Penis and scrotum
Miscellaneous
Grossing circumcision specimens

Author: Shaheed Hakim, M.D. (see Authors page)
Editor: Trevor A. Flood, M.D.

Revised: 6 April 2018, last major update June 2014

Copyright: (c) 2002-2018, PathologyOutlines.com, Inc.

PubMed Search: Gross circumcision

Cite this page: Hakim, S. Grossing circumcision specimens. PathologyOutlines.com website. http://www.pathologyoutlines.com/topic/penscrotumgrosscirc.html. Accessed July 17th, 2018.
Procedure
Benign circumcision specimens:
  • Benign circumcision specimens are sampled with routine sections (1 - 2) including any grossly identified lesions / abnormalities

Circumcision specimens containing tumor / suspicious for tumor:
  • Lightly stretch and pin the specimen to cardboard / sheet of cork
  • Fix in 10% buffered formalin overnight
  • Measure and describe the specimen, identifying:
    • Color, consistency
    • Areas of flattening / thickening / indurations
    • Describing focal lesions, hemorrhage, exudates and edema
    • Describing the tumor and its relation / distance to surgical resection margins
  • Ink the mucosal and cutaneous margins of resection with different colors
  • Take a photograph of the specimen
  • Section the specimen transversally
  • Map the photograph according to sections submitted, labeling each section in a clockwise fashion
  • Submit the entire tumor and sample each surgical resection margin
Clinical images

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Foreskin