Whipple operation

Received specimen in formalin consist of a segment of duodenum M: ……..… cm in length and …………. cm in greatest diameter, distal stomach M: ………………. cm, head of pancreas M: ……………….. cm and gall bladder M: ……… cm in length and …………cm in greatest diameter, product of whipple’s operation. Serosal surfaces of stomach and duodenum are (smooth / rough / congested) and (gray / creamy / brown). On opening mucosa is (unremarkable / congested / hypertrophied). Margins are grossly free.

Ampulla of Vater description: There (is a / is no) mass in the Ampulla of Vater M: …………………….. cm with (extension / no extension) to pancreas, with (gray / white / creamy / brown / green) color and (soft / rubbery / firm / hard) consistency.

Pancreas description: There (is a / is no) mass in the pancreas M: ……………………. cm with (extension / no extension) to the duodenal wall or Ampulla of Vater, with (well-defined / ill-defined) (gray / white / creamy / brown / green) color and (soft / rubbery / firm / hard) consistency. Peripancreatic soft tissue (is / is not) involved by the mass. Pancreatic resected margin (is / is not) involved by tumor. Superior mesenteric artery margin (is / is not) involved by tumor. Common bile duct M: ………... cm in length and ……...… cm in greatest diameter is (unremarkable, involved by tumor). There (is / is not) mass in CBD. Resected margin of CBD is (involved / not involved) by tumor. …………. lymph nodes from the peripancreatic, and peri intestinal tissue are isolated, the largest M: ………………….. cm.

Attached gall bladder product of cholecystectomy, measuring ………. cm in length & ……….. cm in greatest diameter. Serosal surface has ………. color & (smooth / rough / with fibrin deposition / congested). Mucosal surface has …………. color & is (velvety / smooth / rough). Wall thickness is ………….. cm. (One stone / Multiple stones) (is / are) present with …………………… color & …………. consistency, the largest M: …………… cm. Cystic lymphnode is (present / absent) measuring ………………….…. cm.

s.o.s Em:

Summary of blocks:

Grossing — گراسینگ

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