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Year : 2020  |  Volume : 57  |  Issue : 3  |  Page : 239-252

Grossing and reporting of colorectal cancer resection specimens: An evidence-based approach

1 Department of Pathology, Columbia Asia Hospital Whitefield, Bangalore, Karnataka, India
2 Department of Pathology, Amrita Institute of Medical Sciences and Research Centre, Kochi, Kerala, India
3 Department of Medical Oncology, Columbia Asia Hospital Whitefield, Bangalore, Karnataka, India
4 Department of Radiology, Columbia Asia Hospital Whitefield, Bangalore, Karnataka, India

Correspondence Address:
Sanjeev Vasudev Katti
Department of Pathology, Columbia Asia Hospital Whitefield, Bangalore, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijc.IJC_546_20

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Appropriate management of the patient with colorectal carcinoma depends on obtaining key prognostic and predictive information from the resection specimen. These include the quality of surgery, extent of lymph nodal clearance, presence of nodal disease, vascular invasion, residual disease post neoadjuvant treatment, and completeness of resection. A meticulous and structured approach to dissection of the resection specimen and subsequent histological examination by the pathologist is crucial in providing this information to the treating clinician. A good macroscopic examination also serves to audit the quality of other services including radiology, surgery, and oncology. This article attempts to review dissection and reporting guidelines with an evidence-based approach and hopes to guide pathologists to understand the basis behind the recommended protocols.


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