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Year : 2021  |  Volume : 58  |  Issue : 1  |  Page : 17-27

Grossing and reporting of a soft tissue tumor specimen in surgical pathology: Rationale, current evidence, and recommendations


1 Department of Surgical Pathology, Bone and Soft Tissues, Disease Management Group, Tata Memorial Hospital, Homi Bhabha National Institute University, Mumbai, Maharashtra, India
2 Department of Pathology, Regional Cancer Centre, Thiruvananthapuram, Kerala, India
3 Department of Pathology, Christian Medical College, Vellore, Tamil Nadu, India
4 Department of Pathology, Dr Kamkashi Memorial Hospitals, Chennai, Tamil Nadu, India
5 Department of Pathology, Nizam's Institute of Medical Sciences, Hyderabad, Telangana, India
6 Formerly, Department of Surgical Pathology, Tata Memorial Hospital, Mumbai, Maharashtra, India
7 Department of Pathology, Institute of Post-Graduate Medical Education and Research and Seth Sukhlal Karnani Memorial Hospital, Kolkata, West Bengal, India
8 Department of Pathology, Amrita Institute of Medical Sciences, Kochi, Kerala, India
9 Department of Pathology, Narayana Super Speciality Hospital, Howrah, Kolkata, West Bengal, India
10 Department of Pathology, Ram Manohar Lohia Hospital, Lucknow, Uttar Pradesh, India

Correspondence Address:
Bharat Rekhi
Department of Surgical Pathology, Bone and Soft Tissues, Disease Management Group, Tata Memorial Hospital, Homi Bhabha National Institute University, Mumbai, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijc.IJC_738_20

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Soft tissue tumors, including sarcomas are complex and diagnostically challenging tumors. This is as a result of their heterogeneity and overlapping clinicopathological, immunohistochemical and also molecular features, the latter to some extent. More than 80 types of sarcoma have been described. Current management, which is best offered at centers with active multidisciplinary care, is based on balancing oncologic and functional outcomes in such cases. This has transcended into the types of specimens received for grossing these rather uncommon tumors. Over the years, diagnostic specimens have reduced in their sizes from, open biopsies to core needle biopsies. These specimens need to be adequately and judiciously triaged for ancillary techniques, such as molecular testing. Conservative surgeries have led to resected specimens for marginal assessment. Lately, post neoadjuvant (chemotherapy or radiation therapy)-treated resection specimens of soft tissue sarcomas are being submitted for surgical pathology reporting. This article focuses on the grossing of soft tissue tumors, including sarcomas, in terms of types of specimens, grossing techniques including rationale, tissue triage, reporting, and recommendations from the surgical pathologists actively engaged in reporting musculoskeletal tumors, based on current evidence.






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