Difference between revisions of "Grossing"

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Rule of thumb
''Rule of thumb: if the margin is < 2 cm away in a resection, submit perpendicular. If not, consider the value in allowing the pathologist to evaluate the entire margin in a single cassette''

Revision as of 22:42, 9 January 2021

Lorum ipsum

Margins

Present on all resections to document the presence or absence of tumour and/or viability of the resection margin 📕

En face (shave, parallel)

Advantages

  • more surface area
  • entire structures can be evaluated (e.g., bronchus, ureter)

Disadvantages

  • cannot measure the exact distance
  • can be difficult to interpret when cautery artifact is present

Perpendicular

Advantages

  • exact distance can be measured

Disadvantages

  • very little tissue is evaluated in larger resections


Rule of thumb: if the margin is < 2 cm away in a resection, submit perpendicular. If not, consider the value in allowing the pathologist to evaluate the entire margin in a single cassette