Diagnostic Pathology: Intraoperative Consultation

Susan C. Lester, MD, PhD, is Chief of Breast Pathology Services and Senior Breast Pathologist and Brigham and Women's Hospital as well as Associate Professor at Harvard Medical School in Boston, Massachusetts

"This book provides a high-yield overview of intraoperative consultations in pathology. This third edition is an update to the previous version, which was published in 2018." -©Doody’s Review Service, 2023, Lauren J Miller, MD, MJ (University of Michigan Medical School) Doody's Score: 4 Stars!

• SECTION 1: OVERVIEW4 Intraoperative Consultation: IntroductionSusan C. Lester, MD, PhD10 Quality AssuranceDavid P. Frishberg, MD20 Safety Precautions28 Telepathology34 Emerging Alternatives to Frozen Section Diagnosis38 Ex Vivo MicroscopyMisha Movahed-Ezazi, MD and Matija Snuderl, MDSECTION 2: METHODS46 Gross Examination54 Cytologic ExaminationDavid P. Frishberg, MD and Kristine Astvatsaturyan, MD72 Frozen Section80 Slide Preparation86 Tissue Allocation for Biorepositories and SpecialStudiesDeborah A. Dillon, MD90 Radioactive Seed LocalizationBeth T. Harrison, MD94 Lymph Nodes: Molecular Methods for EvaluationSECTION 3: INTRAOPERATIVE CONSULTATIONS98 Adrenal Medulla and Paraganglia: DiagnosisVania Nosé, MD, PhD104 Adrenal Cortex: Diagnosis112 Anterior Mediastinal Mass: DiagnosisMatthew R. Lindberg, MD118 Appendix: DiagnosisAmitabh Srivastava, MD122 Bone Lesion/Tumor: Diagnosis and Margins132 Breast: Diagnosis138 Breast: Parenchymal Margins142 Breast: Nipple Margin Evaluation146 Bronchus and Trachea: Diagnosis148 Cerebellum and Brainstem: DiagnosisBenjamin Liechty, MD, Matija Snuderl, MD, and Rebecca D. Folkerth, MD158 Cerebral Hemispheres: Diagnosis170 Cerebral Hemispheres: Evaluation for EpilepsyMatija Snuderl, MD, Olga Krasnozhen-Ratush, MD, and Rebecca D. Folkerth, MD176 Cervical Trachelectomy: MarginsCharles Matthew Quick, MD178 Colon: Diagnosis and Margins182 Colon: Evaluation for Hirschsprung DiseaseKaren S. Thompson, MD188 Esophagus: Diagnosis and Margins194 Fallopian Tube: Diagnosis200 Head and Neck Mucosa: Diagnosis and MarginsVickie Y. Jo, MD and Jeffrey F. Krane, MD, PhD204 Kidney, Adult: Diagnosis and MarginsRoni Michelle Cox, MD216 Kidney: Evaluation of Allograft Prior toTransplantationLynn D. Cornell, MD222 Kidney Needle Biopsy: Evaluation for Adequacy226 Kidney, Pediatric: Indications and Utility234 Larynx: Diagnosis and MarginsVickie Y. Jo, MD, Stefan Kraft, MD, and Jeffrey F. Krane, MD, PhD238 Liver, Capsular Mass: Diagnosis240 Liver: Evaluation of Allograft Prior to246 Liver, Intrahepatic Mass: Diagnosis and Margins250 Lung, Ground-Glass Opacities and Small Masses:Image-Guided ResectionMatthew R. Lindberg, MD and Lucian R. Chirieac, MD258 Lung: Margins264 Lung, Nonneoplastic Diffuse Disease: Diagnosis268 Lung Mass: Diagnosis276 Lymph Nodes, Axillary: Diagnosis284 Lymph Nodes Below Diaphragm: Diagnosis292 Lymph Nodes: Diagnosis of SuspectedLymphoproliferative DiseaseEmily F. Mason, MD, PhD302 Lymph Nodes, Head and Neck: Diagnosis308 Lymph Nodes, Mediastinal: Diagnosis316 Meninges: DiagnosisBenjamin Liechty, MD and Matija Snuderl, MD326 Nasal/Sinus: Diagnosis of Suspected Fungal Rhinosinusitis330 Nasal/Sinus: Diagnosis of Suspected Neoplasia338 Oropharynx and Nasopharynx: Diagnosis and Margins342 Ovary, Mass: DiagnosisBeth T. Harrison, MD and Charles Matthew Quick, MD358 Pancreas, Biopsy: Diagnosis362 Pancreas Resection: Parenchymal, Retroperitoneal, and Bile Duct Margins370 Parathyroid Gland: Diagnosis and Margins380 Peripheral Nerve and Skeletal Muscle: Allocation ofTissue for Special StudiesMatija Snuderl, MD, Rebecca D. Folkerth, MD, and Rolf Pfannl, MD382 Peritoneal/Omental Mass: Biopsy394 Pituitary: Diagnosis406 Pleura: Diagnosis410 Revision Arthroplasty: Evaluation of Infection412 Salivary Gland: Diagnosis and Margins420 Skin: Diagnosis and MarginsDavid Cassarino, MD, PhD426 Skin: Evaluation for Toxic Epidermal Necrolysis vs. Staphylococcal Scalded Skin Syndrome428 Skin: Mohs Micrographic SurgeryChristine J. Ko, MD and David Cassarino, MD, PhD434 Soft Tissue: Evaluation for Necrotizing Fasciitis436 Soft Tissue Mass: Diagnosis and Margins440 Spinal Cord: DiagnosisMatija Snuderl, MD and Benjamin Liechty, MD446 Stomach: Diagnosis and Margins450 Thyroid: Diagnosis462 Ureter: Margins470 Uterus, Endometrium: Diagnosis476 Uterus, Endometrium: Diagnosis of Pregnancy480 Uterus, Myometrium: Diagnosis486 Vulva: Diagnosis and Margins