GROSS EXAMINATION Flashcards
SPECIMEN CATEGORY:
- Only requiring transfer from container to tissue cassette. NO dissection required.
CATEGORY A
SPECIMEN CATEGORY:
Specimens requiring transfer and ROUTINE SAMPLE DISSECTION: sampling, counting, weighing, or slicing
( e.g. small lipoma, small skin biopsy, cervical LLETZ (Large Loop Excision or Transformation Zone)
CATEGORY B
SPECIMEN CATEGORY:
- Simple dissection required with sampling needing a low level of diagnostic assessment and/or
preparation
e.g. Prepuce (fore skin in male) / Folds in clitoris
(female) Gall bladder, hemorrhoids, appendix
CATEGORY C
SPECIMEN CATEGORY:
Dissection and sampling required needing a moderate level of assessment
CATEGORY D
SPECIMEN CATEGORY:
Specimens requiring complex dissection and sampling methods
e.g. thyroid, breast cancer, testis (seminoma), uteri
CATEGORY E
ORIENTATION MARKERS:
INKS
NICKS
SUTURES
ORIENTATION MARKER:
- used to identify and orient the specimen’s components, distinguish samples, for embedding
instructions
INKS
ORIENTATION MARKER:
- indicates laterality
NICKS
- Inject fixative first then gross
EYES
ORIENTATION MARKER:
- Represented by LL; long lateral; or SS - short superior
SUTURES
- usually first lymph node to be involved during metastasis. Entirely submitted.
SENTINEL LYMPH NODES
MASTECTOMY:
Note for WEIGHT, SIZE OF BREAST and AXILLARY DISSECTION, SKIN ELLIPSE, NIPPLE SCARS, BASAL MARGINS
Specimen with Tumor
- Identify:
► Site & size of tumor
► Location & structure invaded by tumor
► Vascular invasion
► Presence of lymph node
► Distance from resection margin
AKA GROSS WORKSHEET
SPECIMEN WORKSHEET
SPECIMEN WORKSHEET contains:
- Accession number
- Number of sections and blocks
- “Comments” column (for special requests & etc.)
- Gross description
