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Surgical pathology is the most significant and time-consuming area of practice for most anatomical pathologists. Surgical pathology involves gross and microscopic examination of surgical specimens, as well as biopsies submitted by surgeons and non- surgeons such as general internists , medical subspecialists, dermatologists , and interventional ...
The term first appeared in the 2011 scientific paper, “The Changing Spectrum of DNA-Based Specimen Provenance Testing in Surgical Pathology,” published in the American Journal of Clinical Pathology, [1] which built upon concepts described in an earlier paper published in the Journal of Urology. [2]
Gross examination of a kidney (right of image) with a renal oncocytoma (left of image).. Gross processing, "grossing" or "gross pathology" is the process by which pathology specimens undergo examination with the bare eye to obtain diagnostic information, as well as cutting and tissue sampling in order to prepare material for subsequent microscopic examination.
But, with the advent of immunohistochemistry (IHC) staining and diagnostic molecular pathology testing on these specimen samples, formalin has become the standard chemical fixative in human diagnostic histopathology. Fixation times for very small specimens are shorter, and standards exist in human diagnostic histopathology.
Some specimen types also require special treatment, such as immediate mixture with an additive, or storage at a certain temperature. [5] After extraction , all specimen containers must be labeled with at least two of the following identifiers (at the time of collection): patient's name, date of birth, hospital number, test request form number ...
The intraoperative consultation is the name given to the whole intervention by the pathologist, which includes not only frozen section but also gross evaluation of the specimen, examination of cytology preparations taken on the specimen (e.g. touch imprints), and aliquoting of the specimen for special studies (e.g. molecular pathology ...
Specimen jars/envelopes/packets: preservation of material evidence Swabs: collecting smears Metacarpal saw: video: External link; a bone saw Double-ended probe: used for probing Tongue tie: to tie away the tongue so that it doesn't fall back into the pharynx. Formaldehyde: primary preservative for Anatomy; video link
Anatomical and pathological specimens in jars were seen as increasingly irrelevant as learning aids for trainee surgeons. The collections now began to focus on specialised areas, such as dentistry, histopathology, and radiology, whilst continuing the collection of surgical memorabilia – particularly instruments and equipment.
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