Weigh and measure (three dimensions) the specimen.
Describe the capsule (intact, lacerated, irregular, color, smooth, adhesions, nodular) and the exposed parenchyma at the resection margin (tumor present?). Measure any lesions.
Ink the resection margin if specimen removed for tumor.
Serially section the specimen, perpendicular to the resection margin, at 1 cm intervals.
Describe any nodules/masses (solitary vs. multiple, color, dimensions, distance to resection margin, consistency, circumscription, necrosis) or lacerations (depth). Describe the uninvolved liver parenchyma (color, hemorrhage).
Tumor: three sections if known to be metastasis to the liver. One section per centimeter of tumor if primary to liver or if primary site unknown. Include adjacent uninvolved liver parenchyma in a few sections.
Resection margin: at least two perpendicular sections from the areas closest to tumor. This can be included in tumor sections if very close.
Uninvolved liver away from tumor: two sections.
If no tumor: sections of abnormalities. One or two sections of normal-appearing liver.
Received without fixative/in formalin, labeled _____ and “_____”, is a segment of liver measuring __ x __ x __ cm and weighing __ g. The capsule is _____ (intact, lacerated, texture, color). There is a __ x __ x __ cm _____ (color, circumscription, consistency) mass located __ cm from the resection margin. There are multiple _____ (describe) nodules, ranging from __ to __ cm in greatest diameter, throughout the liver, the closest which is __ cm from the resection margin. The uninvolved liver parenchyma is _____ (color, texture). Representatively sampled as follows:
#__- #__ = tumor with adjacent non-neoplastic liver