Gross Description -- Tachycardia


The specimen is received fresh labeled "right lobe liver mass". It consists of a 2870 gram, right hepatic lobectomy 35.0 x 25.0 x 7.0 cm. The capsular surface is smooth-to-irregular, purple-gray, and spongy with gray-white, subcapsular elements evident at the anterior surface. At the posterior surface, grossly normal red-brown hepatic parenchyma is evident in segment five of the specimen.

The gallbladder is 10.0 x 3.0 x 2.0 cm and contains approximately 10 cc of a viscous dark green bile. It is 7.0 cm in open circumference and has a wall thickness of 0.2 cm. The mucosal surface is trabecular and gray-green. There are no stones. The 1.0 cm attached cystic duct is free of obstruction and is 1.3 cm in opened circumference.

The hilus consists of patent portal vein, hepatic artery and hepatic duct. The right hepatic vein outflow tract has been previously closed with black silk suture and is free of obstruction. The tissue surrounding the hepatic vein is spongy and hemorrhagic. The cut surface of the liver consists of a 22.0 x 5.0 x 5.0 cm spongy, rubbery, deeply hemorrhagic tumor with central gray-white fibrosis approximately 18.0 x 4.0 x 4.0 cm. The surgical margin of resection consists of grossly viable tan, soft parenchyma with minute spongy lesions ranging from 0.1 to 0.2 cm in greatest dimension.




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