Received without fixative/in formalin, labeled _____ and “_____”, is a __ x __ x __ cm left/right/bilateral selective/modified radical/ standard radical/extended radical neck dissection consisting of submandibular gland/sternocleidomastoid muscle/internal jugular vein/lymph node levels __ through __. The specimen is oriented in person by the surgeon/by sutures (long = _____, short = _____). The submandibular gland (__ x __ x __ cm) has a tan-brown, lobulated cut surface, with/without tumor. The sternocleidomastoid muscle (__ x __ x __ cm) is red-brown and _____ (adherent to adjacent lymph nodes, involved/uninvolved by tumor. The internal jugular vein (__ cm length, __ cm diameter) has a _____ (smooth vs. rough, color) inner lining and is _____ (adherent to adjacent lymph nodes, involved/uninvolved by tumor). The measurements for the lymph node-containing soft tissue levels are as follows: level I = __ x __ x __ cm, level II = __ x __ x __ cm, level III = __ x __ x __ cm, level IV = __ x __ x __ cm, level V = __ x __ x __ cm. Multiple lymph nodes, ranging from __ to __ cm in diameter, are identified in all levels. The majority have _____ (color, texture) cut surfaces; however, __ (number) within level(s) _____ are _____ (color, firm, necrotic, matted). The lymph nodes are entirely submitted.
#__ = submandibular gland
#__ = sternocleidomastoid muscle
#__ = internal jugular vein from area suspicious for tumor involvement (level IV)
#__ & #__ = level I lymph nodes: #__ = one bisected lymph node; #__ = four unsectioned lymph nodes.
#__ & #__ = level II lymph nodes: #__ = three unsectioned lymph nodes; #__ = two unsectioned lymph nodes; #__ = one trisected lymph node
#__ - #__ = level III lymph nodes: #__ - #__ = one sectioned lymph node; #__ - #__ = four unsectioned lymph nodes per cassette
#__ - #__ = level IV lymph nodes: #__ - #__ = one sectioned lymph node suspicious for tumor; #__ - #__ = three unsectioned lymph nodes per cassette; T = four unsectioned lymph nodes
#__ & #__ = level V lymph nodes: #__ - #__ = one sectioned lymph node; #__ = two unsectioned lymph nodes
__ blocks, __ H&E