Template:Gross processing of skin excisions: Difference between revisions

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*{{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://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 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>
*{{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><ref group="notes">The excision examples show a normal mole (upper row, benign appearance) and a superficial basal cell carcinoma (lower row, suspected malignancy).</ref>
!rowspan=2|  !!colspan=3| Lesion size
!rowspan=2|  !!colspan=3| Lesion size
|-
|-

Revision as of 11:06, 25 October 2019

Gross processing of skin excisions

Gross pathologic processing of skin excisions[1][notes 1]
Lesion size
<4 mm 4 - 8 mm 9 - 15 mm
Benign appearance

File:Tissue selection from skin excision with lesion less than 4 mm with benign appearance.png

File:Tissue selection from skin excision with lesion 4-8 mm with benign appearance.png

File:Tissue selection from skin excision with lesion 9-15 mm with benign appearance.png

Suspected malignancy 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.

See also

Notes

  1. ↑ The excision examples show a normal mole (upper row, benign appearance) and a superficial basal cell carcinoma (lower row, suspected malignancy).


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


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