A member asked:

Can doctore see inside a cyst papillary excrescences during surgary if cyst rupture or can only a pathologist see?

6 doctors weighed in across 3 answers

Pathology : The goal for a surgeon in taking out a suspicious lump is to get the whole thing. We don't want to rupture it, and no changes in cells can only be seen when the specimen is examined by the pathologist under the microscope.

Answered 3/10/2015

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Cyst: Although a surgeon could sometimes identify papillary excrescences within a cyst if they looked for it, the better approach would be for the uninterrupted tissue to be sent to the pathology lab for better (and more accurate) documentation of size, contents and appearance before further dissection.

Answered 3/17/2013

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Cyst: It depends on how much papillary proliferation there is in the cyst. Sometimes this is a lot, and if the cyst ruptures, the surgeon could see it. But sometimes it is very focal and small, and then only the pathologist is going to really see it, after dissecting the tissue and fully opening the cyst. Usually the surgeon is not going to open the cyst, the pathologist does that.

Answered 12/19/2014

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