Revised November 2008

1) Clinico pathologic Considerations

Gross Description

Gross description of the hysterectomy specimen should include:
a) in a polyp or not
b) location of the tumour withing the uterus
c) the depth of mymetrial invasion (luminal or serosal half)
d) the presence or absence of cervial involvement

Microscopic Description

a)	The histologic type
b)	The histologic grade (1-3)
c)	Myometrial invasion if present
	i) Luminal half
	ii) Serosal half
d)	The presence or absence of lymphatic or vascular invasion and degree
e)	Perilymphatic inflammation (slight, moderate, marked)
f)	Cervical involvement (mucosal extension or stromal involvement)
g)	Lymph node involvement
h)	Adnexal involvement
i)	Cytology of peritoneal fluid

2) Staging Diagram

Corpus uteri.pdf  

3) Preoperative Investigations for Staging