Received a esophagectomy/esophagogastrectomy specimen measuring -------- cm in length.
Esophagus measures ------ cm in length.
Stomach measures ----- cm in length along the lesser curvature and ---- cm in length along the greater curvature. ( Wherever applicable)
Externally, the esophageal adventitia and the stomach appear ---- (UR/not UR)
A growth ulcerative/ ulceroinfiltrative/ polypoidal identified along the cervical/ mid esophagus/ distal esophagus measuring --- X --- X --- cm.
The distance of the growth from Proximal resection margin is ---- cm, from distal resection margin is ---- cm, from the gastroesophageal junction is ---- cm.
Externally, ------ in colour.
On cutting open, -------- in colour, with regular/ irregular borders, firm/ soft in consistency. The tumor appears to extend upto the submucosa/ muscularis propria/ adventitia
Areas of haemorrhage & necrosis identified/ not identified.
The rest of the esophageal mucosa appears ------.
Lymph nodes dissected
1. ----- in number above the tumor
2. ----- at the level of the tumor
3. ----- below the level of the tumor
4. ---- along the greater curvature
5. -----along the lesser curvature.
( 4 & 5 wherever applicable)
Standard sections to be taken for microscopy-
Proximal and distal esophageal margins, gastroesophageal junction, 4 sections from the tumor, 1 non- involved area of the esophagus and the stomach, Lymph nodes above, at and below the level of tumor.
Ink the adventitia before sectioning so that commenting on extention upto the adventitia is easier on microscopy.
No comments:
Post a Comment