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Case Reports   |    
Peridiscal Metastatic Carcinoma Associated with Lumbar Disc Herniation. A Case Report*
RONALD JENSEN, P.T.†; TOM FACISZEWSKI, M.D.†, MARSHFIELD, WISCONSIN
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Investigation performed at Marshfield Clinic, Marshfield
J Bone Joint Surg Am, 1998 May 01;80(5):730-2
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Extract

The pathological examination of tissue specimens obtained during lumbar discectomy and laminectomy is considered to be a routine practice at many institutions. The reasons for the submission of such specimens generally include hospital policy, the possible need for medicolegal proof of the procedure, and the need to evaluate the possibility of an occult malignant lesion2,3. The Joint Commission on Accreditation of Health Care Organizations has recommended a written policy regarding the submission of operative specimens2. At our institution (St. Joseph's Hospital, Marshfield, Wisconsin), all tissues removed from the patient at the time of the operation, with the exception of tissues that have been exempted by the operating committee and the Department of Pathology, are submitted for pathological examination4. The exemptions must not adversely affect the quality of patient care, and the surgeon may request a pathological examination of the exempted tissue. Herniated nucleus pulposus is not considered to be an exempted tissue.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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