Auto text: “Insert Liver Partial Resection”
Resections are performed either for benign tumors (hepatic adenoma, focal nodular hyperplasia, hemangioma):
Or malignancies (hepatocellular carcinoma, cholangiocarcinoma, metastatic tumors):
There will always be a cauterized cut surface representing the surgical margin, which should be inked (it usually appears shaggy). The smooth capsular surface should not be inked.
- If you receive a Liver status post TARE (Trans-Arterial Radioembolization), please consult a PA and read procedure UCMC 1145 in MediaLab (Handling Radioactive Specimens in the Gross Pathology Laboratory).
- Weigh and measure in three dimensions
- Ink surgical resection margin
- Serially section at 1 cm intervals
- Take a gross photograph of a slice of any interesting lesion
- Fix in formalin if desired. These specimens can be grossed fresh or same day.
- Describe the number and sizes of all masses, and the condition of the surrounding parenchyma (i.e. cirrhosis)
- Measure distance of masses from surgical resection margin
- Take representative sections of tumor and surrounding parenchyma