Template:Tissue selection from suspected malignant skin lesions: Difference between revisions

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==Gross processing==
{{#ifeq:{{PAGENAME}}|Starting pathology|;Tissue selection|{{#ifeq:{{PAGENAME}}|Emergent pathology|;Tissue selection|===Tissue selection===}}}}
{|class="wikitable"
{|class="wikitable"
|+ Gross pathologic processing of suspected malignant skin lesions, by lesion size:<ref name=processing>There are many variants for the processing of skin excisions. These examples use aspects from the following sources:
|+ Tissue selection from suspected malignant skin lesions, by lesion size:<ref name=processing>{{Skin-processing}}</ref><ref group="note">The excision example shows a superficial basal cell carcinoma.</ref>
*{{cite web|url=http://www.svfp.se/foreningar/uploads/L15178/kvast/hud/Handlaggning%20av%20hudprover%20%20provtagningsanvisningar%20utskarningsprinciper%20och%20snittning%2020150325.pdf|title=Handläggning av hudprover – provtagningsanvisningar, utskärningsprinciper och snittning (Handling of skin samples - sampling instructions, cutting principles and incision|website=Swedish Society of Pathology}}<br>- For number of slices and coverage of lesions, depending on size.
*{{cite web|url=http://www.svfp.se/stora_utskarningen|title=Stora utskärningen|website=KVAST (Swedish Society of Pathology)|author=Monica Dahlgren, Janne Malina, Anna Måsbäck, Otto Ljungberg|accessdate=2019-09-26}}<br>- For slices towards the pointy ends to determine radicality, which can be parallel to the slices through the lesions (shown), or as longitudinal slices that go through each pointy end.
*{{cite web|url=http://pathology.ucla.edu/workfiles/Education/Residency%20Program/Gross%20Manual/SkinExcisionLarge.pdf|title=Dermatopathology Grossing Guidelines|website=University of California, Los Angeles|accessdate=2019-10-23}}<br>- For microtomy of the most central side at the lesion
*{{cite journal |vauthors=Finley EM |title=The principles of mohs micrographic surgery for cutaneous neoplasia |journal=Ochsner J |volume=5 |issue=2 |pages=22–33 |date=2003 |pmid=22826680 |pmc=3399331 |doi= |url=http://www.ochsnerjournal.org/content/5/2/22}}<br>- With a "standard histologic examination" that, in addition to the lesion, only includes one section from each side along the longest diameter of the specimen. <br>- It also shows an example of circular coverage, with equal coverage distance in all four directions. <br>- The entire specimen may be submitted if the risk of malignancy is high.</ref>
! <4 mm !! 4 - 8 mm !! 9 - 15 mm
! <4 mm !! 4 - 8 mm !! 9 - 15 mm
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==See also==
==See also==
*[[Template:Gross processing of skin excisions]]
*[[Template:Gross processing of skin excisions]]
*[[Template:Gross processing of skin lesions with benign appearance]]
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Latest revision as of 00:01, 21 June 2022

Tissue selection

Tissue selection from suspected malignant skin lesions, by lesion size:[1][note 1]
<4 mm 4 - 8 mm 9 - 15 mm
File:Tissue selection from skin excision less than 4 mm with suspected malignant lesion.png File:Tissue selection from skin excision 4-8 mm with suspected malignant lesion.png File:Tissue selection from skin excision 9-15 mm with suspected malignant lesion.png

In table above, each top image shows recommended lines for cutting out slices to be submitted for further processing. Bottom image shows which side of the slice that should be put to microtomy. Dashed lines here mean that either side could be used. Further information: Gross processing of skin excisions

See also

Notes

  1. The excision example shows a superficial basal cell carcinoma.

Main page

References

  1. There are many variants for the processing of skin excisions. These examples use aspects from the following sources: ". Ochsner J 5 (2): 22–33. 2003. PMID 22826680. PMC: 3399331. Archived from the original. . 
    - With a "standard histologic examination" that, in addition to the lesion, only includes one section from each side along the longest diameter of the specimen.
    - It also shows an example of circular coverage, with equal coverage distance in all four directions.
    - The entire specimen may be submitted if the risk of malignancy is high.

Image sources