thickness. *** of lymph nodes are identified, ranging from *** to *** cm in greatest dimension. All identified lymph nodes are entirely submitted. [The lesion/mass is entirely submitted (if applicable, otherwise skip to next sentence)] Representative sections of the remaining specimen are submitted. Ink key: Black mesenteric/radial margin overlying lesion – Blue serosa overlying lesion – [Additional inking description if proximal/distal margins taken perpendicularly] Tumor: 15-20 cassettes Proximal resection margin, shave(perpendicular if close to tumor) Distal resection margin, shave (perpendicular if close to tumor) Mesenteric/radial resection margin (perpendicular section with nearest approach to tumor) One cassette per 1 cm of tumor Show maximum depth of invasion Show nearest approach to serosa Show relationship to unremarkable mucosa Show relationship to any contiguous or adherent organs - If adenomatous polyp with no gross invasion-entirely submit Cassettes sampling any additional pathology in the gross description (ulcers, polyps, etc.) Submit all lymph nodes identified Separate lymph nodes into segments of colon Note: If no tumor is grossly identified and instead an area of ulceration or scar is present (which is often the case for rectal carcinomas status post neoadjuvant therapy), then the entire ulcer or scar area needs to be submitted. APPENDIX Specimen Type: APPENDECTOMY (NON-TUMOR) Procedure: Measure the length and range of diameter. Measure the width of mesoappendix Describe the external surface and mesoappendix. Note variation in color, presence of exudates, signs of perforation, tumors. Describe the presence or absence of perforation. Measure the size and location of perforation if present.
thickness. *** of lymph nodes are identified, ranging from *** to *** cm in greatest dimension. All identified lymph nodes are entirely submitted. [The lesion/mass is entirely submitted (if applicable, otherwise skip to next sentence)] Representative sections of the remaining specimen are submitted. Ink key: Black – mesenteric/radial margin overlying lesion Blue – serosa overlying lesion [Additional inking description if proximal/distal margins taken perpendicularly] Tumor: 15-20 cassettes Proximal resection margin, shave(perpendicular if close to tumor) Distal resection margin, shave (perpendicular if close to tumor) Mesenteric/radial resection margin (perpendicular section with nearest approach to tumor) One cassette per 1 cm of tumor Show maximum depth of invasion Show nearest approach to serosa Show relationship to unremarkable mucosa Show relationship to any contiguous or adherent organs - If adenomatous polyp with no gross invasion-entirely submit Cassettes sampling any additional pathology in the gross description (ulcers, polyps, etc.) Submit all lymph nodes identified Separate lymph nodes into segments of colon Note: If no tumor is grossly identified and instead an area of ulceration or scar is present (which is often the case for rectal carcinomas status post neoadjuvant therapy), then the entire ulcer or scar area needs to be submitted. APPENDIX Specimen Type: APPENDECTOMY (NON-TUMOR) Procedure: Measure the length and range of diameter. Measure the width of mesoappendix Describe the external surface and mesoappendix. Note variation in color, presence of exudates, signs of perforation, tumors. Describe the presence or absence of perforation. Measure the size and location of perforation if present.