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
chest x-ray
endocervical curretage
imaging with CT or U/S as appropriate
rarely some patients may need cystoscopy or sigmoidoscopy
tumour markers: CA 125, CA 19-9, CA15-3, CEA