Hysterectomy Grossing

How to gross a hysterectomy specimen:

1. open along lateral sides
2. open tumor if large to allow fixation
3. make parallel sections 1 cm apart from endocervical canal to superior aspect
4. if cervical tumor suspected, ampuate cervix and process as a cone biopsy
5. ink margins of resection including vaginal margin
6. examine: shape, serosa, myometrium, endometrium, cerivx, myomas
7. Sections:
non-tumor: anterior and posterior: endometrium, myometrium (full thickness), lower uterine segment, cervix;
fibroids, leiomyomas: at least 1 section, submit more if fleshy; polyps submit in toto;
cancer, tumor (1 section/cm/minimum 3 sections);
different appearing regions, deepest invasion
each ovary (cortex, hilar region)
each fallopian tube
lymph nodes