Received without fixative/in formalin, labeled _____ and “_____”, is an intact/previously opened _____ distorted/symmetrically enlarged, pyriform) uterus with attached cervix, a vaginal cuff, and bilateral left/right/bilateral adnexa with a total weight of __ g. The uterus measures __ cm anterior to posterior, __ cm cornu to cornu, and __ cm fundus to cervix. The serosa is ___ (smooth, nodular, covered by adhesions). The parametria (left = __ x __ x __ cm, right = __ x __ x __ cm) are free of/involved by tumor measuring __ cm. The ectocervix is __ x __ cm, with a slit-like/patulous/stenotic __ cm os, and is rimmed by the vaginal cuff ranging from __ to __ cm. There is a _____ (color, shape, plaque, ulcer, mass) (__ x __ cm surface area, __ cm elevation) at the __-__ o’clock position of the ectocervix, extending ___ cm upwards into the anterior/posterior endocervical canal/lower uterine segment, __ cm from the endometrial cavity proper. It is ___ cm from/extends to the ___ o’clock (nearest) vaginal cuff margin. The maximal depth of invasion is approximately ___ cm at the __ o’clock position, __ cm from the left and __ cm from the right parametrial margins. The endocervical canal is lined by _____ (color) mucosal folds and has a length of __ cm. The __ x __ cm endometrial cavity has a _____ (color, texture) lining with an average thickness of __ cm. The myometrium is _____ (color, consistency) with a maximal thickness of __ cm. No/__ (#, multiple) _____ (color, hemorrhagic foci, tan-white whorled nodules) ranging from __ to __ cm in maximal dimension are identified in the submucosal/intramural/subserosal regions. [See Salpingectomy and Oophorectomy for dictation templates of Fallopian tubes and ovaries.] Margins are inked as follows: anterior = black, posterior = blue. Representatively submitted as follows:
#__ - #__ = vaginal cuff margin (#__ 12-3 o’clock, #__ 3-6, #__ 6-9, #__ 9-12)
#__ - #__ = entire ectocervix with transition zone, clockwise starting from 12 o’clock (mass in #__)
#__ = anterior endocervical canal, cross-section (1.5 cm above the upper edge of the mass)
#__ = posterior endocervical canal cross section (1.5 cm above the upper edge of the mass)
#__ - #__ = junction of endocervical canal & endometrium
#__ - #__ = lower uterine segment, anterior and posterior
#__ - #__ = left parametrial margins, en face, left and right
#__ - #__ = right parametrial margins, en face
#__ - #__ = endomyometrium and serosa, anterior and posterior
#__ = myometrial nodule
#__ & #__ = ovary and fallopian tube, left & right
__ blocks, __ H&E