Auto text: “Insert Ovary and Tube Tumor”
- Weigh and measure prior to opening.
- Document if a.) ovary was received intact vs. disrupted/previously opened, and b.) ovary has surface lesions or implants.
- Measure length and diameter of fallopian tube (if attached), and document a.) whether the serosa is intact or disrupted, and b.) the presence/absence of serosal implants.
- Ink the outer surface of the ovary.
- Open cystic structures over sink and note whether cyst is unilocular or multilocular.
- Describe contents (serous/mucoid, clear or blood, hair) and the amount of fluid.
- Describe internal lining surface (smooth, plaque-like thickenings, papillary excrescences, etc.).
- State whether any portion of normal ovary is recognized.
- Note average thickness of cyst wall or variations of thickness.
- Describe (and subsequently section) any areas of solid tissue or raised foci within cystic tumors.
- Document involvement of ovarian surface, fallopian tube, and/or uterine serosa.
- Cysts with papillary excrescences: Submit excrescences in entirety if focal. Otherwise, submit 1 section per cm (2-3 per cassette).
- Mucinous tumors: Submit 1 section per cm (2-3 per cassette).
- If patient is status post neoadjuvant chemotherapy and no gross tumor remains, submit ovaries and fallopian tubes in their entirety.
- Completely submit the fallopian tube per SEE-FIM protocol.
- If the appendix is removed:
- Mucinous tumor: submit entirely.
- All other tumors: submit representative sections (including tip, margin, and 1-2 sections of nodule/metastases if present).
- If bowel is removed:
- Tumor far from margin: submit proximal and distal margins EN FACE.
- Tumor close to margin: ink margin and submit perpendicular section of tumor to margin.
- Submit 2 sections of bowel wall with tumor to include areas with closest involvement to bowel mucosa.
- Palpate the fat, and if any lymph nodes are easily identifiable, submit entirely. An extensive lymph node dissection is NOT needed!
Updated 6-22-2020 SRR