Laryngectomy Margin Assessment: A Little Help From a Template.
| Autor: | Zaccarini DJ; Department of Pathology, State University of New York (SUNY) Upstate Medical University, Syracuse, NY., Thompson LDR; Head and Neck Pathology Consultations, Woodland Hills, CA. |
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| Jazyk: | angličtina |
| Zdroj: | Advances in anatomic pathology [Adv Anat Pathol] 2024 Oct 31. Date of Electronic Publication: 2024 Oct 31. |
| DOI: | 10.1097/PAP.0000000000000471 |
| Abstrakt: | Laryngectomy margin assessment is an important part of patient care and can affect outcomes. There is no standard approach to grossing laryngectomy specimens, with variations in the published guidelines. A uniform approach to margin assessment may be helpful to improve patient care and future research. At the very least, sampling of all mucosal margins (arytenoid area, hypopharyngeal, and anterior epiglottis) and tracheal margin should be performed. Sampling of soft tissue margins may be delegated to the pathologist, and contingent on the tumor extent into soft tissue. If a tracheostomy is present, skin and soft tissue margins should be sampled from the stoma. This review provides a template for laryngectomy margin assessment and can be used as a guideline as to which margins should be assessed. Competing Interests: The authors have no funding or conflicts of interest to disclose. (Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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