Stomach

General

Features to report & grossing



Topic Completed: 1 July 2012

Minor changes: 2 October 2020

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PubMed Search: Stomach[TI] features to report

Elliot Weisenberg, M.D.
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Table of Contents
Features to report | Grossing
Cite this page: Weisenberg E. Features to report & grossing. PathologyOutlines.com website. https://www.pathologyoutlines.com/topic/stomachfeatures.html. Accessed November 29th, 2021.
Features to report
  • Surgical procedure
  • History of prior gastric surgery (recommended)
  • Anatomic site
  • Tumor histologic type and grade
  • Extent of tumor
  • Tumor size
  • Depth of invasion
  • Lymphovascular invasion
  • Perineural invasion (recommended)
  • Margin involvement (proximal, distal, radial); if negative, report distance of tumor to nearest margin
  • Lymph node involvement (total involved, total examined)
  • Tumor descriptors if indicated (m-multiple, r-recurrent, y-posttreatment)
  • HER2 status (if known, results pending)
  • Presence of distant metastasis (if known)
  • Other features (gastritis [Helicobacter pylori or other]), intestinal metaplasia, dysplasia (low grade, high grade), specific types of infection
  • See also CAP.org, search "cancer protocols"

Grossing
  • Take sections from resection margins, tumors / lesions, deep margins to tumors, all lymph nodes
  • For malignant gastrectomy specimens, should assess 15+ lymph nodes
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