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Original Question

LOCATION: Outpatient, Hospital PATIENT: Irene Reep SURGEON: Gary Sanchez, MD PATHOLOGIST: Grey Lonewolf, MD CLINICAL HISTORY: A 7-mm (millimeter) lesion, left alar crease SPECIMEN RECEIVED: A. Lesion, left alar crease with FS (frozen section) B. Re-excision of same lesion with FS GROSS DESCRIPTION: A. The specimen is labeled with the patient’s name and “lesion, left alar crease,” which consists of a 2 × 2 × 1.5-cm (centimeter) nodule. The superior aspect is tagged, which is also identified with black ink, the inferior aspect with green, the right (medial) aspect with red, and the left (lateral) aspect with blue ink. Frozen sections are processed in cassettes A1-4; the remaining tissue is in cassette A5. INTRAOPERATIVE FROZEN-SECTION DIAGNOSIS per Dr. Lonewolf: Left alar crease skin lesion: Basal cell carcinoma involving margins. B. The specimen is labeled with the patient’s name and “re-excision left alar crease lesion, tagged superior,” which consists of a 3.5 × 2.8 × 1.0-cm roughly spherical skin segment with a central biopsy cavity. The superior aspect is identified with black ink, inferior aspect with green ink, right (medial) aspect with red ink, and left (lateral) aspect with blue ink. The specimen is serially sectioned and frozen. The frozen sections

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