspect in larger specimens can often be identified by the (flat) fascial plane.		**The deep aspect in larger specimens can often be identified by the (flat) fascial plane.
	*Inking.		*Inking - colours usually as per an institutional standard - see below.
	*Slicing - medial to lateral.		*Slicing - medial to lateral.

Michael: /* Specimen opening */

2016-09-08T11:48:34Z

Specimen opening

← Older revision		Revision as of 11:48, 8 September 2016
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	==Specimen opening==		==Specimen opening==
	*Orientation.		*Orientation:
	**Lumpectomies are usually oriented with a short and long suture as per the surgeon; '''s'''hort is typically '''s'''uperior (aspect) and '''l'''ong is typically '''l'''ateral (aspect).		**Lumpectomies are usually oriented with a short and long suture as per the surgeon; '''s'''hort is typically '''s'''uperior (aspect) and '''l'''ong is typically '''l'''ateral (aspect).
	**Mastectomies typically have tissue extending toward the axilla known as the "tail".		**Mastectomies typically have tissue extending toward the axilla known as the "tail".

Michael: /* Specimen opening */

2016-09-08T11:48:25Z

Specimen opening

← Older revision		Revision as of 11:48, 8 September 2016
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	*Orientation.		*Orientation.
	**Lumpectomies are usually oriented with a short and long suture as per the surgeon; '''s'''hort is typically '''s'''uperior (aspect) and '''l'''ong is typically '''l'''ateral (aspect).		**Lumpectomies are usually oriented with a short and long suture as per the surgeon; '''s'''hort is typically '''s'''uperior (aspect) and '''l'''ong is typically '''l'''ateral (aspect).
	**Mastectomies typically have tissue ~~that~~ extending toward the axilla known as the "tail".		**Mastectomies typically have tissue extending toward the axilla known as the "tail".
			**The deep aspect in larger specimens can often be identified by the (flat) fascial plane.
	*Inking.		*Inking.
	*Slicing - medial to lateral.		*Slicing - medial to lateral.

Michael: /* Specimen opening */

2016-09-08T11:46:02Z

Specimen opening

← Older revision		Revision as of 11:46, 8 September 2016
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	==Specimen opening==		==Specimen opening==
	*Orientation.		*Orientation.
	**Lumpectomies usually oriented with a short and long suture as per surgeon; '''s'''hort is typically '''s'''uperior (aspect) and '''l'''ong is typically '''l'''ateral (aspect).		**Lumpectomies are usually oriented with a short and long suture as per the surgeon; '''s'''hort is typically '''s'''uperior (aspect) and '''l'''ong is typically '''l'''ateral (aspect).
	**Mastectomies typically have tissue that extending toward the axilla known as the "tail".		**Mastectomies typically have tissue that extending toward the axilla known as the "tail".
	*Inking.		*Inking.

Michael at 11:45, 8 September 2016

2016-09-08T11:45:49Z

← Older revision		Revision as of 11:45, 8 September 2016
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	==Introduction==		==Introduction==
	*Lumpectomy = a common procedure for breast lesions that are small, typically have no skin.		*Lumpectomy = a common procedure for breast lesions that are small, typically have no skin.
	**Usually oriented with a short and long suture as per surgeon; '''s'''hort is typically '''s'''uperior (aspect) and '''l'''ong is typically '''l'''ateral (aspect).
	*Mastectomy = removal of the breast, may include skeletal muscle (not common) or be skin sparing.<ref name=pmid27563563>{{Cite journal \| last1 = Yu \| first1 = P. \| title = Breast reconstruction at the MD Anderson Cancer Center. \| journal = Gland Surg \| volume = 5 \| issue = 4 \| pages = 416-21 \| month = Aug \| year = 2016 \| doi = 10.21037/gs.2016.05.03 \| PMID = 27563563 }}</ref>		*Mastectomy = removal of the breast, may include skeletal muscle (not common) or be skin sparing.<ref name=pmid27563563>{{Cite journal \| last1 = Yu \| first1 = P. \| title = Breast reconstruction at the MD Anderson Cancer Center. \| journal = Gland Surg \| volume = 5 \| issue = 4 \| pages = 416-21 \| month = Aug \| year = 2016 \| doi = 10.21037/gs.2016.05.03 \| PMID = 27563563 }}</ref>

	==Specimen opening==		==Specimen opening==
	*Orientation.		*Orientation.
			**Lumpectomies usually oriented with a short and long suture as per surgeon; '''s'''hort is typically '''s'''uperior (aspect) and '''l'''ong is typically '''l'''ateral (aspect).
			**Mastectomies typically have tissue that extending toward the axilla known as the "tail".
	*Inking.		*Inking.
	*Slicing - medial to lateral.		*Slicing - medial to lateral.

Michael: /* Introduction */

2016-09-08T11:43:19Z

Introduction

← Older revision		Revision as of 11:43, 8 September 2016
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	==Introduction==		==Introduction==
	*Lumpectomy = a common procedure for breast lesions that are small, typically have no skin.		*Lumpectomy = a common procedure for breast lesions that are small, typically have no skin.
	**Usually oriented with a short and long suture; '''s'''hort is typically '''s'''uperior (aspect) and '''l'''ong is typically '''l'''ateral (aspect).		**Usually oriented with a short and long suture as per surgeon; '''s'''hort is typically '''s'''uperior (aspect) and '''l'''ong is typically '''l'''ateral (aspect).
	*Mastectomy = removal of the breast, may include skeletal muscle (not common) or be skin sparing.<ref name=pmid27563563>{{Cite journal \| last1 = Yu \| first1 = P. \| title = Breast reconstruction at the MD Anderson Cancer Center. \| journal = Gland Surg \| volume = 5 \| issue = 4 \| pages = 416-21 \| month = Aug \| year = 2016 \| doi = 10.21037/gs.2016.05.03 \| PMID = 27563563 }}</ref>		*Mastectomy = removal of the breast, may include skeletal muscle (not common) or be skin sparing.<ref name=pmid27563563>{{Cite journal \| last1 = Yu \| first1 = P. \| title = Breast reconstruction at the MD Anderson Cancer Center. \| journal = Gland Surg \| volume = 5 \| issue = 4 \| pages = 416-21 \| month = Aug \| year = 2016 \| doi = 10.21037/gs.2016.05.03 \| PMID = 27563563 }}</ref>

Michael: /* Introduction */

2016-09-08T11:41:48Z

Introduction

← Older revision		Revision as of 11:41, 8 September 2016
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	==Introduction==		==Introduction==
	*Lumpectomy = a common procedure for breast lesions that are small, typically have no skin.		*Lumpectomy = a common procedure for breast lesions that are small, typically have no skin.
	**Usually oriented with short and long suture; '''s'''hort is typically '''s'''uperior (aspect) and '''l'''ong is typically '''l'''ateral (aspect).		**Usually oriented with a short and long suture; '''s'''hort is typically '''s'''uperior (aspect) and '''l'''ong is typically '''l'''ateral (aspect).
	*Mastectomy = removal of the breast, may include skeletal muscle (not common) or be skin sparing.<ref name=pmid27563563>{{Cite journal \| last1 = Yu \| first1 = P. \| title = Breast reconstruction at the MD Anderson Cancer Center. \| journal = Gland Surg \| volume = 5 \| issue = 4 \| pages = 416-21 \| month = Aug \| year = 2016 \| doi = 10.21037/gs.2016.05.03 \| PMID = 27563563 }}</ref>		*Mastectomy = removal of the breast, may include skeletal muscle (not common) or be skin sparing.<ref name=pmid27563563>{{Cite journal \| last1 = Yu \| first1 = P. \| title = Breast reconstruction at the MD Anderson Cancer Center. \| journal = Gland Surg \| volume = 5 \| issue = 4 \| pages = 416-21 \| month = Aug \| year = 2016 \| doi = 10.21037/gs.2016.05.03 \| PMID = 27563563 }}</ref>

Michael: /* Introduction */

2016-09-08T11:41:25Z

Introduction

← Older revision		Revision as of 11:41, 8 September 2016
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	==Introduction==		==Introduction==
	*Lumpectomy = a common procedure for breast lesions that are small.		*Lumpectomy = a common procedure for breast lesions that are small, typically have no skin.
			**Usually oriented with short and long suture; '''s'''hort is typically '''s'''uperior (aspect) and '''l'''ong is typically '''l'''ateral (aspect).
	*Mastectomy = removal of the breast, may include skeletal muscle (not common) or be skin sparing.<ref name=pmid27563563>{{Cite journal \| last1 = Yu \| first1 = P. \| title = Breast reconstruction at the MD Anderson Cancer Center. \| journal = Gland Surg \| volume = 5 \| issue = 4 \| pages = 416-21 \| month = Aug \| year = 2016 \| doi = 10.21037/gs.2016.05.03 \| PMID = 27563563 }}</ref>		*Mastectomy = removal of the breast, may include skeletal muscle (not common) or be skin sparing.<ref name=pmid27563563>{{Cite journal \| last1 = Yu \| first1 = P. \| title = Breast reconstruction at the MD Anderson Cancer Center. \| journal = Gland Surg \| volume = 5 \| issue = 4 \| pages = 416-21 \| month = Aug \| year = 2016 \| doi = 10.21037/gs.2016.05.03 \| PMID = 27563563 }}</ref>