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Breast |
Re-excision for Carcinoma |
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Guideline & Procedure:- Examine the external surface of the specimen for defects, which might suggest that the previous biopsy site has been cut across and, therefore, has not been completely excised.
- Orient and ink the specimen if indicated by the surgeon with sutures, clips, or ink.
- Subsequent processing is similar to that described in Excisional Biopsy / Lumpectomy for Mammographic Density or Palpable Mass and depends on the size of the specimen.
- The size and character of the biopsy site should be noted, including areas of induration. It is preferable that these areas not be identified as tumor. Hemorrhage, fat necrosis, and fibrosis in the vicinity of the previous biopsy site render accurate gross evaluation for the presence or absence of residual tumor extremely difficult if not impossible. Judgment is best deferred to the permanent sections.
Suggested Sections for Histology:
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