Tonsil: Difference between revisions

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{{Comprehensiveness}}
{{Comprehensiveness}}
==Gross processing==
==Gross processing==
Also evaluate as per potential '''[[lymphoma]]''' if there is a request for that in the referral, or other suspicion of it. Inspect the tonsils for any significant gross focal changes. If you have bilateral tonsils, and they look grossly similar, you may combine a small sample of each tonsil into one container for flow cytometry. A representative section of the grossly most abnormal part from each tonsil is generally enough.
[[File:Gross pathology of tonsil.jpg|thumb|Gross pathology of a hypertrophic tonsil.]]
First look at the requisition form {{Comprehensive-begin}}and in the medical records{{Comprehensive-end}} for the following suspicions:
*Suspected '''infection''': Confirm that a sample has been taken for microbiology. If not, take a sample from within the specimen when you gross it.
*Possible '''[[lymphoma]]''': Make a touch prep and take sample(s) for '''[[flow cytometry]]'''. If you have bilateral tonsils, and they look grossly similar, you may combine a small sample of each tonsil into one container for flow cytometry.
*Suspected '''[[tumor]]''': [[Ink]] the external surfaces before sectioning. Otherwise inking is not needed. {{further|Tumor}}


If there is a suspicion of a tumor, [[ink]] the external surfaces before sectioning, otherwise inking is not needed. {{further|Tumor}}
Inspect the tonsils for any significant gross focal changes. A representative section of the grossly most abnormal part from each tonsil is generally enough.


;Example gross report:
;Example gross report:
{{Grossreport-begin}} one rubbery, ovoid, pink-tan tonsil(s) measuring ____. The mucosal surfaces are unremarkable. On sectioning, the tissue is tan-white and homogenous, with no gross lesions.{{Grossreport-end}}
{{Grossreport-begin}} one rubbery, ovoid, pink-tan tonsil(s) measuring ____. The mucosal surfaces are unremarkable. On sectioning, the tissue is tan-white and homogenous, with no gross lesions.{{Grossreport-end}}
{{Bottom}}
{{Bottom}}

Latest revision as of 18:08, 31 October 2023

Author: Mikael Häggström [note 1]

Comprehensiveness

On this resource, the following formatting is used for comprehensiveness:

  • Minimal depth
  • (Moderate depth)
  • ((Comprehensive))

Gross processing

File:Gross pathology of tonsil.jpg
Gross pathology of a hypertrophic tonsil.

First look at the requisition form ((and in the medical records)) for the following suspicions:

  • Suspected infection: Confirm that a sample has been taken for microbiology. If not, take a sample from within the specimen when you gross it.
  • Possible lymphoma: Make a touch prep and take sample(s) for flow cytometry. If you have bilateral tonsils, and they look grossly similar, you may combine a small sample of each tonsil into one container for flow cytometry.
  • Suspected tumor: Ink the external surfaces before sectioning. Otherwise inking is not needed. Further information: Tumor

Inspect the tonsils for any significant gross focal changes. A representative section of the grossly most abnormal part from each tonsil is generally enough.

Example gross report
((A. Labeled - ___. The specimen is received in formalin and consists of)) one rubbery, ovoid, pink-tan tonsil(s) measuring ____. The mucosal surfaces are unremarkable. On sectioning, the tissue is tan-white and homogenous, with no gross lesions. (Representative sections are submitted for microscopic examination in __ cassettes.)

Notes

  1. For a full list of contributors, see article history. Creators of images are attributed at the image description pages, seen by clicking on the images. See Patholines:Authorship for details.

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