Spleen
SPR*/
ICCR¡
Macroscopic reporting dictation template
Data element
Response
Fresh tissue received
No
Procedure
Text
Specimen type
Text
Specimen integrity
Intact
S2.04
Specimen size
__x__x__mm
S2.04
Spleen weight
__g
S2.03
Separate blood clot weight, if present
Hilar lymph node
Yes
If yes, describe any additional tests flow cytometry/microbiology/
cytogenetics/biobanking performed
As stated by the clinician
Disrupted, describe ___________
__g
Absent
Present
Normal
Abnormal
If present, maximum dimension __mm
Specimen description
Outer surface
Irregular
Nodules
Plaques
Laceration(s)
Describe size ______mm and location__________
Parenchymal lesions
Absent
Present
Number __
For each lesion: (if >1 designate accordingly)
G2.03
Lesion size
__x__mm
Or if >2 range of sizes
__x__mm to __x__mm
Lesion site
Subcapsular
Lesion description
Solid nodule
Other relevant macroscopic information
Text
E.g. any additional orientation; specimen integrity (if disrupted) etc.
Block identification key
Text
Describe nature and site of blocks
Parenchyma
Multinodular
Cystic
Miliary nodules, describe variation in sizes
SPR*Structured Reporting of Cancer and ICCR¡ International Collaboration On Cancer Reporting Standards (S) & Guidelines (G)
Spleen dictation template
Date: 22 October 2015
Version: 1.1