Colon - Revision history

Mikael Häggström: Templates

2022-12-16T15:48:09Z

Templates

← Older revision		Revision as of 11:48, 16 December 2022
Line 1:		Line 1:
	{{Top		<noinclude>{{Top
	\|author1=[[User:Mikael Häggström\|Mikael Häggström]]		\|author1=[[User:Mikael Häggström\|Mikael Häggström]]
	\|author2=		\|author2=
Line 15:		Line 15:
	*[[Hemorrhoids]]		*[[Hemorrhoids]]
	*[[Stoma]] and "donuts"		*[[Stoma]] and "donuts"
			{{Comprehensiveness}}
			</noinclude>
	==Gross processing==		==Gross processing==
	More specific grossing is available for presentations above. For larger specimens (not biopsies):		More specific grossing is available for presentations above. For larger specimens (not biopsies):
Line 75:		Line 76:

	In follow-ups of inflammatory bowel disease ('''IBD'''), add "Negative for colitis or dysplasia" if true.		In follow-ups of inflammatory bowel disease ('''IBD'''), add "Negative for colitis or dysplasia" if true.
	{{Bottom}}		<noinclude>{{Bottom}}</noinclude>

Mikael Häggström: /* Microscopy report */ Short segment

2022-12-16T15:47:00Z

Microscopy report: Short segment

← Older revision		Revision as of 11:47, 16 December 2022
Line 65:		Line 65:
	{\|class=wikitable		{\|class=wikitable
	\| (Colon, biopsy:)<br>Colonic mucosa without significant histopathologic changes.		\| (Colon, biopsy:)<br>Colonic mucosa without significant histopathologic changes.
			\|}

			Example report in a short unremarkable colon segment:
			{\|class=wikitable
			\| {{Moderate-begin}}Colon, segmental colectomy:{{Moderate-end}}
			*Short segment of benign colon {{Moderate-begin}}without significant histopathologic changes.
			*Negative for malignancy.{{Moderate-end}}
	\|}		\|}

	In follow-ups of inflammatory bowel disease ('''IBD'''), add "Negative for colitis or dysplasia" if true.		In follow-ups of inflammatory bowel disease ('''IBD'''), add "Negative for colitis or dysplasia" if true.
	{{Bottom}}		{{Bottom}}

Mikael Häggström: /* Gross processing */ +Gross report

2022-06-25T20:35:44Z

Gross processing: +Gross report

@@ Line 34: / Line 34: @@
 *'''Sections''' to submit for microscopy:
 :*2 sections of any perforation(s), one section of any intact diverticulum, any mucosal lesions, any obvious lymph nodes.
 ==Microscopic evaluation==

Mikael Häggström: /* Microscopic evaluation */ Bolded

2021-07-16T00:46:00Z

Microscopic evaluation: Bolded

← Older revision		Revision as of 20:46, 15 July 2021
Line 41:		Line 41:
	File:Tubular adenoma of the colon.jpg\|Hyperplasia and/or atypia ([[colorectal polyp]] with [[tubular adenoma]] pictured)		File:Tubular adenoma of the colon.jpg\|Hyperplasia and/or atypia ([[colorectal polyp]] with [[tubular adenoma]] pictured)
	</gallery>		</gallery>
	*[[Colitis]], such as by neutrophilic infiltration		*'''[[Colitis]]''', such as by neutrophilic infiltration

	===Common incidental findings===		===Common incidental findings===

Mikael Häggström: /* Microscopy report */ +Neg

2021-07-16T00:45:40Z

Microscopy report: +Neg

← Older revision		Revision as of 20:45, 15 July 2021
Line 55:		Line 55:
	\|}		\|}

			In follow-ups of inflammatory bowel disease ('''IBD'''), add "Negative for colitis or dysplasia" if true.
	{{Bottom}}		{{Bottom}}

Mikael Häggström: /* Gross processing */ +Image

2021-07-13T13:41:10Z

Gross processing: +Image

← Older revision		Revision as of 09:41, 13 July 2021
Line 30:		Line 30:
	*Note the '''thickness''' of the wall.		*Note the '''thickness''' of the wall.
	*If a cecal segment does not show an '''appendix''', look in the history for a past appendectomy. If not, put more effort into finding it before reporting it as not found.		*If a cecal segment does not show an '''appendix''', look in the history for a past appendectomy. If not, put more effort into finding it before reporting it as not found.
	*Note any obvious ~~mesenterial~~ '''lymph nodes'''.		[[File:Gross pathology of a mesenteric lymph node.jpg\|thumb\|190px\|A mesenteric lymph node.]]
			*Note any obvious mesenteric '''lymph nodes'''. {{Further\|Lymph nodes}}
	*'''Sections''' to submit for microscopy:		*'''Sections''' to submit for microscopy:
	:*2 sections of any perforation(s), one section of any intact diverticulum, any mucosal lesions, any obvious lymph nodes.		:*2 sections of any perforation(s), one section of any intact diverticulum, any mucosal lesions, any obvious lymph nodes.

Mikael Häggström: /* Gross processing */ +Diverticula

2021-05-18T23:07:20Z

Gross processing: +Diverticula

← Older revision		Revision as of 19:07, 18 May 2021
Line 25:		Line 25:
	*'''Open''' longitudinally		*'''Open''' longitudinally
	*If the specimen is not fixed already, put it in '''formalin''', preferably for a total of 48 hours.<ref name="Burroughs2000">{{cite journal\|last1=Burroughs\|first1=S H\|title=Examination of large intestine resection specimens\|journal=Journal of Clinical Pathology\|volume=53\|issue=5\|year=2000\|pages=344–349\|issn=00219746\|doi=10.1136/jcp.53.5.344}}</ref> Section attached fatty tissue for better fixation.		*If the specimen is not fixed already, put it in '''formalin''', preferably for a total of 48 hours.<ref name="Burroughs2000">{{cite journal\|last1=Burroughs\|first1=S H\|title=Examination of large intestine resection specimens\|journal=Journal of Clinical Pathology\|volume=53\|issue=5\|year=2000\|pages=344–349\|issn=00219746\|doi=10.1136/jcp.53.5.344}}</ref> Section attached fatty tissue for better fixation.
	*Semi-quantitate the number of '''diverticula''' – “numerous” if too many to count		[[File:Gross pathology of diverticulosis.jpg\|thumb\|220px\|Multiple diverticula.]]
			*Semi-quantitate the number of '''diverticula''' – “numerous” or "multiple" if too many to count
	*Look for for any '''mucosal lesions'''. Note any evidence of inflammation, hemorrhage, abscess, perforation or fistula		*Look for for any '''mucosal lesions'''. Note any evidence of inflammation, hemorrhage, abscess, perforation or fistula
	*Note the '''thickness''' of the wall.		*Note the '''thickness''' of the wall.

Mikael Häggström: /* Gross processing */ +Fat

2021-05-02T17:41:07Z

Gross processing: +Fat

← Older revision		Revision as of 13:41, 2 May 2021
Line 24:		Line 24:
	:*If perforation is present, try to probe it from the serosal surface		:*If perforation is present, try to probe it from the serosal surface
	*'''Open''' longitudinally		*'''Open''' longitudinally
	*If the specimen is not fixed already, put it in '''formalin''', preferably for a total of 48 hours.<ref name="Burroughs2000">{{cite journal\|last1=Burroughs\|first1=S H\|title=Examination of large intestine resection specimens\|journal=Journal of Clinical Pathology\|volume=53\|issue=5\|year=2000\|pages=344–349\|issn=00219746\|doi=10.1136/jcp.53.5.344}}</ref>		*If the specimen is not fixed already, put it in '''formalin''', preferably for a total of 48 hours.<ref name="Burroughs2000">{{cite journal\|last1=Burroughs\|first1=S H\|title=Examination of large intestine resection specimens\|journal=Journal of Clinical Pathology\|volume=53\|issue=5\|year=2000\|pages=344–349\|issn=00219746\|doi=10.1136/jcp.53.5.344}}</ref> Section attached fatty tissue for better fixation.
	*Semi-quantitate the number of '''diverticula''' – “numerous” if too many to count		*Semi-quantitate the number of '''diverticula''' – “numerous” if too many to count
	*Look for for any '''mucosal lesions'''. Note any evidence of inflammation, hemorrhage, abscess, perforation or fistula		*Look for for any '''mucosal lesions'''. Note any evidence of inflammation, hemorrhage, abscess, perforation or fistula

Mikael Häggström: Wording

2021-04-13T12:12:07Z

Wording

← Older revision		Revision as of 08:12, 13 April 2021
Line 18:		Line 18:
	==Gross processing==		==Gross processing==
	More specific grossing is available for presentations above. For larger specimens (not biopsies):		More specific grossing is available for presentations above. For larger specimens (not biopsies):
	*Identify '''segment''' of colon		*Identify '''segment''' of colon if possible.
	*Measure '''length''' ~~and variations in~~ '''width'''		*Measure '''length''', average '''width''' and any significant variations thereof.
	*Optionally, measure the '''mesentery'''.		*Optionally, measure the '''mesentery'''.
	*Inspect the '''serosa'''- look for any perforations, adhesions, fistulas and exudate		*Inspect the '''serosa'''- look for any perforations, adhesions, fistulas and exudate

Mikael Häggström: /* Microscopy report */ Consistent

2020-11-28T16:54:56Z

Microscopy report: Consistent

← Older revision		Revision as of 12:54, 28 November 2020
Line 50:		Line 50:
	Example report in an unremarkable biopsy:		Example report in an unremarkable biopsy:
	{\|class=wikitable		{\|class=wikitable
	\| Colonic mucosa~~, negative for~~ significant histopathologic changes.		\| (Colon, biopsy:)<br>Colonic mucosa without significant histopathologic changes.
	\|}		\|}

	{{Bottom}}		{{Bottom}}