Auto text: “Insert Penis”
- The majority of these resections are for invasive squamous cell carcinoma.
- Due to the rare nature of these resections, show all intact specimens to an attending pathologist.
- Take gross photographs – intact and after sectioning.
- Measure the overall length and diameter, as well as the foreskin (if applicable).
- Measure grossly identifiable tumor.
- Ink right and left sides differentially and fix overnight.
- Cut the glans and shaft longitudinally (sagittally) through the center. This section should cut the urethra and corpus spongiosum into right and left halves.
- Make note of the size, location, color, growth pattern (fungating, papillary, ulcerated, verrucous), consistency, margin involvement or distance from proximal resection margin.
- Document involvement (if any) of the foreskin, frenulum, glans, meatus, subepithelial connective tissue, corpus spongiosum, corpora cavernosa, urethra, prostate, or other structures.
- Sections should include:
- Proximal margin (skin, corpora, and urethra).
- Two to four cassettes of tumor showing deepest invasion and relationship to other structures.
- Additional lesions.
- Representative uninvolved penis.