Friday 23 December 2016

Grossing of Mandibulectomy with radical neck dissection specimen for CA buccal mucosa


Received a Hemi/ Partial/ Middle third/ Extended mandibulectomy specimen

Measuring ---- cm along the alveolar margin.

---- teeth identified.

Externally , skin flap identified/ not identified measuring --- X --- cm. The skin shows/ does not show evidence of ulceration/ infiltration by the tumor.

An ulcerative/ ulceroproliferative/ polypoidal growth identified along the medial/lateral/anterior/posterior mucosae measuring --- X ---- X ---- cm in the greatest dimension.
On cutting open, ----- in colour,  ----- in consistency. Areas of haemorrhage/ necrosis present/ not present.

The distance of the growth from
Anterior mucosal margin is ----- cm
Posterior mucosal margin is ----- cm
Medial mucosal margin is ----- cm
Lateral mucosal margin is ----- cm
Anterior bony margin is ----- cm.

The ----- margins appear to be involved while ---- cm appear to be free of the tumour.

Also received a neck dissection specimen.

The submandibular gland identified superomedial to the sternomastoid muscle.

Level I Lymph nodes, ----- in number dissected.

Level II lymph nodes, ---- in number, Level III Lymph nodes, ---- in number and Level IV lymph nodes ---- in number, dissected along the upper, middle and the lower part of the sternomastoid.

Level V lymph nodes, ---- in number, dissected in the region posteroinferior to the stenomastoid.

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