Mandible

MANDIBULECTOMY FOR NEOPLASM

 

 

Procedure:

 

 

Photograph and ink surgical margins.  X-ray the specimen if necessary.  For bone tumors, make multiple sections through bone and soft tissue with a band saw.  Fix in formalin, and decalcify.

 

For mucosal or soft tissue tumors:

One may need to separate the soft tissue from the mandible with a scalpel.

 

If the specimen includes a radical neck dissection (RDS), process according to specific RDS instructions.

 

 

Description:

 

 

Type of resection (partial or total) and side.  Describe structures included (gingiva, teeth, floor of mouth, portion of tongue, skin, etc.)

 

Non-neoplastic mucosa.

 

Bone:  Appearance on cross-sections.

 

 

Sections for Histology:

 

 

1.         Tumor (three to four sections) extending to non-neoplastic mucosa.

 

2.         Soft tissue surgical margins.

 

3.         Bone surgical margin(s).

 

4.         Mandibular nerve (surgical margins).

 

5.         Bone (if grossly involved or suspicious).