This transcript provides a detailed pathology gross examination report following a radical orchiectomy performed for a testicular mass. The specimen weighs 172 grams and is accompanied by a 15.2 cm spermatic cord, featuring a distinct inguinal lipoma. Gross sectioning reveals a 2.4 x 2.0 x 2.0 cm, poorly demarcated, variegated mass confined to the testicular parenchyma by the tunica albuginea. The report meticulously documents the distance of the mass from critical surgical margins (1.0 cm from the overlying Tunica vaginalis margin and 14.8 cm from the spermatic cord margin) and specifies the eleven representative sections taken for microscopic study.
Pathology Report: Radical Orchiectomy Specimen
0:10 Procedure Introduction: The report documents the gross examination following a radical orchiectomy for a testicular mass.
0:39 Specimen Weight and Dimensions: The testicle weighs 172 grams and measures 5.6 x 4.3 x 3.4 cm. It is attached to 15.2 cm of spermatic cord with abundant fat consistent with an inguinal lipoma.
1:07 Tunica Details: The Tunica vaginalis is described as tan pink to purple, intact, and free-moving over the underlying testicle.
2:40 Testicular Mass Description: Sectioning reveals a mass measuring 2.4 x 2.0 x 2.0 cm. It is tan red to yellow to white, variegated, and poorly demarcated.
2:56 Mass Location: The mass is located within the testicular parenchyma and is confined by the underlying tunica albuginea, indicating it has not broken through the outer capsule.
3:08 Margin Measurements (Key Takeaway): The mass is 1.0 cm from the overlying Tunica vaginalis resection margin and 14.8 cm from the spermatic cord resection margin.
6:05 Remaining Tissue: The remaining testicular parenchyma is tan brown and unremarkable. The seminiferous tubules were teased up to 2.5 cm in length.
7:17 Spermatic Cord Lipoma: Sectioning of the spermatic cord lipoma reveals a tan yellow, unremarkable fatty cut surface, with no evidence of hemorrhage or necrosis.
7:27 Tissue Submission Protocol: Eleven representative sections are submitted for microscopic evaluation, including the spermatic cord margin, multiple sections of the mass (with adjacent tunica/epididymis), uninvolved parenchyma, and the cord lipoma.