If the lymph node is > 0.5 cm, serially section it into 0.15 - 0.2 cm slices parallel to the longitudinal axis (as you would for a metastatic carcinoma work-up). If the lymph node is < 0.5 cm, bisect it.
Describe the cut surface (color, consistency, presence of blue dye), paying particular attention to areas suspicious for tumor.
If interoperative consultation is requested by the surgeon, proceed as follows:
If a focus suspicious for tumor is present: perform frozen section on the slice containing that focus.
If no suspicious focus is present: perform frozen section on one representative slice.
Received without fixative/in formalin, labeled with patient's name, medical number and “_____”, is a __ x __ x __ cm of yellow fibroadipose tissue containing __ (number) discrete/matted lymph nodes ranging from __ cm to __cm. The lymph node capsules are _____ (intact, inapparent). Each lymph node has a _____ (color, fleshy, bulging, soft, firm, multinodular, necrotic, hemorrhagic) cut surface focally stained with blue dye, with a __ cm focus suspicious for tumor. Entirely submitted as follows:
FS#__ = suspicious focus; #__- #__ = remainder of tissue.
Five levels of each block; levels 1, 3, and 5 = H&E; levels 2, 4, and 6 = unstained