Gross examination and description require knowledge of anatomy, surgical pathology, and a basic descriptive vocabulary. In medicine, "gross" means observed without a microscope. Certain definitions, concepts, and orientations must be regarded as standard for purposes of communication.
Table 4. Brief Review of Gross Anatomy and Dissection Terms.Term | Meaning |
Anterior (ventral) | Towards the front of the body |
Posterior (dorsal) | Towards the back of the body |
Superior (cephalic, cephalad) | Towards the head |
Inferior (caudal, caudad) | Towards the feet |
Medial | Median plane (midline) of the body |
Lateral | Away from the median plane of the body |
Proximal | Nearest the trunk or point of origin |
Distal | Farthest from the trunk or point of origin |
Superficial | Nearest to the skin surface |
Deep | Farthest from the skin surface |
Transverse | A horizontal plane at right angles to the longitudinal axis of the body or a body part with division into superior and inferior parts |
Coronal | A vertical plane that divides the body or body structure into anterior and posterior parts |
Sagittal | A vertical plane parallel to the median plane that divides the body or a body part into medial and lateral part (parasagittal) |
Table 5. Terms to Describe How Tissue is Submitted.Term | Meaning |
In toto | All the tissue is submitted without it being cut, stained, or manipulated |
Entirely | Tissue is submitted entirely but it has been altered |
Representatively | Tissue is altered, but not entirely submitted |
Table 6. Two Main Methods of Margin Submission.Term | Meaning |
En face (shaved section) | Taken parallel to the plane of resection |
On edge (perpendicular) | Taken perpendicular to the plane of resection |