Fistula tract - Revision history

Mikael Häggström: /* Microscopic examination */ Also

2021-04-08T13:05:40Z

Microscopic examination: Also

← Older revision		Revision as of 09:05, 8 April 2021
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	==Microscopic examination==		==Microscopic examination==
	Look for:<ref name=Rishi/>		Look for:<ref name=Rishi/>
			*Inflammation
			*Scarring
	*Dysplasia/malignancy		*Dysplasia/malignancy
	*Viral cytopathic effects, especially that of cytomegalovirus.		*Viral cytopathic effects, especially that of cytomegalovirus.
	{{Bottom}}		{{Bottom}}

Mikael Häggström: +Examination

2021-04-08T13:04:56Z

+Examination

← Older revision		Revision as of 09:04, 8 April 2021
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	*If an area of friability and/or ulceration is found, submit that entire area.<ref name=Rishi/>		*If an area of friability and/or ulceration is found, submit that entire area.<ref name=Rishi/>
	*Otherwise, submit one or two representative sections.		*Otherwise, submit one or two representative sections.

			==Microscopic examination==
			Look for:<ref name=Rishi/>
			*Dysplasia/malignancy
			*Viral cytopathic effects, especially that of cytomegalovirus.
	{{Bottom}}		{{Bottom}}

Mikael Häggström: /* Gross processing */ px

2021-04-08T13:03:10Z

Gross processing: px

← Older revision		Revision as of 09:03, 8 April 2021
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	{{Comprehensiveness}}		{{Comprehensiveness}}
	==Gross processing==		==Gross processing==
	[[File:Probed gastrocutaneous fistula tract.jpg\|thumb\|Probed surgically excised gastrocutaneous fistula tract.]]		[[File:Probed gastrocutaneous fistula tract.jpg\|thumb\|200px\|Probed surgically excised gastrocutaneous fistula tract.]]
	Steps are as follows:<ref name=Rishi>{{cite web\|url=https://www.pathologyoutlines.com/topic/anusanalfistula.html\|website=Pathology Outlines\|title=Anus & perianal area - Other nonneoplastic - Fistula\|author=Arvind Rishi, M.D., M.B.B.S., Toby C. Cornish, M.D., Ph.D.}} Topic Completed: 1 April 2014.		Steps are as follows:<ref name=Rishi>{{cite web\|url=https://www.pathologyoutlines.com/topic/anusanalfistula.html\|website=Pathology Outlines\|title=Anus & perianal area - Other nonneoplastic - Fistula\|author=Arvind Rishi, M.D., M.B.B.S., Toby C. Cornish, M.D., Ph.D.}} Topic Completed: 1 April 2014.
	Minor changes: 16 November 2020</ref>		Minor changes: 16 November 2020</ref>

Mikael Häggström: /* Gross processing */ Spelling

2021-04-08T13:02:56Z

Gross processing: Spelling

← Older revision		Revision as of 09:02, 8 April 2021
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	Minor changes: 16 November 2020</ref>		Minor changes: 16 November 2020</ref>
	*{{Moderate-begin}}'''Review''' operative notes or preoperative radiological studies.{{Moderate-end}}		*{{Moderate-begin}}'''Review''' operative notes or preoperative radiological studies.{{Moderate-end}}
	*{{~~Comrpehensive~~-begin}}'''Photograph''' the specimen.{{Comprehensive-end}}		*{{Comprehensive-begin}}'''Photograph''' the specimen.{{Comprehensive-end}}
	*'''Measure''' the specimen		*'''Measure''' the specimen
	*'''Probe''' for any tract		*'''Probe''' for any tract

Mikael Häggström: Started

2021-04-08T13:02:41Z

Started

New page

{{Top
|author1=[[User:Mikael Häggström|Mikael Häggström]]
|author2=
}}
{{Comprehensiveness}}
==Gross processing==
[[File:Probed gastrocutaneous fistula tract.jpg|thumb|Probed surgically excised gastrocutaneous fistula tract.]]
Steps are as follows:<ref name=Rishi>{{cite web|url=https://www.pathologyoutlines.com/topic/anusanalfistula.html|website=Pathology Outlines|title=Anus & perianal area - Other nonneoplastic - Fistula|author=Arvind Rishi, M.D., M.B.B.S., Toby C. Cornish, M.D., Ph.D.}} Topic Completed: 1 April 2014.
Minor changes: 16 November 2020</ref>
*{{Moderate-begin}}'''Review''' operative notes or preoperative radiological studies.{{Moderate-end}}
*{{Comrpehensive-begin}}'''Photograph''' the specimen.{{Comprehensive-end}}
*'''Measure''' the specimen
*'''Probe''' for any tract
*'''Inspect''', with particular focus on any visible mucosa adjoining the fistula, looking mainly for friable areas or ulcers. Usually there is limited mucosa.
*If successfully probed, '''dissect''' longitudinally with a pediatric or finer scissors along the inserted probe.

===Tissue sampling===
*If an area of friability and/or ulceration is found, submit that entire area.<ref name=Rishi/>
*Otherwise, submit one or two representative sections.
{{Bottom}}