Laryngectomy - Revision history

Michael: /* Protocol */

2020-11-13T14:44:35Z

Protocol

← Older revision		Revision as of 14:44, 13 November 2020
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	==Specimen opening==		==Specimen opening==
	==Protocol==		==Protocol==
	The specimen ~~consists of~~ [total larynx/laryngopharyngectomy]		The specimen is a: [total larynx/laryngopharyngectomy].

	Components		Components:
	*Pharyngeal tissue (superior-inferior, left-to-right, anterior-posterior): ___ x ___ x ___ cm; integrity: [intact/disrupted].		*Pharyngeal tissue (superior-inferior, left-to-right, anterior-posterior): ___ x ___ x ___ cm; integrity: [intact/disrupted].
	*Laryngectomy (superior-inferior, left-to-right, anterior-posterior): ___ x ___ x ___ cm; integrity: [intact/disrupted].		*Laryngectomy (superior-inferior, left-to-right, anterior-posterior): ___ x ___ x ___ cm; integrity: [intact/disrupted].
	*Thyroid gland [total/partial]: (superior-inferior, left-to-right, anterior-posterior): ___ x ___ x ___ cm; integrity: [intact/disrupted]; appearance [including parenchyma].		*Thyroid gland [total/partial [left/right]]: (superior-inferior, left-to-right, anterior-posterior): ___ x ___ x ___ cm; integrity: [intact/disrupted]; appearance [including parenchyma].
	*Tracheal stoma: [describe/not present].		*Tracheal stoma: [describe/not present].

Michael: create

2020-11-13T14:43:22Z

create

← Older revision		Revision as of 14:43, 13 November 2020
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	==Introduction==		==Introduction==
	The usual indication is [[laryngeal cancer]].		The usual indication is high stage [[laryngeal cancer]].<ref name=pmid31136370>{{cite journal \|authors=Bates JE, Amdur RJ, Morris CM, Hitchcock KE, Dziegielewski PT, Boyce BJ, Silver NL, Shaw C, Mendenhall WM \|title=Curative-dose Chemoradiotherapy Versus Total Laryngectomy For Stage T3-T4 Squamous Cell Carcinoma of the Larynx: An "Apples-to-Apples" Analysis of the National Cancer Database \|journal=Am J Clin Oncol \|volume=42 \|issue=6 \|pages=527–533 \|date=June 2019 \|pmid=31136370 \|doi=10.1097/COC.0000000000000550 \|url=}}</ref>

	==Specimen opening==		==Specimen opening==

Michael at 14:39, 13 November 2020

2020-11-13T14:39:46Z

← Older revision		Revision as of 14:39, 13 November 2020
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	'''Laryngectomy'''~~, formally '''total laryngectomy''',~~ is the surgical removal of the [[larynx]].		'''Laryngectomy''' is the surgical removal of the [[larynx]].

	==Introduction==		==Introduction==

Michael: /* Protocol */ create

2020-11-13T14:36:50Z

Protocol: create

← Older revision		Revision as of 14:36, 13 November 2020
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	==Specimen opening==		==Specimen opening==
	==Protocol==		==Protocol==
	The specimen consists of [laryngopharyngectomy ~~to include oropharynx, nasopharynx, hypopharynx, state laterality~~]		The specimen consists of [total larynx/laryngopharyngectomy]

	Pharyngeal tissue (superior-inferior, left-to-right, anterior-posterior): ___ x ___ x ___ cm; integrity: [intact/disrupted].		Components
	Laryngectomy (superior-inferior, left-to-right, anterior-posterior): ___ x ___ x ___ cm; integrity: [intact/disrupted].		*Pharyngeal tissue (superior-inferior, left-to-right, anterior-posterior): ___ x ___ x ___ cm; integrity: [intact/disrupted].
	Thyroid gland [total/partial]: (superior-inferior, left-to-right, anterior-posterior): ___ x ___ x ___ cm; integrity: [intact/disrupted]; appearance [including parenchyma].		*Laryngectomy (superior-inferior, left-to-right, anterior-posterior): ___ x ___ x ___ cm; integrity: [intact/disrupted].
	Tracheal stoma: [describe/not present].		*Thyroid gland [total/partial]: (superior-inferior, left-to-right, anterior-posterior): ___ x ___ x ___ cm; integrity: [intact/disrupted]; appearance [including parenchyma].
			*Tracheal stoma: [describe/not present].

	Tumour:		Tumour:
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	====Staging====		====Staging====
	===Alternate approaches===		===Alternate approaches===

	==See also==		==See also==
	*[[Head and neck pathology]].		*[[Head and neck pathology]].

Michael: create

2020-11-13T14:35:12Z

create

New page

'''Laryngectomy''', formally '''total laryngectomy''', is the surgical removal of the [[larynx]].

==Introduction==
The usual indication is [[laryngeal cancer]].

==Specimen opening==
==Protocol==
The specimen consists of [laryngopharyngectomy to include oropharynx, nasopharynx, hypopharynx, state laterality]

Pharyngeal tissue (superior-inferior, left-to-right, anterior-posterior): ___ x ___ x ___ cm; integrity: [intact/disrupted].
Laryngectomy (superior-inferior, left-to-right, anterior-posterior): ___ x ___ x ___ cm; integrity: [intact/disrupted].
Thyroid gland [total/partial]: (superior-inferior, left-to-right, anterior-posterior): ___ x ___ x ___ cm; integrity: [intact/disrupted]; appearance [including parenchyma].
Tracheal stoma: [describe/not present].

Tumour:
*Location: [oropharynx,nasopharynx,hypopharynx,state laterality, supraglottis, glottis, transglottis].
*Dimensions (superior-inferior, left-to-right, anterior-posterior): ___ x ___ x ___ cm.
*Appearance: [polypoid,exophytic,endophytic,multifocal].
*Extent of invasion: [epiglottis,aryepiglottic fold,arytenoid,trachea,vocal cords,other stuctures].

Soft Tissue margins:
*Distal (trachea): ___ cm.
*Proximal (epiglottic): ___ cm.
*Anterior: ___ cm.
*Posterior: ___ cm.
*Left lateral: ___ cm.
*Right lateral: ___ cm.
*Other: ___ cm.

Mucosal margins:
*Anterior: ___ cm.
*Posterior: ___ cm.
*Lateral: ___ cm.
*Deep: ___ cm.

Neck dissection: [dimensions, bilateral, radical, modified, selective]
Lymph nodes: [dimensions, describe].

Representative sections are submitted as follows:
[blocks].

===Protocol notes===
====Staging====
===Alternate approaches===
==See also==
*[[Head and neck pathology]].
===Related protocols===
==References==
{{Reflist|1}}
==External links==
[[Category:Gross pathology]]