The art of specimen orientation: Two-dimensional maps for oropharynx squamous cell carcinoma.

Autor: Divakar P; Section of Otolaryngology, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA., Kim SS; Geisel School of Medicine, Dartmouth College, Hanover, New Hampshire, USA., Kerr DA; Department of Pathology and Laboratory Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA., Pettus JR; Department of Pathology and Laboratory Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA., Paydarfar JA; Section of Otolaryngology, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA.
Jazyk: angličtina
Zdroj: Head & neck [Head Neck] 2024 Mar; Vol. 46 (3), pp. 702-707. Date of Electronic Publication: 2023 Dec 20.
DOI: 10.1002/hed.27613
Abstrakt: The goal of surgical treatment for oropharynx squamous cell carcinoma (SCCa) is resection to negative margins. Current methods of orienting resection specimens often do not give a comprehensive view, especially in oropharynx SCCa where specimens can lack anatomic landmarks. We created standardized two-dimensional maps of oropharynx anatomy drawn to scale to improve communication between surgeons and pathologists. Notes regarding surgery including anatomic landmarks, areas of concern, additional margins, and relevant clinical information were added to the map. The maps guided pathology work-up, and the pathologist could communicate details back to the surgeon on how the specimen was sectioned or locations of microscopic foci to direct future treatment and clinical monitoring. The use of two-dimensional maps for oropharynx SCCa specimens offers a standardized solution to address the challenges of anatomic orientation. These maps summarized key pathological information, preserved clinical details from the specimens, and guided multidisciplinary conferences when planning adjuvant treatment.
(© 2023 Wiley Periodicals LLC.)
Databáze: MEDLINE
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