Difference between revisions of "Unoriented skin ellipse grossing"

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[[Image:Grossing of suspected malignant skin excision.jpg|thumb|300px|Unoriented skin ellipse specimen at cut-up. (WC/Mikael Häggström)]]
The article deals with small '''unoriented skin ellipse grossing'''.
The article deals with small '''unoriented skin ellipse grossing'''.


Punch biopsies and oriented skin ellipses are dealt with separately.
Punch biopsies and [[oriented skin ellipse]]s are dealt with separately.


==Introduction==
==Introduction==
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==Protocol==
==Protocol==
#Name and patient identifiers on the requisition match the specimen container.
*Name and patient identifiers on the requisition match the specimen container.
#Specimen labelled as: "[ ]".
*Specimen labelled as: "[ ]".
#Specimen received in: [formalin/fresh].  
*Specimen received in: [formalin/fresh].  
#Type: unoriented portion of skin measuring [ ] x [ ] cm (in the plane of surface), by [ ] cm (depth).   
*Type: unoriented portion of skin measuring [ ] x [ ] cm (in the plane of surface), by [ ] cm (depth).   
#Inking: resection margin blue.
*Inking: resection margin blue.
#Lesion: [ brown ] colour, [ diffuse / patchy] with a [ regular / irregular ] border.
*Lesion: [ brown ] colour, [ diffuse / patchy] with a [ regular / irregular ] border.
#Lesion dimensions: [ ] x [ ] cm (in the plane of surface), by [ ] cm (depth).
*Lesion dimensions: [ ] x [ ] cm (in the plane of surface), by [ ] cm (depth).
#Margins: [ ] peripheral cm, [ ] deep cm.
*Margins: [ ] peripheral cm, [ ] deep cm.


Serially section and submitted in toto:
Serially sectioned with cuts perpendicular to the long axis:
*Block A1 - tips.
*Block A1 - tips.
*Block A2 - remainder of specimen.
*Block A2 - remainder of specimen.


===Protocol notes===
===Protocol notes===
*† One should avoid ''black ink'' if there is any suspicion of melanoma or if the lesion is pigmented. This can be remember by ''b''lack is ''b''ad and ''g''reen is ''g''ood! 
**In general, green and blue are the preferred [[marking ink]] colours as they are easier to see at the time of embedding.<ref name=Lester3_312>{{Ref Lester3|312}}</ref>
===Alternate approaches===
===Alternate approaches===


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===Related protocols===
===Related protocols===
*[[Oriented skin ellipse grossing]].


==References==
==References==

Latest revision as of 19:11, 5 December 2023

Unoriented skin ellipse specimen at cut-up. (WC/Mikael Häggström)

The article deals with small unoriented skin ellipse grossing.

Punch biopsies and oriented skin ellipses are dealt with separately.

Introduction

These specimens are very common.

Protocol

  • Name and patient identifiers on the requisition match the specimen container.
  • Specimen labelled as: "[ ]".
  • Specimen received in: [formalin/fresh].
  • Type: unoriented portion of skin measuring [ ] x [ ] cm (in the plane of surface), by [ ] cm (depth).
  • Inking: resection margin blue. †
  • Lesion: [ brown ] colour, [ diffuse / patchy] with a [ regular / irregular ] border.
  • Lesion dimensions: [ ] x [ ] cm (in the plane of surface), by [ ] cm (depth).
  • Margins: [ ] peripheral cm, [ ] deep cm.

Serially sectioned with cuts perpendicular to the long axis:

  • Block A1 - tips.
  • Block A2 - remainder of specimen.

Protocol notes

  • † One should avoid black ink if there is any suspicion of melanoma or if the lesion is pigmented. This can be remember by black is bad and green is good!
    • In general, green and blue are the preferred marking ink colours as they are easier to see at the time of embedding.[1]

Alternate approaches

See also

Related protocols

References

  1. Lester, Susan Carole (2010). Manual of Surgical Pathology (3rd ed.). Saunders. pp. 312. ISBN 978-0-323-06516-0.