Ebook Mohs surgery and histopathology: Beyond the fundamentals - Part 2
➤ Gửi thông báo lỗi ⚠️ Báo cáo tài liệu vi phạmNội dung chi tiết: Ebook Mohs surgery and histopathology: Beyond the fundamentals - Part 2
Ebook Mohs surgery and histopathology: Beyond the fundamentals - Part 2
CHAPTER 10Mohs MappingHoward K. SteinmanMOI IS SURGERY requires meticulous recording of wound and specimen details and pathology' findings on a diagra Ebook Mohs surgery and histopathology: Beyond the fundamentals - Part 2ammatic Mohs map. The map is vital as a safeguard against orientation errors and for correlating findings from pathology slides to the wound.The map is also a component of the operative report, the pathology report, and a medicolegal document. Properly completed, it will accurately depict what was p Ebook Mohs surgery and histopathology: Beyond the fundamentals - Part 2erformed and why. Mohs maps may be drawn on preprinted anatomic diagrams, blank paper sheets, or photographs. All surgery stages may be depicted on onEbook Mohs surgery and histopathology: Beyond the fundamentals - Part 2
e map sheet, or each stage may have its own.Map notation occurs in three settings (Table 10.1). Before surgery, maps must contain patient demographic CHAPTER 10Mohs MappingHoward K. SteinmanMOI IS SURGERY requires meticulous recording of wound and specimen details and pathology' findings on a diagra Ebook Mohs surgery and histopathology: Beyond the fundamentals - Part 2tion, (2) reference marks, (3) patterns of any specimen subdivision into smaller tissuesections, (4) section numbering, and (5) the tissue inking patterns. After slide interpretation, maps must precisely depict the location of tumor foci and other relevant findings. These findings may include incomp Ebook Mohs surgery and histopathology: Beyond the fundamentals - Part 2lete surgical margins, foci of dense inflammation and scar tissue; unrelated benign tumors (e.g., nevi or keratoses), and any orientation errors.MAP SEbook Mohs surgery and histopathology: Beyond the fundamentals - Part 2
HAPESThe map depicts the shape of the surgical margin. The wound usually expands after the excision while the specimen margin contracts, often asymmetCHAPTER 10Mohs MappingHoward K. SteinmanMOI IS SURGERY requires meticulous recording of wound and specimen details and pathology' findings on a diagra Ebook Mohs surgery and histopathology: Beyond the fundamentals - Part 2entational depictions of the wound. Draw-ingthediagram larger than the wound pennits more precise correlation of slide findings to the wound.TABLE 10.1: Data for Mohs MapsBefore surgeryPatient namePatient account or chart numberSurgery dateMohs surgery case numberBiopsy slide accession numberTumor t Ebook Mohs surgery and histopathology: Beyond the fundamentals - Part 2ypeTumor anatomic locationBefore tissue processingDiagram (or photograph) of specimen shape and orientationReference marksSpecimen subdivision patternEbook Mohs surgery and histopathology: Beyond the fundamentals - Part 2
sSection numberingTissue inking patternsAfter slide revt&wLocation of tumor fociLocation of other relevant pathology findings, including Incomplete suCHAPTER 10Mohs MappingHoward K. SteinmanMOI IS SURGERY requires meticulous recording of wound and specimen details and pathology' findings on a diagra Ebook Mohs surgery and histopathology: Beyond the fundamentals - Part 2IAL MARGINSDuring slide interpretation, the presence of epithelium is the most reliable indicator that the peripheral surgicalFIGURE 10.1: Excised stage I specimen within wound (A) and after placement on transfer gauze IB). Note contraction of the specimen. Histologic findings recorded on the Mohs m Ebook Mohs surgery and histopathology: Beyond the fundamentals - Part 2ap must be correlated with the wound, thus the relevant shape for me Mohs map IS the surgical defect (C).page 78—r—. - - ——rr...o ..FIGURE 10.2: MohsEbook Mohs surgery and histopathology: Beyond the fundamentals - Part 2
specimen with epithelium only at one edge (A). The epithelial portion may be designated by radiating lines (B) or by "squiggly " lines for edges lackiCHAPTER 10Mohs MappingHoward K. SteinmanMOI IS SURGERY requires meticulous recording of wound and specimen details and pathology' findings on a diagra Ebook Mohs surgery and histopathology: Beyond the fundamentals - Part 2nr Mohs stage specimens often lack epithelium on some or all of their periphery. Tissue ink on these edges serves as a surrogate for epithelium. To ensure complete margin assessment, it is important to depict on the map where specimen edges lack epithelium and what color ink has been placed at these Ebook Mohs surgery and histopathology: Beyond the fundamentals - Part 2 edges. Assessment of nonepithelial tissue edges is not adequate, unless ink on these edges is visible microscopically. Two reliable techniques for deEbook Mohs surgery and histopathology: Beyond the fundamentals - Part 2
picting peripheral nonep-ithelial margins are to (I) draw short radiating lines from areas with epithelium or (2) draw edges with epithelium with a smCHAPTER 10Mohs MappingHoward K. SteinmanMOI IS SURGERY requires meticulous recording of wound and specimen details and pathology' findings on a diagra Ebook Mohs surgery and histopathology: Beyond the fundamentals - Part 2of tissue wafers on the slides to the map and then to the wound. Il is also important for ensuring that subdividedtissue specimens are properly labeled on their separate pathology slides. Each subdivided tissue piece should have a distinct inking pattern, especially when several pieces have rhe same Ebook Mohs surgery and histopathology: Beyond the fundamentals - Part 2 size and shape (Figures 10.3 and 10.4; Chapter 4, Figure 4.12). Effective inking is usually accomplished by using 2 or 3 colors. In rare instances, fEbook Mohs surgery and histopathology: Beyond the fundamentals - Part 2
or very large or complex-slia|M:d s|H.*ciinens, four colors may be required. Stemming from Dr. Frederick Mohs’ methods, red has traditionally been useCHAPTER 10Mohs MappingHoward K. SteinmanMOI IS SURGERY requires meticulous recording of wound and specimen details and pathology' findings on a diagra Ebook Mohs surgery and histopathology: Beyond the fundamentals - Part 2sed.CHAPTER 10Mohs MappingHoward K. SteinmanMOI IS SURGERY requires meticulous recording of wound and specimen details and pathology' findings on a diagraGọi ngay
Chat zalo
Facebook