Thread by @Pathology3636

✨STOMACH GASTRECTOMY ✨
[1/9] Stomach may be partially, or less commonly, totally resected for primary tumours, benign ulcers. It may also be received in conjunction with resections of oesophagus or pancreas. #PathTwitter #PathTweetAward @anueru432 @pembeoltulu @Glzbek1

[2] Describe and measure the anatomical components present.
*Stomach
*Lesser curve, length
*Greater curve, length
*Duodenum, length
*Oesophagus, length
*Greater omentum, three dimensions
*Other, specify

[3]DISSECTION:Paint the oesophageal circumferential resection margin with ink (if present).Open longitudinally along the greater curve of the stomach avoiding the tumour.After opening the specimen may require longer fixation in larger quantity of formalin.

[4]INTERNAL INSPECTION: Describe the internal appearance including the following items:
🔽TUMOUR🔽
*Absent
*Present
*Number; if more than one tumour, designate and *describe each tumour separately

[5]TUMOUR SITE:
Record the site(s) of the tumour. More than one may apply.
🔽OPTIONS🔽
*Gastro-oesophageal junction
*Cardia
*Fundus
*Antrum
*Body
*Pylorus
*Greater curve
*Lesser curve
*Anterior wall
*Posterior wall

[6]MACROSCOPIC TUMOUR TYPE:
Early cancer (pT1/pT2)
Type 0-I Protruded
Type 0-IIa Elevated
Type 0-IIb Flat
Type 0-III Excavated
Type 0-IIc Depressed
Advanced cancer (pT3/pT4)
Type I Polypoid
Type II Fungating
Type III Ulcerated
Type IV Infiltrative

[7]TUMOUR SIZE AND DISTANCES TO SURGICAL MARGINS (mm):
*Maximum dimension
*Distance of tumour to nearest proximal or distal margin (cut end)
*Distance of tumour to the circumferential resection margin (proximal/cardia tumours)

[8]SEROSAL INVOLVEMENT BY TUMOUR:
*Absent
*Suspicious
*Involved

[9]LYMPH NODES: For each container, record specimen number and designation. Collective size of tissue in three dimensions (mm). Number of grossly identified lymph nodes submitted .Maximum diameter of each (mm). +

Regional lymph nodes are the perigastric nodes along the lesser and greater curvatures and the nodes along the left gastric, common hepatic, hepatoduodenal, splenic and celiac arteries. +

Lymph node groups offer no significant prognostic information, therefore all regional nodes can be reported together.