6 doctors weighed in:

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

6 doctors weighed in
4 doctors agree

In brief: 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.

In brief: 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.
Dr. Lee Pederson
Dr. Lee Pederson
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Dr. Marilda Chung
Pathology

In brief: 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.

In brief: 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.
Dr. Marilda Chung
Dr. Marilda Chung
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Dr. Barry Kahn
Pathology

In brief: 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.

In brief: 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.
Dr. Barry Kahn
Dr. Barry Kahn
Thank
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