This transcript documents the gross description phase of a surgical pathology examination, detailing two distinct excised skin specimens. The dictation provides precise measurements, morphology, orientation markers (notch/stitch), and the inking applied to margins for histological tracking. Specimen 1 is a large ellipse featuring a macule close to the 3:00 margin, while Specimen 2 is a smaller ellipse with a slightly raised excrescence extremely close (0.1 cm) to the inferior margin. The dictation concludes by specifying the exact protocol for sequentially sectioning and submitting both specimens for subsequent microscopic analysis (histopathology).
Surgical Pathology Gross Examination Dictation
0:00:32 Specimen 1 Dimensions and Characteristics: Consists of a 3.8 x 1.1 cm tan brown, hair-bearing skin ellipse, excised to a depth of 1.1 cm.
0:00:45 Specimen 1 Lesion Detail: Displays a 0.5 x 0.3 cm tan brown, poorly demarcated macule, located 0.4 cm from the 3:00 margin.
0:01:04 Specimen 1 Orientation and Margins: The notch is arbitrarily designated 12:00. Margins are inked blue along the 3:00 aspect and green along the 9:00 aspect.
0:01:34 Specimen 1 Submission Protocol: Submitted sequentially as follows: 12:00 tip (section 1, on FS), Body (sections 2 and 3), and 6:00 tip (section 4, on FS).
0:01:56 Specimen 2 Dimensions and Characteristics: Consists of a 2.1 x 1.0 cm tan pink to white hair-bearing skin ellipse, excised to a depth of 0.6 cm.
0:02:03 Specimen 2 Lesion Detail (Key Takeaway): Displays a 0.6 x 0.5 cm tan pink, fleshy, slightly raised excrescence. Crucially, this lesion is located only 0.1 cm from the inferior resection margin, indicating very close proximity to the edge of the excision.
0:02:16 Specimen 2 Orientation and Margins: Oriented with a stitch designating an arbitrary left lateral position. Margins are inked blue (superior aspect) and black (inferior aspect).
0:02:50 Specimen 2 Submission Protocol: Submitted sequentially as follows: A1 (medial tip), A2 (body), and A3 (lateral tip).