Auto text: “Insert Salivary”

Major salivary glands are parotid, submandibular, and sublingual.  Minor salivary glands are located throughout the aerodigestive tract and ear.

Triage

1. Weigh and measure specimen in 3D.
2. Ink the outer surface, taking note of any orienting sutures and specimen integrity.
3. Fix in formalin overnight.

Gross

1. If you receive submandibular gland as part of a larger cancer-staging surgery, see Neck Dissection.
2. Serially section: If orienting sutures are present, maintain orientation during the grossing process.
3. Measure tumor in 3D.
4. Photograph cut surface of tumor.
5. Describe tumor: one or multiple nodules, color, consistency, circumscription / relationship to adjacent salivary gland.
6. Measure distance to nearest margins.
7. Mention dilated ducts, pus, or calculi.
8. If 4 cm or less, submit ALL.  If larger, submit representative sections of tumor (2 per cm), including interface with normal and with margin.
9. Submit representative uninvolved parenchyma.
10. Submit any intra/peri glandular lymph nodes.