Hysterectomy for endometrial cancer grossing - Revision history

Michael: /* Introduction */

2021-10-15T17:11:05Z

Introduction

← Older revision		Revision as of 17:11, 15 October 2021
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	This is a very common procedure as [[endometrial cancer]].		This is a very common procedure as [[endometrial cancer]].

			==Opening==
	===Orientation of hysterectomies===		===Orientation of hysterectomies===
	*Less peritoneum on anterior (as the [[urinary bladder]] is there).		*Less peritoneum on anterior (as the [[urinary bladder]] is there).

Michael: /* Introduction */ orientation

2021-10-15T17:10:18Z

Introduction: orientation

← Older revision		Revision as of 17:10, 15 October 2021
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	==Introduction==		==Introduction==
	This is a very common procedure as [[endometrial cancer]].		This is a very common procedure as [[endometrial cancer]].

			===Orientation of hysterectomies===
			*Less peritoneum on anterior (as the [[urinary bladder]] is there).
			**'''P'''osterior '''p'''eritoneal edge: '''p'''ointy (upside down triangle).
			***Anterior peritoneal edge: rounded/non-pointy.
			*Tubes on anterior-lateral aspect.<ref>{{Ref Lester3\|425}}</ref>
			**Round ligaments posterior to tubes.

	==Protocol==		==Protocol==

Michael: /* Protocol notes */

2018-06-06T19:52:04Z

Protocol notes

← Older revision		Revision as of 19:52, 6 June 2018
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	===Protocol notes===		===Protocol notes===
			In [[BRCA\|BRCA1 mutation or BRCA2 mutation carriers]], the ovaries and tubes should be [[submitted in total]].<ref name=pmid24495259>{{Cite journal \| last1 = Downes \| first1 = MR. \| last2 = Allo \| first2 = G. \| last3 = McCluggage \| first3 = WG. \| last4 = Sy \| first4 = K. \| last5 = Ferguson \| first5 = SE. \| last6 = Aronson \| first6 = M. \| last7 = Pollett \| first7 = A. \| last8 = Gallinger \| first8 = S. \| last9 = Bilbily \| first9 = E. \| title = Review of findings in prophylactic gynaecological specimens in Lynch syndrome with literature review and recommendations for grossing. \| journal = Histopathology \| volume = 65 \| issue = 2 \| pages = 228-39 \| month = Aug \| year = 2014 \| doi = 10.1111/his.12386 \| PMID = 24495259 }}</ref>

	===Alternate approaches===		===Alternate approaches===

Michael: /* Protocol */

2014-09-24T04:29:21Z

Protocol

← Older revision		Revision as of 04:29, 24 September 2014
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	***Necrosis: absent.		***Necrosis: absent.

	~~INK CODE~~:		Inking code:
	*Green - anterior serosa.		*Green - anterior serosa.
	*Black - posterior serosa.		*Black - posterior serosa.

	~~SECTION CODE~~:		Representative sections:
	* Anterior cervix.		* Anterior cervix.
	* Anterior lower uterine segment.		* Anterior lower uterine segment.

Michael at 04:28, 24 September 2014

2014-09-24T04:28:48Z

← Older revision		Revision as of 04:28, 24 September 2014
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			[[Image:Endometrial_adenocarcinoma_gross.jpg\|thumb\|300px\|right\|Gross image of endometrial adenocarcinoma.]]
	The protocol is for grossing a '''hysterectomy for endometrial cancer'''.		The protocol is for grossing a '''hysterectomy for endometrial cancer'''.

Michael: create

2014-09-24T03:18:43Z

create

New page

The protocol is for grossing a '''hysterectomy for endometrial cancer'''.

Hysterectomies with [[endometrial hyperplasia]] are dealt with in the ''[[hysterectomy for hyperplasia]]'' protocol.

==Introduction==
This is a very common procedure as [[endometrial cancer]].

==Protocol==
Specimen:
*Hysterectomy for endometrial cancer.

External measures:
*Uterus and cervix: ___x___x___cm
*Specimen mass: ____grams.
*Left ovary: ___x___x___cm.
*Left fallopian tube ___x___cm.
*Right ovary: ___x___x___cm.
*Right fallopian tube: ___x___cm.
*Exocervix: ___cm.
*Cervical os: ___cm, round/slit-like, probe patent.

Appearance:
*Shape: [pear-shaped/distorted].
*Serosal surface: [smooth, shiny, powder-burn lesions].
*Serosa nodules/lesion/mass: [none, present ___cm in greatest dimension].
*Ectocervix: tan-white glistening.
*Left ovary: [unremarkable / atrophic / cortical cysts].
*Left fallopian tube: [unremarkable / paratubal cysts].
*Right ovary: [unremarkable / atrophic / cortical cysts].
*Right fallopian tube: [unremarkable / paratubal cysts].

Internal measures:
*Endometrial cavity: ____x____cm.
*Myometrial wall thickness (maximum): ____cm.

Tumour:
*Dimension: ___x___x___cm.
*Location: [fundus/body, involves anterior and/or posterior wall, lower uterine segment, cervix].
*Appearance: [ill-defined, soft, friable, polypoid-shape, tan-white].
*Maximum depth of invasion: ___cm.
*Myometrial thickness: ___cm.
*Grossly normal endometrium - maximum thickness: ___cm.

Other findings:
*Myometrial tumour(s):
**Location: intramural / subserosal.
**Appearance: white, firm, whorled.
**Size range: ___-___cm in greatest dimension.
**Other features:
***Hemorrhage: absent.
***Necrosis: absent.

INK CODE:
*Green - anterior serosa.
*Black - posterior serosa.

SECTION CODE:
* Anterior cervix.
* Anterior lower uterine segment.
* Posterior cervix.
* Posterior lower uterine segment.
* Tumour and anterior endomyometrium with greatest depth of invasion, full thickness sections [submit two full thickness section of deepest invasion from each involved wall of the myometrium with inked serosa].
* Tumour and posterior endomyometrium with greatest depth of invasion, full thickness sections.
* Additional sections of the tumour [for a total of at least one section/cm of tumour].
* Section of firm whorled tan nodules in anterior/posterior myometrium.
* Any other lesions.
* Right ovary.
* Right fallopian tube [fimbria submitted entirely].
* Left ovary.
* Left fallopian tube [fimbria submitted entirely].

===Protocol notes===
===Alternate approaches===

==See also==
===Related protocols===
*[[Hysterectomy for endometrial hyperplasia]].

==References==

==External links==

[[Category:Gynecologic pathology]]
[[Category:Gross pathology]]