Nasal cavity, paranasal sinuses, nasopharynx


Grossing & features to report

Editorial Board Member: Bin Xu, M.D., Ph.D.
Deputy Editor-in-Chief: Kelly Magliocca, D.D.S., M.P.H.
Nat Pernick, M.D.

Last author update: 1 November 2022
Last staff update: 3 January 2023

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PubMed Search: Features to report[TIAB] nasal

Nat Pernick, M.D.
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Table of Contents
Grossing | Features to report
Cite this page: Pernick N. Grossing & features to report. website. Accessed May 19th, 2024.
Grossing of the sinonasal tract is extremely complicated, as the extent of each surgery (composite resection) varies. Therefore, the sampling of each specimen is unique, and consultation with the surgeon and an experienced head and neck pathologist is recommended.

  • At least one section per 1 cm of tumor for large tumors, including tumor center and periphery
  • Submit entire tumor, if possible in < 5 sections
  • Submit resection margins
  • Submit samples of tissue from other sites
Features to report
  • Tumor histologic type and pattern
  • Tumor size and location
  • Tumor histologic grade
  • Tumor extension to adjacent structures
  • Status of resection margins
  • Vascular invasion
  • Perineural invasion
  • Lymph nodes: for each level, number obtained, number involved by tumor, size of nodal metastases, presence of extracapsular spread

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