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Unsuspected Lesions in Anal Tissue Removed for Minor Conditions

AMA Arch Surg. 1956;73(5):741-746. doi:10.1001/archsurg.1956.01280050009003.
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The examination of tissue removed in the course of "minor" surgical procedures frequently consists of a cursory gross inspection, if there is any examination at all. There is no agreement regarding the proper disposal of tissue removed in the operating room. In general, it is recommended that "all tissues removed at operation shall be sent immediately to the clinical laboratory to be examined and reported upon by the pathologist."1 No mention is made of the extent of the examination, or whether the examination is to be both gross and microscopic. Legally, even this minimum standard does not appear to be necessary. In the Legal Guide for American Hospitals, the statement is made that "all tissues removed in the operating room should be examined, described and diagnosed by a competent pathologist, excepting tissues such as tonsils and teeth, in which the pathologic changes are quite obvious."2 It is not


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