• Vaginal biopsy:  follow Cervical Biopsy guideline and procedure.

• Vaginal resection:
• Look for orienting sutures, clips, or ink placed by the surgeon.
• Ink resection margins, if these can be determined.
• Measure (3 dimensions – 2 surface and 1 thickness) and describe (color, shape, mucosal features) the tissue.
• Examine for and measure any lesions (erosion, tumor, pigmented nodule, hemorrhage).  Measure the distance from the nearest resection margins.

• Section as you would skin (see Skin Excisional Biopsy).

• Request that tissue be embedded and cut on edge.
• Vaginal biopsy:  follow Cervical Biopsy guideline and procedure.

• Resection:  submit entirely unless very large or incidental resection (no pathology seen and none clinically suspected).

Internal use only

Vaginal Biopsy

See Cervical Biopsy.

Vaginal Resection

Received without fixative/in formalin, labeled _____ and “_____”, is a __ x __ cm oval segment of tan-pink mucosa, __ cm in thickness.  There is an orienting suture indicating _____ (e.g. superior) and a clip indicating _____ (e.g. left end).  There is a __ x __ cm _____ (color, type of lesion), __ cm from the _____ (e.g. inferior) margin and touching the _____ (e.g. superior) margin.  It is __ cm from both tips.  The cut surface is _____ (describe), with a _____ (describe) area underlying the mucosal lesion, __ cm in thickness and __ cm from the deep margin.  Ink code:  _____ = _____, _____ = _____.  Entirely submitted as follows:

#__ = _____ end, longitudinally bisected

#__ - #__ = mid portion of specimen

#__ = _____ end, longitudinally bisected

__ blocks, __ H&E