Hemorrhoids: Difference between revisions
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*Have a brief scroll through the tissue to confirm the diagnosis of '''hemorrhoids''' (submucosal vessels with dilation, thick walls and congestion, often thrombosed)<ref>{{cite web|url=https://www.pathologyoutlines.com/topic/anushemorrhoids.html|title=Anus & perianal area - Other nonneoplastic - Hemorrhoids|author=Elliot Weisenberg, M.D.|website=Pathology Outlines}} Topic Completed: 1 May 2014. Minor changes: 7 June 2021</ref> | *Have a brief scroll through the tissue to confirm the diagnosis of '''hemorrhoids''' (submucosal vessels with dilation, thick walls and congestion, often thrombosed)<ref>{{cite web|url=https://www.pathologyoutlines.com/topic/anushemorrhoids.html|title=Anus & perianal area - Other nonneoplastic - Hemorrhoids|author=Elliot Weisenberg, M.D.|website=Pathology Outlines}} Topic Completed: 1 May 2014. Minor changes: 7 June 2021</ref> | ||
*Look at the '''epithelium''' for any [[anal intraepithelial neoplasia]]. | *Look at the '''epithelium''' for any [[anal intraepithelial neoplasia]]. | ||
:'''Example | |||
===Microscopic report=== | |||
[[File:Anorectal mucosa with hemorrhoid.jpg|thumb|220px|Benign anorectal mucosa. It may be hyperplastic as shown, which does not need mentioning.]] | |||
*Diagnosis of '''hemorrhoids''' | |||
*{{Moderate-begin}}Even benign epithelium, with specification of types seen, that is, anoderm, rectal, or anorectal if both are seen.{{Moderate-end}} | |||
:'''Example''': | |||
{|class=wikitable | {|class=wikitable | ||
| {{Moderate-begin}}Anal tissue, excision:<br>{{Moderate-end}} hemorrhoids {{Moderate-begin}}and benign anorectal mucosa{{Moderate-end}} | | {{Moderate-begin}}Anal tissue, excision:<br>{{Moderate-end}} hemorrhoids {{Moderate-begin}}and benign anorectal mucosa{{Moderate-end}} | ||
|} | |} | ||
{{Bottom}} | {{Bottom}} | ||
Revision as of 19:11, 24 September 2021
Author:
Mikael Häggström [note 1]
Fixation
Generally 10% neutral buffered formalin.
Comprehensiveness
On this resource, the following formatting is used for comprehensiveness:
- Minimal depth
- (Moderate depth)
- ((Comprehensive))
Gross processing
Gross report
Example:
| ((A. Labeled - hemorrhoids. The specimen is received in formalin and consists of)) __ [[number of]] irregular fragment(s) of pink-tan tissue, partially covered by skin and mucosa, measuring __. On sectioning, engorged blood vessels are identified. ((Representative sections are submitted for microscopic examination in one cassette.)) |
Microscopic evaluation
- Have a brief scroll through the tissue to confirm the diagnosis of hemorrhoids (submucosal vessels with dilation, thick walls and congestion, often thrombosed)[1]
- Look at the epithelium for any anal intraepithelial neoplasia.
Microscopic report
- Diagnosis of hemorrhoids
- (Even benign epithelium, with specification of types seen, that is, anoderm, rectal, or anorectal if both are seen.)
- Example:
| (Anal tissue, excision: ) hemorrhoids (and benign anorectal mucosa) |
Notes
- ↑ 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.
Main page
References
- ↑ Elliot Weisenberg, M.D.. Anus & perianal area - Other nonneoplastic - Hemorrhoids. Pathology Outlines. Topic Completed: 1 May 2014. Minor changes: 7 June 2021
Image sources