This transcript provides a detailed pathology dictation describing the gross examination of a specimen obtained from a radical orchiectomy performed for a testicular mass. The specimen, weighing 172 grams, included a 15.2 cm spermatic cord and a large attached inguinal lipoma (6.8 x 5.2 x 2.4 cm). Sectioning revealed a 2.4 x 2.0 x 2.0 cm, poorly demarcated, variegated mass confined to the underlying tunica albuginea. The mass was found to be 1.0 cm from the tunica vaginalis resection margin and 14.8 cm from the spermatic cord margin. The report concludes by specifying the 11 representative sections submitted for microscopic analysis, confirming the absence of gross hemorrhage or necrosis in the associated lipoma and noting that the remaining testicular parenchyma was unremarkable.
Summary of the Radical Orchiectomy Pathology Dictation
0:10 Specimen Context: The dictation begins, noting the specimen is from a radical orchiectomy performed for a testicular mass.
0:39 Specimen Dimensions: The specimen consists of a 172g testicle measuring 5.6 x 4.3 x 3.4 cm, with 15.2 cm of attached spermatic cord.
0:55 Associated Lipoma: Abundant attached fat is noted, grossly consistent with an inguinal lipoma measuring 6.8 x 5.2 x 2.4 cm.
1:07 Surface Appearance: The Tunica vaginalis is described as tan pink to purple, intact, and free moving over the underlying testicle.
2:40 Testicular Mass Details: Sectioning reveals the primary testicular mass, which is tan red to yellow to white, variegated, and poorly demarcated. Its dimensions are 2.4 x 2.0 x 2.0 cm.
3:00 Mass Location and Margins: The mass is confined to the underlying tunica albuginea. It is 1.0 cm from the overlying Tunica vaginalis resection margin and 14.8 cm from the spermatic cord resection margin.
3:27 Lack of Epididymal Involvement: The mass does not grossly involve the overlying epididymis.
6:05 Remaining Tissue: The uninvolved testicular parenchyma is described as tan brown and unremarkable.
7:17 Spermatic Cord Lipoma Analysis: Sectioning of the spermatic cord lipoma shows a tan yellow fatty cut surface with no gross areas of hemorrhage or necrosis identified.
7:27 Sectioning Protocol: Eleven representative sections are submitted for histological examination, including the spermatic cord resection margin (1), sections through the mass including associated tunica and epididymis (2β7), uninvolved testicular parenchyma (8), uninvolved epididymis (9), base of the spermatic cord (10), and spermatic cord lipoma (11).