VAGINA
Excisional biopsy (handle as "vulvar excisional biopsy"):
Colpectomy/Vaginectomy:
Handling:
The specimen can be handled in one of two ways:
Open along the lateral borders, ink the deep and distal resection margins, pin out and fix.
|
Stuff the cavity with formalin soaked gauze, fix overnight, and cut in half. Ink the deep and distal resection margins.
|
Description:
a) Dimensions: Length, width, depth
b) Lesion: Size, depth, character (exophytic or ulcerated), distance from margins.
c) Uninvolved mucosa: Unremarkable, focal erythema, ulceration, etc.
Sections:
a) Ink the surgical margins.
b) Lesion: Submit entirely or at least 4 cassettes, to include the margins if possible.
c) Include distal resection margin.
|