the royal college of pathologists - ihrdni · 2015-12-22 · guidelines on autopsy practice report...

The Royal College of Pathologists

Guidelines on autopsy practice

Report of a working group of The Royal College of Pathologists

================

September 2002

CR - The Royal College of Pathologists 314-008-001

Guidelines on autopsy practice

Report of a working group of The Royal College of Pathologists

This document was placed for consultation on the Fellows and Members Area of The Royal College of Pathologists website from 10–30 April 2002. 27 replies were received. These were forwarded to the Working Party who found them very useful in preparing this final draft of their report, although inevitably some contentious issues remain. Dr John A Lee Director of Publications ==

=

The Royal College of Pathologists 2 Carlton House Terrace

London SW1Y 5AF

Registered Charity No. 261035

© 2002 The Royal College of Pathologists

Further copies of this publication can be obtained from the College website at www.rcpath.org

CR - The Royal College of Pathologists 314-008-002

CONTENTS

bñÉÅìíáîÉ=ëìãã~êóKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKN=

N= oÉãáíKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKO=

O= qÜÉ=áãéçêí~åÅÉ=çÑ=íÜÉ=~ìíçéëó=~åÇ=çîÉêîáÉï=çÑ=íÜÉëÉ=dìáÇÉäáåÉë KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKP=

P= `çåëÉåí=áëëìÉë KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKQ=

Q= jÉÇáÅçJäÉÖ~ä=~ëéÉÅíë=~åÇ=~ìíÜçêáë~íáçå KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKS=

R= ^ìÇáíW=íÜÉ=~ìíçéëó=áå=ÅäáåáÅ~ä=éê~ÅíáÅÉ KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKNM=

S= eÉ~äíÜ=~åÇ=ë~ÑÉíó=Ó=áåÑÉÅíáçåë KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKNO=

T= ^ìíçéëó=Éñ~ãáå~íáçå=çîÉêîáÉïKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKNS=

U= ^ìíçéëó=Éñ~ãáå~íáçåë=~åÇ=êÉéçêíëW=ãáåáãìã=ëí~åÇ~êÇë=~åÇ=Ç~í~ëÉíë KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKNU=

V= ^ìíçéëó=ÜáëíçäçÖó KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKOO=

NM= péÉÅá~äáëÉÇ=~ìíçéëáÉë KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKOQ=

NN= ^å~íçãáÅ~ä=m~íÜçäçÖó=qÉÅÜåáÅá~åë KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKOS=

NO= ^ìÇáí=çÑ=íÜÉ=~ìíçéëó KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKOT=

_áÄäáçÖê~éÜóKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKOV=

`çåí~Åí=ïÉÄëáíÉëKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKPQ=

^ééÉåÇáÅÉë KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKPR=

^ééÉåÇáñ=N= e~ò~êÇ=dêçìé=P=é~íÜçÖÉåë KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKPR=

^ééÉåÇáñ=O= dìáÇÉäáåÉë=Ñçê=~ëëÉëëáåÖ=éêÉëÉåÅÉ=çÑ=e~ò~êÇ=dêçìé=Q=é~íÜçÖÉåë=áå=~=Å~Ç~îÉê KKKKKKKKKPS=

^ééÉåÇáñ=P= mêçíçÅçäë=Ñçê=éÉêÑçêãáåÖ=éçëíJãçêíÉã=Éñ~ãáå~íáçåë=çå=âåçïå=çê=ëìëéÉÅí==ÚÜáÖÜJêáëâÛ=áåÑÉÅíÉÇ=Å~Ç~îÉêëW=e~ò~êÇ=dêçìé=P=áåÑÉÅíáçåë=efsI=ÜÉé~íáíáë=`I=íìÄÉêÅìäçëáëI=`êÉìíòÑÉäÇíJg~âçÄ=ÇáëÉ~ëÉ KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKPT=

^ééÉåÇáñ=Q= kçíáÑáÅ~íáçå=çÑ=áåÑÉÅíáçìë=ÇáëÉ~ëÉë KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKQS=

^ééÉåÇáñ=R= jáåáãìã=Ç~í~ëÉíë=~åÇ=ÄÉëí=éê~ÅíáÅÉ=Ñçê=Éñ~ãáå~íáçåë=~åÇ=êÉéçêíë=çå==áåíÉêå~ä=çêÖ~åë KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKQT=

^ééÉåÇáñ=S= dìáÇÉäáåÉë=Ñçê=~ìíçéëó=áåîÉëíáÖ~íáçå=çÑ=ÑÉí~ä=~åÇ=éÉêáå~í~ä=ÇÉ~íÜ KKKKKKKKKKKKKKKKKKKKKKKKKKKKQV=

^ééÉåÇáñ=T= dìáÇÉäáåÉë=Ñçê=~ìíçéëó=áåîÉëíáÖ~íáçå=áå=éçëíJåÉçå~í~ä=áåÑ~åí=ÇÉ~íÜë=çê==ëìÇÇÉå=ìåÉñéÉÅíÉÇ=ÇÉ~íÜë=áå=áåÑ~åÅóKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKRN=

^ééÉåÇáñ=U= kÉìêçé~íÜçäçÖáÅ~ä=Å~ëÉëKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKRQ=

^ééÉåÇáñ=V= j~íÉêå~ä=ÇÉ~íÜKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKRS=

^ééÉåÇáñ=NM= cçêÉåëáÅ=Éñ~ãáå~íáçåëKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKRU=

^ééÉåÇáñ=NN= páÅâäÉ=ÅÉää=ÇáëÉ~ëÉKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKSM=

^ééÉåÇáñ=NO= jÉãÄÉêë=çÑ=íÜÉ=tçêâáåÖ=m~êíó=çå=íÜÉ=^ìíçéëó KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKSN=

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CR - The Royal College of Pathologists 314-008-003

Guidelines on autopsy practice RCPath September 2002 1

EXECUTIVE SUMMARY =N= qÜÉ= ~ìíçéëó= Ü~ë= ÄÉÉå= êÉä~íáîÉäó= åÉÖäÉÅíÉÇ= áå= êÉÅÉåí= ~ééê~áë~äë= çÑ= Üáëíçé~íÜçäçÖó= éê~ÅíáÅÉI=

~åÇ= ïçêâáåÖ= éê~ÅíáÅÉë= Ü~îÉ= ÄÉÉå= ëáÖåáÑáÅ~åíäó= ~åÇ= åÉÖ~íáîÉäó= ~ÑÑÉÅíÉÇ= Äó= êÉÅÉåí= éìÄäáÅ=ÅçåÅÉêå=çîÉê=çêÖ~å=êÉíÉåíáçåK=kÉï=ÖìáÇÉäáåÉë=çîÉê= íÜÉ=ïÜçäÉ=~êÉ~=çÑ=~ìíçéëó=éê~ÅíáÅÉ=~êÉ=ìêÖÉåíäó=êÉèìáêÉÇK=

=O= tÜáäëí= íÜÉ= éêçÅÉëëÉë= çÑ= ~ìÇáí= ~åÇ= ê~áëáåÖ= çÑ= èì~äáíó= ëí~åÇ~êÇë= áå= Çá~ÖåçëíáÅ= ëìêÖáÅ~ä=

Üáëíçé~íÜçäçÖó= Ü~îÉ= éêçÅÉÉÇÉÇ= ~é~ÅÉI= íÜÉêÉ= Ü~ë= ÄÉÉå= äáííäÉ= éêÉëëìêÉ= íç= ê~áëÉ= ëí~åÇ~êÇë= çÑ=~ìíçéëó=éÉêÑçêã~åÅÉ=~åÇ=êÉéçêíáåÖK=nì~äáíó=áëëìÉë=~êÉ=ÅÉåíê~ä=íç=íÜÉëÉ=dìáÇÉäáåÉëI=ïáíÜ=íÜÉ=éêçéçë~ä= çÑ= ìåáÑçêã= ãáåáãìã= Ç~í~ëÉíëI= ÉåÜ~åÅÉÇ= ÑÉÉÇÄ~Åâ= íç= ÅäáåáÅá~åë= ~åÇ= êÉä~íáîÉëI=éêçãçíáçå=çÑ=ãçêí~äáíó=ãÉÉíáåÖë=~åÇ=ÅäáåáÅ~ä=~ìÇáíI=~åÇ=çíÜÉê=ãÉ~ëìêÉë=íç=ê~áëÉ=íÜÉ=éêçÑáäÉ=çÑ=íÜÉ=~ìíçéëó=áå=ÅäáåáÅ~ä=éê~ÅíáÅÉK=qÜÉ=ÉåÇ=êÉëìäí=ãìëí=ÄÉ=íÜÉ=áãéêçîÉãÉåí=çÑ=é~íáÉåí=Å~êÉK==

=P= qÜÉêÉ= áë= ïáÇÉ= î~êá~íáçå= áå= ~ìíçéëó= éÉêÑçêã~åÅÉ= ~åÇ= êÉéçêíáåÖ= éê~ÅíáÅÉëI= êÉä~íÉÇ= íç=

áåÅçåëáëíÉåí=çéÉê~íáçå=çÑ=íÜÉ=`çêçåá~ä=ëóëíÉã=~Åêçëë=båÖä~åÇ=~åÇ=t~äÉëI=~åÇ=ä~Åâ=çÑ=Åä~êáíó=áå= íÜÉ= ä~ï= çå= Üìã~å= íáëëìÉëK= ^ë= íÜÉêÉ= áë= ~å= çåÖçáåÖ= Åçåëìäí~íáçå= çîÉê= íÜÉëÉ= áãéçêí~åí=áëëìÉëI= áí= áë= åçí= éçëëáÄäÉ= ê~éáÇäó= íç=ãçîÉ= íç= ~= ëÉí= çÑ= ìåáîÉêë~ääó= ~ÖêÉÉÇ= ÚÄÉëí= éê~ÅíáÅÉëÛK= få=íÜÉëÉ= dìáÇÉäáåÉëI= íÜÉ= ÇáëíáåÅíáçå= áë= ã~ÇÉ= ÄÉíïÉÉå= ÚÄÉëí= éê~ÅíáÅÉÛ= EáKÉK= ã~ó= ÇçF= ~åÇ=Ú~ÅÅÉéí~ÄäÉ=éê~ÅíáÅÉÛ=Eãìëí=ÇçFK=^ìíçéëó=ëí~åÇ~êÇë=ëÜçìäÇ=ÅçåíáåìÉ=íç=êáëÉ=Äó=Éñ~ãéäÉK==

=Q= páåÅÉ= íÜÉ=ã~àçêáíó=çÑ=~Çìäí=~ìíçéëáÉëI=~åÇ=~=ëáÖåáÑáÅ~åí=éêçéçêíáçå=çÑ=é~ÉÇá~íêáÅ=~ìíçéëáÉëI=

~êÉ= ÇçåÉ= ~í= íÜÉ= êÉèìÉëí= çÑ= ~= `çêçåÉê= çê= mêçÅìê~íçê= cáëÅ~äI= ãìÅÜ= ~ííÉåíáçå= áë= ÖáîÉå= íç=`çêçåá~ä= ã~ííÉêë= ~åÇ=ïçêâáåÖ= ïáíÜáå= íÜÉ= ëóëíÉã= ~ë= áí= ÅìêêÉåíäó= ëí~åÇëK= qÜÉêÉ= ~êÉ=ã~àçê=~åçã~äáÉë=ïáíÜáå=íÜÉ=`çêçåá~ä=ëóëíÉãI=é~êíáÅìä~êäó=ïÜÉå=~ééäáÉÇ=íç=ÅäáåáÅ~ä=ÖçîÉêå~åÅÉK=qÜÉ=`çääÉÖÉ= áë=ïçêâáåÖ=ïáíÜ= íÜÉ=çåÖçáåÖ=eçãÉ=lÑÑáÅÉ=oÉîáÉï=çÑ=`çêçåÉê=pÉêîáÅÉë= íç=éêçîáÇÉ=íÜÉ= Ä~ëÉë= Ñçê= ÅçåëáëíÉåí= ~åÇ= ÜáÖÜ= èì~äáíó= ~ìíçéëó= éê~ÅíáÅÉëK= qÜÉëÉ= ëÜçìäÇ= ~ÇÇêÉëë= ~ää=èìÉëíáçåë= íÜ~í=ã~ó=ÄÉ=éçëÉÇ=Äó= áåíÉêÉëíÉÇ=é~êíáÉë= êÉÖ~êÇáåÖ=~=ÇÉ~íÜI=ìäíáã~íÉäó=~åëïÉêáåÖ=íÜÉ=èìÉëíáçå=ÚÜ~ë=íÜáë=~ìíçéëó=ë~íáëÑ~Åíçêáäó=Éñéä~áåÉÇ=Üçï=íÜáë=é~íáÉåí=ÇáÉÇ\Û=

=R= pìÄJëéÉÅá~äáë~íáçå=áå=Çá~ÖåçëíáÅ=Üáëíçé~íÜçäçÖó=~åÇ=Åóíçé~íÜçäçÖó=áë=éêçÅÉÉÇáåÖI=~åÇ=ê~áëáåÖ=

íÜÉ=ëí~åÇ~êÇë=çÑ=êÉéçêíáåÖ=áå=äáåÉ=ïáíÜ=íÜÉ=ÇÉã~åÇë=çÑ=ÅäáåáÅá~åë=~åÇ=íÜÉ=éìÄäáÅK=qÜÉ=ë~ãÉ=íêÉåÇ= ëÜçìäÇ= ÅçåíáåìÉ= áå= ~ìíçéëó= éê~ÅíáÅÉ= Eáí= ~äêÉ~Çó= Éñáëíë= Ñçê= é~ÉÇá~íêáÅ= ~åÇ= ÑçêÉåëáÅ=éê~ÅíáÅÉI= ~åÇ= íç= ëçãÉ= ÉñíÉåí= áå= åÉìêçé~íÜçäçÖóFK= fåÅêÉ~ëÉÇ= ~ìÇáí= ~åÇ= áåéìí= áåíç= ÅäáåáÅ~ä=ÖçîÉêå~åÅÉ= Ñêçã= ~ìíçéëó= Ç~í~= ïáää= êÉèìáêÉ= ~= ãçêÉ= ÑçÅìëÉÇ= ~ééêç~ÅÜ= Ñêçã= é~íÜçäçÖáëíëK=m~íÜçäçÖáëíë=ïáää= åÉÉÇ= íç= êÉÅçÖåáëÉ= íÜÉáê= äáãáí~íáçåë= áå= ÉñéÉêíáëÉ= ~åÇ=ÄÉ=ãçêÉ=éêÉé~êÉÇ= íç=ëÉÉâ=~ëëáëí~åÅÉ=áå=ÇáÑÑáÅìäí=~åÇ=ìåìëì~ä=Å~ëÉëK==

=S= ^ìíçéëáÉë= çå= é~íáÉåíë= ïáíÜ= ëáÖåáÑáÅ~åí= ÅçããìåáÅ~ÄäÉ= EáåÑÉÅíáçìëF= ÇáëÉ~ëÉë= Å~ìëÉ= ã~åó=

éêçÄäÉãë= áå= ãçêíì~êáÉëI= ~åÇ= éÉêÑçêã~åÅÉ= éê~ÅíáÅÉ= áë= ÜáÖÜäó= î~êá~ÄäÉ= çîÉê= íÜÉ= rhK= qÜÉëÉ=dìáÇÉäáåÉë=éêçîáÇÉ=~=ê~íáçå~ä=~ééêç~ÅÜ=íç=áåÑÉÅíáçìë=Å~ëÉë=ïáíÜ=éêçíçÅçäë=Ñçê=êáëâ=~ëëÉëëãÉåí=~åÇ=êÉÇìÅíáçåK==

=T= qÜÉ= àçÄ=éä~åëI=ïçêâáåÖ=éê~ÅíáÅÉë=~åÇ=ëí~íìë=çÑ=^å~íçãáÅ~ä=m~íÜçäçÖó=qÉÅÜåáÅá~åë= E^mqëFI=

ïÜç=~êÉ=îáí~ä=ÅçåíêáÄìíçêë=íç=íÜÉ=~ìíçéëó=ëÉêîáÅÉI=åÉÉÇ=êÉîáÉï=~åÇ=êÉÖìä~íáçåK=qÜÉëÉ=~êÉ=åçí=~ÇÇêÉëëÉÇ=áå=ÇÉí~áä=áå=íÜÉëÉ=dìáÇÉäáåÉëI=Äìí=^mqë=ãìëí=ÄÉ=ÄêçìÖÜí=áåíç=~=êÉÖìä~íáåÖ=ÄçÇó=~ë=~=éêçÑÉëëáçå=~ääáÉÇ=íç=ãÉÇáÅáåÉK==

==

CR - The Royal College of Pathologists 314-008-004

The Royal College of Pathologists

Guidelines on autopsy practice

Report of a working group of The Royal College of Pathologists

================

September 2002

CR - The Royal College of Pathologists 314-008-005

Guidelines on autopsy practice

Report of a working group of The Royal College of Pathologists

This document was placed for consultation on the Fellows and Members Area of The Royal College of Pathologists website from 10–30 April 2002. 27 replies were received. These were forwarded to the Working Party who found them very useful in preparing this final draft of their report, although inevitably some contentious issues remain. Dr John A Lee Director of Publications ==

=

The Royal College of Pathologists 2 Carlton House Terrace

London SW1Y 5AF

Registered Charity No. 261035

© 2002 The Royal College of Pathologists

Further copies of this publication can be obtained from the College website at www.rcpath.org

CR - The Royal College of Pathologists 314-008-006

CONTENTS

bñÉÅìíáîÉ=ëìãã~êóKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKN=

N= oÉãáíKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKO=

O= qÜÉ=áãéçêí~åÅÉ=çÑ=íÜÉ=~ìíçéëó=~åÇ=çîÉêîáÉï=çÑ=íÜÉëÉ=dìáÇÉäáåÉë KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKP=

P= `çåëÉåí=áëëìÉë KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKQ=

Q= jÉÇáÅçJäÉÖ~ä=~ëéÉÅíë=~åÇ=~ìíÜçêáë~íáçå KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKS=

R= ^ìÇáíW=íÜÉ=~ìíçéëó=áå=ÅäáåáÅ~ä=éê~ÅíáÅÉ KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKNM=

S= eÉ~äíÜ=~åÇ=ë~ÑÉíó=Ó=áåÑÉÅíáçåë KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKNO=

T= ^ìíçéëó=Éñ~ãáå~íáçå=çîÉêîáÉïKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKNS=

U= ^ìíçéëó=Éñ~ãáå~íáçåë=~åÇ=êÉéçêíëW=ãáåáãìã=ëí~åÇ~êÇë=~åÇ=Ç~í~ëÉíë KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKNU=

V= ^ìíçéëó=ÜáëíçäçÖó KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKOO=

NM= péÉÅá~äáëÉÇ=~ìíçéëáÉë KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKOQ=

NN= ^å~íçãáÅ~ä=m~íÜçäçÖó=qÉÅÜåáÅá~åë KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKOS=

NO= ^ìÇáí=çÑ=íÜÉ=~ìíçéëó KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKOT=

_áÄäáçÖê~éÜóKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKOV=

`çåí~Åí=ïÉÄëáíÉëKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKPQ=

^ééÉåÇáÅÉë KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKPR=

^ééÉåÇáñ=N= e~ò~êÇ=dêçìé=P=é~íÜçÖÉåë KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKPR=

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CR - The Royal College of Pathologists 314-008-007

Guidelines on autopsy practice RCPath September 2002 1

EXECUTIVE SUMMARY =N= qÜÉ= ~ìíçéëó= Ü~ë= ÄÉÉå= êÉä~íáîÉäó= åÉÖäÉÅíÉÇ= áå= êÉÅÉåí= ~ééê~áë~äë= çÑ= Üáëíçé~íÜçäçÖó= éê~ÅíáÅÉI=

~åÇ= ïçêâáåÖ= éê~ÅíáÅÉë= Ü~îÉ= ÄÉÉå= ëáÖåáÑáÅ~åíäó= ~åÇ= åÉÖ~íáîÉäó= ~ÑÑÉÅíÉÇ= Äó= êÉÅÉåí= éìÄäáÅ=ÅçåÅÉêå=çîÉê=çêÖ~å=êÉíÉåíáçåK=kÉï=ÖìáÇÉäáåÉë=çîÉê= íÜÉ=ïÜçäÉ=~êÉ~=çÑ=~ìíçéëó=éê~ÅíáÅÉ=~êÉ=ìêÖÉåíäó=êÉèìáêÉÇK=

=O= tÜáäëí= íÜÉ= éêçÅÉëëÉë= çÑ= ~ìÇáí= ~åÇ= ê~áëáåÖ= çÑ= èì~äáíó= ëí~åÇ~êÇë= áå= Çá~ÖåçëíáÅ= ëìêÖáÅ~ä=

Üáëíçé~íÜçäçÖó= Ü~îÉ= éêçÅÉÉÇÉÇ= ~é~ÅÉI= íÜÉêÉ= Ü~ë= ÄÉÉå= äáííäÉ= éêÉëëìêÉ= íç= ê~áëÉ= ëí~åÇ~êÇë= çÑ=~ìíçéëó=éÉêÑçêã~åÅÉ=~åÇ=êÉéçêíáåÖK=nì~äáíó=áëëìÉë=~êÉ=ÅÉåíê~ä=íç=íÜÉëÉ=dìáÇÉäáåÉëI=ïáíÜ=íÜÉ=éêçéçë~ä= çÑ= ìåáÑçêã= ãáåáãìã= Ç~í~ëÉíëI= ÉåÜ~åÅÉÇ= ÑÉÉÇÄ~Åâ= íç= ÅäáåáÅá~åë= ~åÇ= êÉä~íáîÉëI=éêçãçíáçå=çÑ=ãçêí~äáíó=ãÉÉíáåÖë=~åÇ=ÅäáåáÅ~ä=~ìÇáíI=~åÇ=çíÜÉê=ãÉ~ëìêÉë=íç=ê~áëÉ=íÜÉ=éêçÑáäÉ=çÑ=íÜÉ=~ìíçéëó=áå=ÅäáåáÅ~ä=éê~ÅíáÅÉK=qÜÉ=ÉåÇ=êÉëìäí=ãìëí=ÄÉ=íÜÉ=áãéêçîÉãÉåí=çÑ=é~íáÉåí=Å~êÉK==

=P= qÜÉêÉ= áë= ïáÇÉ= î~êá~íáçå= áå= ~ìíçéëó= éÉêÑçêã~åÅÉ= ~åÇ= êÉéçêíáåÖ= éê~ÅíáÅÉëI= êÉä~íÉÇ= íç=

áåÅçåëáëíÉåí=çéÉê~íáçå=çÑ=íÜÉ=`çêçåá~ä=ëóëíÉã=~Åêçëë=båÖä~åÇ=~åÇ=t~äÉëI=~åÇ=ä~Åâ=çÑ=Åä~êáíó=áå= íÜÉ= ä~ï= çå= Üìã~å= íáëëìÉëK= ^ë= íÜÉêÉ= áë= ~å= çåÖçáåÖ= Åçåëìäí~íáçå= çîÉê= íÜÉëÉ= áãéçêí~åí=áëëìÉëI= áí= áë= åçí= éçëëáÄäÉ= ê~éáÇäó= íç=ãçîÉ= íç= ~= ëÉí= çÑ= ìåáîÉêë~ääó= ~ÖêÉÉÇ= ÚÄÉëí= éê~ÅíáÅÉëÛK= få=íÜÉëÉ= dìáÇÉäáåÉëI= íÜÉ= ÇáëíáåÅíáçå= áë= ã~ÇÉ= ÄÉíïÉÉå= ÚÄÉëí= éê~ÅíáÅÉÛ= EáKÉK= ã~ó= ÇçF= ~åÇ=Ú~ÅÅÉéí~ÄäÉ=éê~ÅíáÅÉÛ=Eãìëí=ÇçFK=^ìíçéëó=ëí~åÇ~êÇë=ëÜçìäÇ=ÅçåíáåìÉ=íç=êáëÉ=Äó=Éñ~ãéäÉK==

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íÜÉ=ëí~åÇ~êÇë=çÑ=êÉéçêíáåÖ=áå=äáåÉ=ïáíÜ=íÜÉ=ÇÉã~åÇë=çÑ=ÅäáåáÅá~åë=~åÇ=íÜÉ=éìÄäáÅK=qÜÉ=ë~ãÉ=íêÉåÇ= ëÜçìäÇ= ÅçåíáåìÉ= áå= ~ìíçéëó= éê~ÅíáÅÉ= Eáí= ~äêÉ~Çó= Éñáëíë= Ñçê= é~ÉÇá~íêáÅ= ~åÇ= ÑçêÉåëáÅ=éê~ÅíáÅÉI= ~åÇ= íç= ëçãÉ= ÉñíÉåí= áå= åÉìêçé~íÜçäçÖóFK= fåÅêÉ~ëÉÇ= ~ìÇáí= ~åÇ= áåéìí= áåíç= ÅäáåáÅ~ä=ÖçîÉêå~åÅÉ= Ñêçã= ~ìíçéëó= Ç~í~= ïáää= êÉèìáêÉ= ~= ãçêÉ= ÑçÅìëÉÇ= ~ééêç~ÅÜ= Ñêçã= é~íÜçäçÖáëíëK=m~íÜçäçÖáëíë=ïáää= åÉÉÇ= íç= êÉÅçÖåáëÉ= íÜÉáê= äáãáí~íáçåë= áå= ÉñéÉêíáëÉ= ~åÇ=ÄÉ=ãçêÉ=éêÉé~êÉÇ= íç=ëÉÉâ=~ëëáëí~åÅÉ=áå=ÇáÑÑáÅìäí=~åÇ=ìåìëì~ä=Å~ëÉëK==

=S= ^ìíçéëáÉë= çå= é~íáÉåíë= ïáíÜ= ëáÖåáÑáÅ~åí= ÅçããìåáÅ~ÄäÉ= EáåÑÉÅíáçìëF= ÇáëÉ~ëÉë= Å~ìëÉ= ã~åó=

éêçÄäÉãë= áå= ãçêíì~êáÉëI= ~åÇ= éÉêÑçêã~åÅÉ= éê~ÅíáÅÉ= áë= ÜáÖÜäó= î~êá~ÄäÉ= çîÉê= íÜÉ= rhK= qÜÉëÉ=dìáÇÉäáåÉë=éêçîáÇÉ=~=ê~íáçå~ä=~ééêç~ÅÜ=íç=áåÑÉÅíáçìë=Å~ëÉë=ïáíÜ=éêçíçÅçäë=Ñçê=êáëâ=~ëëÉëëãÉåí=~åÇ=êÉÇìÅíáçåK==

=T= qÜÉ= àçÄ=éä~åëI=ïçêâáåÖ=éê~ÅíáÅÉë=~åÇ=ëí~íìë=çÑ=^å~íçãáÅ~ä=m~íÜçäçÖó=qÉÅÜåáÅá~åë= E^mqëFI=

ïÜç=~êÉ=îáí~ä=ÅçåíêáÄìíçêë=íç=íÜÉ=~ìíçéëó=ëÉêîáÅÉI=åÉÉÇ=êÉîáÉï=~åÇ=êÉÖìä~íáçåK=qÜÉëÉ=~êÉ=åçí=~ÇÇêÉëëÉÇ=áå=ÇÉí~áä=áå=íÜÉëÉ=dìáÇÉäáåÉëI=Äìí=^mqë=ãìëí=ÄÉ=ÄêçìÖÜí=áåíç=~=êÉÖìä~íáåÖ=ÄçÇó=~ë=~=éêçÑÉëëáçå=~ääáÉÇ=íç=ãÉÇáÅáåÉK==

=

CR - The Royal College of Pathologists 314-008-008

Guidelines on autopsy practice RCPath September 2002 2

1 REMIT =NKN= få=NVVUI=qÜÉ=oçó~ä=`çääÉÖÉ=çÑ=m~íÜçäçÖáëíë=ÅçããáëëáçåÉÇ=~=`çÇÉ=çÑ=mê~ÅíáÅÉ=Ñçê=~ìíçéëáÉë=

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=NKU= oÉãìåÉê~íáçå= ~ëéÉÅíë= çÑ= íÜÉ= ãÉÇáÅçJäÉÖ~ä= ~ìíçéëó= ~êÉ= åçí= áåÅäìÇÉÇ= áå= íÜÉëÉ= dìáÇÉäáåÉëK=

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CR - The Royal College of Pathologists 314-008-009

Guidelines on autopsy practice RCPath September 2002 3

2 THE IMPORTANCE OF THE AUTOPSY AND OVERVIEW OF THESE GUIDELINES

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~åÇ=íÜ~í= íÜÉêÉ= áë=ÅçåëÉåëìë=~ãçåÖ=é~íÜçäçÖáëíëI= íÜÉáê=ÉãéäçóÉêë=~åÇ=íÜÉ=éìÄäáÅ=çîÉê=ïÜ~í=íÜçëÉ=ëí~åÇ~êÇë=ÅçãéêáëÉK=qÜÉ=ÅçãéêÉÜÉåëáîÉ=êÉîáÉïë=çÑ=é~íÜçäçÖó=éê~ÅíáÅÉ=ÉñíÉåÇ=~äëç=íç=íÜÉ=~ìíçéëóW=íÜÉêÉ=áë=åÉÉÇ=Ñçê=êÉîáÉï=~åÇ=~=Ñçêã~ä=ëÉí=çÑ=ÖìáÇÉäáåÉë=çå=~ìíçéëó=éê~ÅíáÅÉK==

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Ñçê=íÜÉ=ã~å~ÖÉãÉåí=çÑ=~=ëéÉÅáÑáÅ=éêçÄäÉã=~åÇ=íÜ~í=~äëç=~ääçï=Ñçê=éê~ÅíáÅÉ=î~êá~íáçåë=ÇìÉ=íç=áåÇáîáÇì~ä= ÅáêÅìãëí~åÅÉëK=pí~åÇ~êÇë=ÇáÑÑÉê= Ñêçã=ÖìáÇÉäáåÉë= áå= íÜ~í=éê~ÅíáÅÉ=î~êá~íáçå= áë=åçí=ÉñéÉÅíÉÇK= s~êá~íáçå= áå= ~ìíçéëó= éê~ÅíáÅÉ= áë= íç= ÄÉ= ÉñéÉÅíÉÇ= ~ë= É~ÅÜ= ~ìíçéëó= áåîçäîÉë= íÜÉ=áåÅçêéçê~íáçå=çÑ=ëìÄëí~åíá~ä=é~íáÉåíJëéÉÅáÑáÅ= áåÑçêã~íáçåI=~åÇ=íÜÉ=éêçÇìÅí= áë= íÜÉ=~åëïÉê=íç=é~íáÉåíJëéÉÅáÑáÅ=èìÉëíáçåë=~Äçìí=íÜ~í=ÇÉ~íÜK=qÜìëI=éê~ÅíáÅÉ=ÖìáÇÉäáåÉë=ê~íÜÉê=íÜ~å=ëí~åÇ~êÇë=~êÉ=ÇÉëáê~ÄäÉK=eçïÉîÉêI=qÜÉ=oçó~ä=`çääÉÖÉ=çÑ=m~íÜçäçÖáëíë=ÜçäÇë=íÜ~í=áå=ÅÉêí~áå=~ëéÉÅíë=Ó=Ñçê=Éñ~ãéäÉI=~ìíçéëó= êÉéçêíë=Ó= íÜÉêÉ=~êÉ=ÅÉêí~áå=ãáåáãìã=ëí~åÇ~êÇë= Eãáåáãìã=Ç~í~ëÉíëF= íÜ~í=ëÜçìäÇ=ÄÉ=ÑçääçïÉÇK=

CR - The Royal College of Pathologists 314-008-010

Guidelines on autopsy practice RCPath September 2002 4

3 CONSENT ISSUES PKN= páåÅÉ=íÜÉ=çêÖ~å=êÉíÉåíáçå=áëëìÉ=ÄÉÅ~ãÉ=éìÄäáÅI=ãçëí=Üçëéáí~äë=Ü~îÉ=êÉÇê~ÑíÉÇ=íÜÉáê=~ìíçéëó=

ÅçåëÉåí= Ñçêãë=~åÇ=êÉÑáåÉÇ=íÜÉ=ÅçåëÉåí=éêçÅÉÇìêÉë= íç=ã~âÉ=íÜÉã=ãçêÉ= áåÑçêãÉÇK=^=ãçÇÉä=ÅçåëÉåí= Ñçêã~í= ï~ë= áëëìÉÇ= ïáíÜ= qÜÉ= oçó~ä= `çääÉÖÉ= çÑ= m~íÜçäçÖáëíëÛ= j~êÅÜ= OMMM= çêÖ~å=êÉíÉåíáçå= ÖìáÇÉäáåÉëK=kep= å~íáçå~äJìëÉ= ÅçåëÉåí= Ñçêãë= êÉä~íáåÖ= íç= ÅçåëÉåíÉÇ= ~åÇ=`çêçåá~ä=~ìíçéëáÉë= çå= ÅÜáäÇêÉå= ~åÇ= ~Çìäíë= Ü~îÉ= ÄÉÉå= ÚéáäçíÉÇÛ= ~åÇ= íÜÉ= êÉëìäíë= ~êÉ= åçï= ìåÇÉê=ÇáëÅìëëáçåK=

=PKO= lÄí~áåáåÖ=ÅçåëÉåí=Ñçê=íÜÉ=~ìíçéëóI=~åÇ=ÅçåîÉóáåÖ=áåÑçêã~íáçå=çå=íÜÉ=áëëìÉë=êÉä~íÉÇ=íç=íÜÉ=

~ìíçéëóI= ãìëí= ÄÉ= áå= íÜÉ= ÅçåíÉñí= çÑ= ~= éêçéÉêäó= êÉëçìêÅÉÇ= Üçëéáí~äJÄ~ëÉÇ=ãìäíáÇáëÅáéäáå~êó=ÄÉêÉ~îÉãÉåí=ëÉêîáÅÉI=í~áäçêÉÇ=íç=íÜÉ=äçÅ~ä=ÅáêÅìãëí~åÅÉëK==

=PKP= qÜáë=ëÉêîáÅÉ=ëÜçìäÇ=ÄÉ=~î~áä~ÄäÉ=íç=Ñ~ãáäáÉë=áåîçäîÉÇ=ïáíÜ=`çêçåÉêëÛ=~ìíçéëáÉë=~ë=ïÉää=~ë=íç=

ÅçåëÉåíÉÇ= ~ìíçéëáÉë= ~äíÜçìÖÜI= ïÜÉêÉ= ~å= áåÇÉéÉåÇÉåí= ~ìíçéëó= ~åÇLçê= áåèìÉëí= ã~ó= ÄÉ=êÉèìáêÉÇI=íÜÉ=`çêçåÉê=ëÜçìäÇ=í~âÉ=íÜÉ=äÉ~Ç=áå=äá~áëáåÖ=ïáíÜ=íÜÉ=Ñ~ãáäóK=

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• ~ää=ëí~ÑÑ=~êÉ=~ï~êÉ=çÑ=íÜÉ=ÉíÜáÅ~ä=~åÇ=äÉÖ~ä=Ñê~ãÉïçêâ=ïáíÜáå=ïÜáÅÜ=íÜÉó=ïçêâ=ïÜÉå=ÇÉ~äáåÖ=ïáíÜ=íÜÉ=ÇÉÅÉ~ëÉÇ=~åÇ=íÜÉáê=åÉñí=çÑ=âáåK=qÜáë=áåÅäìÇÉë=íÜÉ=Çìíó=çÑ=ÇçÅíçêë=íç=åçíáÑó=íÜÉ=`çêçåÉê=çÑ=ÅÉêí~áå=Å~íÉÖçêáÉë=çÑ=ÇÉ~íÜ=

• íÜÉ=ÅçåíÉåí=çÑ=êÉäÉî~åí=áåÑçêã~íáçå=äÉ~ÑäÉíë=áë=ÅçãéäÉíÉ=~åÇ=~ÅÅìê~íÉ=

• íÜÉ=é~íÜçäçÖáëí=áë=~î~áä~ÄäÉI=áÑ=êÉèìáêÉÇI=íç=ãÉÉí=ïáíÜ=Ñ~ãáäáÉë=íç=ÇáëÅìëë=áëëìÉë=ëìêêçìåÇáåÖ=ÅçåëÉåíI=íÜÉ=~ìíçéëó=~åÇ=áíë=êÉëìäíë=~åÇ=ÅçåëÉèìÉåÅÉë=

• íÜÉ=áåÇìÅíáçå=~åÇ=ÉÇìÅ~íáçå=çÑ=ÜÉ~äíÜ=éêçÑÉëëáçå~äë=áåîçäîÉÇ=áå=íÜÉ=ëÉêîáÅÉ=áë=~ëëìêÉÇ==

• íÜÉ=ÄÉêÉ~îÉãÉåí=ëÉêîáÅÉ=áë=~ìÇáíÉÇK==PKR= ^=ÖìáÇáåÖ=éêáåÅáéäÉ=ëÜçìäÇ=ÄÉ=íÜ~í=ÚíÜÉ=Ñ~ãáäó=ÅçãÉë=ÑáêëíÛ=~ë=íÜÉ=~ìíçéëó=Ü~ë=íÜÉ=éçíÉåíá~ä=íç=

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CR - The Royal College of Pathologists 314-008-011

Guidelines on autopsy practice RCPath September 2002 5

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=“=m~ê~Öê~éÜ=SK=pìÅÜ=êÉÅçêÇáåÖë=~êÉ=ìåäáâÉäó=íç=ê~áëÉ=áëëìÉë=~Äçìí=~ìíçåçãó=~åÇ=ïáää=åçí=áÇÉåíáÑó=íÜÉ=é~íáÉåíK=fí=ã~ó=åçåÉíÜÉäÉëë=ÄÉ=~ééêçéêá~íÉ=íç=Éñéä~áå=íç=íÜÉ=é~íáÉåíI=~ë=é~êí=çÑ=íÜÉ=éêçÅÉëë=çÑ=çÄí~áåáåÖ=ÅçåëÉåí=íç=íÜÉ=íêÉ~íãÉåí=çê=~ëëÉëëãÉåí=éêçÅÉÇìêÉI=íÜ~í=~=êÉÅçêÇáåÖ=ïáää=ÄÉ=ã~ÇÉK==

“=m~êí=PW=oÉÅçêÇáåÖë=Ñçê=ïÜáÅÜ=éÉêãáëëáçå=áë=êÉèìáêÉÇ=

m~ê~Öê~éÜ=UK=tÜÉå=ÅçåÇìÅíáåÖ=~=Üçëéáí~ä=éçëíJãçêíÉã=Éñ~ãáå~íáçåI=óçì=ãìëí=ëÉÉâ=éÉêãáëëáçå=Ñêçã=~=ÅäçëÉ=êÉä~íáîÉ=çê=Å~êÉê=ÄÉÑçêÉ=ã~âáåÖ=~åó=êÉÅçêÇáåÖ=Ñêçã=ïÜáÅÜ=íÜÉ=ÇÉÅÉ~ëÉÇ=ã~ó=ÄÉ=áÇÉåíáÑá~ÄäÉK=fÑ=íÜÉ=ÇÉ~íÜ=áë=íÜÉ=ëìÄàÉÅí=çÑ=~=ãÉÇáÅçJäÉÖ~ä=áåîÉëíáÖ~íáçåI=íÜÉ=éêçéçëÉÇ=êÉÅçêÇáåÖ=ëÜçìäÇ=ÄÉ=ÇáëÅìëëÉÇ=ïáíÜ=íÜÉ=`çêçåÉê=çê=mêçÅìê~íçê=cáëÅ~ä=Eáå=pÅçíä~åÇF=ïÜç=Ü~ë=~ìíÜçêáëÉÇ=íÜÉ=áåîÉëíáÖ~íáçåK===

CR - The Royal College of Pathologists 314-008-012

Guidelines on autopsy practice RCPath September 2002 6

“=m~ê~Öê~éÜ=OQK=vçì=ãìëí=åçí=ã~âÉ=êÉÅçêÇáåÖë=Ñçê=ìëÉ=áå=éìÄäáÅäóJ~ÅÅÉëëáÄäÉ=ãÉÇá~=ïáíÜçìí=ïêáííÉå=éÉêãáëëáçåI=ïÜÉíÜÉê=çê=åçí=óçì=ÅçåëáÇÉê=íÜÉ=é~íáÉåíë=íç=ÄÉ=áÇÉåíáÑá~ÄäÉK=ÚmìÄäáÅäóJ~ÅÅÉëëáÄäÉÛ=ãÉÇá~=áåÅäìÇÉë=ãÉÇáÅ~ä=àçìêå~äëK=qÜÉ=çåäó=ÉñÅÉéíáçåë=íç=íÜáë=~êÉ=çìíäáåÉÇ=áå=m~êí=O=~ÄçîÉKÒ=

4 MEDICO-LEGAL ASPECTS AND AUTHORISATION QKN= dÉåÉê~ä=`çêçåá~ä=áëëìÉë=

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QKNKR= qÜÉ=áåíÉê~Åíáçå=çÑ=íÜÉ=`çêçåá~ä=ëóëíÉã=ïáíÜ=Üçëéáí~ä=ÇÉ~íÜëI=Ñçê=Éñ~ãéäÉ=ÇÉíÉêãáåáåÖ=ïÜ~í=Å~íÉÖçêáÉë= çÑ= Üçëéáí~ä= ÇÉ~íÜë= ~êÉ= Úìåå~íìê~äÛ= ~åÇ= êÉèìáêÉ= áåèìÉëíI= áë= ÄçíÜ= ÅçãéäÉñ= ~åÇ=ëìÄàÉÅí= íç= ä~êÖÉ= î~êá~íáçåë= ~Åêçëë=båÖä~åÇ= ~åÇ=t~äÉëK=`äáåáÅ~ä= ÖçîÉêå~åÅÉ= áë= ~å= ÉãÉêÖáåÖ=Ñ~Åíçê=áå=íÜáë=Éèì~íáçåI=ïÜáÅÜ=ãìëí=ÄÉ=ÉñéäçêÉÇ=íÜçêçìÖÜäó=áå=íÜÉ=ÑçêíÜÅçãáåÖ=eçãÉ=lÑÑáÅÉ=oÉîáÉï= çÑ= `çêçåÉê= pÉêîáÅÉëK= qÜÉ= ~ìíçéëó= áë= ÑêÉèìÉåíäó= ~= ÅêìÅá~ä= ÅçãéçåÉåí= áå= íÜÉ=áåîÉëíáÖ~íáçå= çÑ= ëìÅÜ= ÇÉ~íÜë= ~åÇ= íÜÉ= é~íÜçäçÖáëí=ãìëí= éÉêÑçêã= íÜÉ= ~ìíçéëó= íç= íÜÉ= ÜáÖÜÉëí=ëí~åÇ~êÇ=~åÇ=ÄÉ=~ï~êÉ=çÑ=ÄçíÜ=íÜÉ=áãéçêí~åÅÉ=~åÇ=äáãáí~íáçåë=çÑ=Üáë=êçäÉK==

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QKOKO= m~íÜçäçÖáëíë= íê~áåÉÇ= ~Äêç~Ç= ïÜç= Ü~îÉ= åçí= í~âÉå= íÜÉ= jo`m~íÜ= Éñ~ãáå~íáçåI= çê= ïÜçëÉ=ÉäáÖáÄáäáíó= Ñçê= ëéÉÅá~äáëí= êÉÖáëíê~íáçå= Ü~ë= åçí= ÄÉÉå= ÅçåëáÇÉêÉÇ= Äó= qÜÉ= oçó~ä= `çääÉÖÉ= çÑ=m~íÜçäçÖáëíëI= ãìëí= Ü~îÉ= íÜÉáê= ÅçãéÉíÉåÅÉ= áå= ~ìíçéëó= éê~ÅíáÅÉ= ÅçåëáÇÉêÉÇ= Å~êÉÑìääó= Äó= íÜÉ=^ééçáåíãÉåíë=`çããáííÉÉ= Ñçê=~åó=éçëí= íÜ~í= áåÅäìÇÉë=`çêçåá~ä=~ìíçéëáÉë=~ë=é~êí=çÑ= íÜÉ= àçÄ=ÇÉëÅêáéíáçåK==

QKOKP= m~íÜçäçÖáëíë= ëÜçìäÇ=ÜçäÇ=Åçåíê~Åíë=ïáíÜ= íÜÉ=Üçëéáí~äë= áå=ïÜáÅÜ= íÜÉó=éÉêÑçêã=~ìíçéëáÉë=îá~=íÜÉ=`çêçåÉêI=íç=ë~íáëÑó=ÜÉ~äíÜ=~åÇ=ë~ÑÉíó=êÉèìáêÉãÉåíëK==

QKOKQ= tÜÉå=~=åÉï=é~íÜçäçÖáëí=áë=~ìíÜçêáëÉÇ=íç=éÉêÑçêã=`çêçåá~ä=~ìíçéëáÉëI=íÜÉêÉ=ãìëí=ÄÉ=~å=ìéJíçJÇ~íÉ=`s=çå=íÜÉ=`çêçåÉêÛë=E~åÇ=mêçÅìê~íçê=cáëÅ~äÛëF=ÑáäÉëK=qÜÉ=`çääÉÖÉ=ïáää=~äëç=Ü~îÉ=~=äáëí=çÑ= é~íÜçäçÖáëíë= ïáíÜ= `ÉêíáÑáÅ~íÉë= çÑ= `çãéäÉíáçå= çÑ= péÉÅá~äáëí= qê~áåáåÖ= E``pqFX= íÜáë= ã~ó=ÄÉÅçãÉ= é~êíáÅìä~êäó= êÉäÉî~åí= áÑ= ÑìíìêÉ= ÖÉåÉê~íáçåë= çÑ= íê~áåÉÇ= é~íÜçäçÖáëíë= çéí= åçí= íç= ÄÉ=Éñ~ãáåÉÇ= áå= ~åÇ=éÉêÑçêã=~ìíçéëáÉëK= fÇÉ~ääóI= íÜçëÉ= áåîçäîÉÇ= áå=ãÉÇáÅçJäÉÖ~ä= ~ìíçéëó=ïçêâ=ïçìäÇ=Ü~îÉ=~=ÑìêíÜÉê=èì~äáÑáÅ~íáçå=áå=ÑçêÉåëáÅ=é~íÜçäçÖóK=

CR - The Royal College of Pathologists 314-008-013

Guidelines on autopsy practice RCPath September 2002 7

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QKOKS= `Éêí~áå= Å~íÉÖçêáÉë=çÑ= ~ìíçéëó= ëÜçìäÇ=ÄÉ=éÉêÑçêãÉÇ=Äó=Üáëíçé~íÜçäçÖáëíë=ïáíÜ= íê~áåáåÖ=~åÇ=ÉñéÉêíáëÉ= áå= ëéÉÅá~äáëÉÇ=~êÉ~ëK= fÑ=åÉÅÉëë~êóI= ëìÅÜ=ÉñéÉêíáëÉ= ëÜçìäÇ=ÄÉ=Å~ääÉÇ= áå= Ñçê=~= ëÉÅçåÇ=çéáåáçåK=qÜÉ=é~íÜçäçÖáëí=ãìëí=êÉÅçÖåáëÉ=íÜÉ=äáãáí~íáçåë=çÑ=Üáë=ÉñéÉêíáëÉ=~åÇI= áÑ=~=Å~ëÉ=ÖçÉë=ÄÉóçåÇ= íÜçëÉ= äáãáí~íáçåëI= ãìëí= ëÉÉâ= íÜÉ= ~ëëáëí~åÅÉ= çÑ= ~å= ~ééêçéêá~íÉ= ~ÅÅêÉÇáíÉÇ= çê=ÉñéÉêáÉåÅÉÇ= ëéÉÅá~äáëíK= qÜÉ= é~íÜçäçÖáëí=ãìëí= éçáåí= çìí= íç= íÜÉ=`çêçåÉê=ïÜÉêÉ= íÜÉ= ~ìíçéëó=Éñ~ãáå~íáçå=êÉèìáêÉë=ëéÉÅá~ä=ëâáääë=~åÇ=ëÜçìäÇ=ÇÉÅäáåÉ=íç=éÉêÑçêã=~åó=~ìíçéëó=Ñçê=ïÜáÅÜ=ÜÉ=çê=ëÜÉ=ÇçÉë=åçí=éçëëÉëë=íÜçëÉ=ëâáääë=EëÉÉ=pÉÅíáçå=NMI=péÉÅá~äáëÉÇ=~ìíçéëáÉëFK==

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QKQKO= tÜÉêÉ= áí= áë= íÜçìÖÜí=ÇÉëáê~ÄäÉ= íÜ~í= íÜÉ=é~íÜçäçÖáëí=éÉêÑçêãáåÖ=íÜÉ=~ìíçéëó=ëÜçìäÇ=åçí=ÄÉ=~=qêìëí=ÅçääÉ~ÖìÉ=çÑ=íÜÉ=ÅäáåáÅá~åë=áåîçäîÉÇ=E`çêçåÉêë=oìäÉë=NVUQI=êìäÉ=SFI=áKÉK=íÜÉêÉ=ã~ó=ÄÉ=~=ÅçåÑäáÅí=çÑ=áåíÉêÉëíI=~=ÅÜçáÅÉ=áë=íç=ÄÉ=ã~ÇÉW=~å=ÚçìíëáÇÉI=áåÇÉéÉåÇÉåíÛ=é~íÜçäçÖáëí=éçëëÉëëáåÖ=~ééêçéêá~íÉ= ëâáääë= ã~ó= ÅçãÉ= íç= íÜÉ= Üçëéáí~ä= çê= íÜÉ= ÄçÇó=ã~ó= ÄÉ= íê~åëéçêíÉÇ= íç= ~åçíÜÉê=~ééêçéêá~íÉäó= ÉèìáééÉÇ= ãçêíì~êó= Ñçê= ~ìíçéëó= Äó= íÜÉ= ~ééêçéêá~íÉäó= ëâáääÉÇ= ÚáåÇÉéÉåÇÉåíÛ=é~íÜçäçÖáëíK==

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QKQKQ= tÜÉêÉ= íÜÉ=é~íÜçäçÖáëí= áë=~ï~êÉ=çÑ=ÅáêÅìãëí~åÅÉë=~Äçìí= íÜÉ=ÇÉ~íÜ= íÜ~í= ê~áëÉ= íÜÉ=éçëëáÄáäáíó=íÜ~í=~å= áåíÉêÉëíÉÇ=é~êíó= áå= íÜÉ=ÇÉ~íÜ=ãáÖÜí=ïáëÜ= íç=ÄÉ=éêÉëÉåíI= íÜÉ=é~íÜçäçÖáëí= ëÜçìäÇ=åçí=éÉêÑçêã= íÜÉ= ~ìíçéëó=ïáíÜçìí= íÜÉ= ~ëëìê~åÅÉ= Ñêçã= íÜÉ= `çêçåÉê= íÜ~í= íÜÉ= é~êíáÉë= Ü~îÉ= ÄÉÉå=ÖáîÉå=íÜÉ=çééçêíìåáíó=íç=ÄÉ=êÉéêÉëÉåíÉÇ=~í=íÜÉ=~ìíçéëó=~åÇ=Ü~îÉ=ÇÉÅäáåÉÇK=

=QKR= c~ÅáäáíáÉë=~î~áä~ÄäÉ=Ñçê=éÉêÑçêãáåÖ=`çêçåá~ä=~ìíçéëáÉëI=áåÅäìÇáåÖ=~åÅáää~êó=áåîÉëíáÖ~íáçåë==

QKRKN== fí= áë= êÉÅçÖåáëÉÇ= íÜ~í= ~åíáèì~íÉÇ=ãçêíì~êáÉë=ïÜáÅÜ= Çç= åçí=ãÉÉí=ãçÇÉêå= ÇÉëáÖå= ~åÇ= ë~ÑÉíó=ëí~åÇ~êÇë=ã~âÉ=áí=ÇáÑÑáÅìäí=Ñçê=ë~ÑÉ=~åÇ=ÜáÖÜ=èì~äáíó=~ìíçéëáÉë=íç=ÄÉ=éÉêÑçêãÉÇK=

CR - The Royal College of Pathologists 314-008-014

Guidelines on autopsy practice RCPath September 2002 8

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QKRKQ= jçêíì~êáÉë=ãìëí= ÄÉ= ~ÇÉèì~íÉäó= ÉèìáééÉÇ=ïáíÜ= Ä~ëáÅ= Ñ~ÅáäáíáÉë= Ñçê=ãÉ~ëìêÉãÉåíI= ÇáëëÉÅíáçå=~åÇ= ïÉáÖÜáåÖK= ^ÇÇáíáçå~ä= ~ééêçéêá~íÉ= ÉèìáéãÉåí= ãìëí= ÄÉ= ~î~áä~ÄäÉ= Ñçê= ëçãÉ= ëéÉÅá~äáëÉÇ=~ìíçéëáÉëK=

QKRKR= c~ÅáäáíáÉë=ëÜçìäÇ=ÄÉ=~î~áä~ÄäÉ=Ñçê=í~âáåÖ=~åÇ=ëíçêáåÖ=ëéÉÅáãÉåë=Ñçê=ãáÅêçÄáçäçÖóI=íçñáÅçäçÖó=~åÇ=ÅÜÉãáëíêóI=~ë=ïÉää=~ë=ÜáëíçäçÖó=ë~ãéäÉëK=

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QKSKO= iáãáí~íáçåë= ã~ó= ÄÉ= éä~ÅÉÇ= Äó= íÜÉ= ~ìíÜçêáëáåÖ= `çêçåÉê= áå= íÉêãë= çÑ= íÜÉ= ÉñíÉåí= çÑ= çêÖ~å=Éñ~ãáå~íáçåI=ÉKÖK=ëçãÉ=êÉäáÖáçìë=Öêçìéë=ïáëÜ=íÜÉ=ãáåáãìã=ÇáëíìêÄ~åÅÉ=çÑ=íÜÉ=ÄçÇóI=ëìÄàÉÅí=íç= çÄí~áåáåÖ= ~å= ~ÅÅìê~íÉ= Å~ìëÉ= çÑ= ÇÉ~íÜK= qÜÉëÉ= ãìëí= ÄÉ= çÄëÉêîÉÇI= Äìí= áÑ= ãçêÉ= ÉñíÉåëáîÉ=Éñ~ãáå~íáçå=áë=ÇÉÉãÉÇ=åÉÅÉëë~êó=Äó=íÜÉ=é~íÜçäçÖáëíI=ÜÉ=çê=ëÜÉ=ëÜçìäÇ=áåÑçêã=íÜÉ=`çêçåÉê=çÑ=ëìÅÜ=~åÇ=êÉÅçããÉåÇ=ÑìêíÜÉê=éêçÅÉëëK=fÑ=íÜÉ=é~íÜçäçÖáëí=ÑÉÉäë=íÜ~í=íÜçëÉ=äáãáí~íáçåë=ïáää=åçí=éÉêãáí=éêçéÉê=é~íÜçäçÖáÅ~ä=áåîÉëíáÖ~íáçåI=ÜÉ=çê=ëÜÉ=ëÜçìäÇ=ÇÉÅäáåÉ=íÜÉ=êÉèìÉëí=íç=éÉêÑçêã=íÜÉ=~ìíçéëóK=

QKSKP= qÜÉ= ÇÉéíÜ= çÑ= ~å~äóëáëI= áåÅäìÇáåÖ= íÜÉ= ìëÉ= çÑ= ÜáëíçäçÖó= EëÉÉ= pÉÅíáçå= VI= ^ìíçéëó= ÜáëíçäçÖóFI=åÉÉÇë= íç=ÄÉ= ~ÖêÉÉÇ= Ñçêã~ääó=ÄÉíïÉÉå= íÜÉ=`çêçåÉê=~åÇ=é~íÜçäçÖáëíK=qÜÉ=ÇÉÖêÉÉ=çÑ= êÉäá~åÅÉ=ìéçå=Öêçëë=ÑáåÇáåÖë=çåäó=íç=ÇÉíÉêãáåÉ=íÜÉ=Å~ìëÉ=çÑ=ÇÉ~íÜ=ãìëí=ÄÉ=~ééêçéêá~íÉ=íç=íÜÉ=Å~ëÉK=tÜÉêÉ=íÜÉ=Å~ìëÉ=çÑ=ÇÉ~íÜ=Å~ååçí=ÄÉ=ÖáîÉå=ïáíÜçìí=Ñìää=Üáëíçé~íÜçäçÖáÅ~ä=ë~ãéäáåÖI=íÜáë=ãìëí=ÄÉ=ÇçåÉ=~ÑíÉê=áåÑçêãáåÖ=íÜÉ=`çêçåÉê=~åÇI=íÜêçìÖÜ=Üáã=çê=ÜÉêI=íÜÉ=êÉä~íáîÉëK=fÑ=çêÖ~åë=åÉÉÇ=íç=ÄÉ=êÉí~áåÉÇ=Ñçê=Çá~ÖåçëáëI=íÜáë=ïáää=ÄÉ=~ÖêÉÉÇ=ïáíÜ=íÜÉ=`çêçåÉêI=ïÜç=áåÑçêãë=íÜÉ=åÉñí=çÑ=âáåK=fÑ=~ÇÇáíáçå~ä=çêÖ~å=êÉíÉåíáçå=Ñçê=íÉ~ÅÜáåÖ=çê=êÉëÉ~êÅÜ=áë=ÇÉëáêÉÇI=íÜÉ=åÉñí=çÑ=âáå=åÉÉÇë=íç=ÄÉ=ÅçåëìäíÉÇ=Ñçê=ÅçåëÉåíI=íÜÉ=`çêçåÉê=~äëç=ÅçåëÉåíáåÖ=ïÜáäëí=ÜÉ=çê=ëÜÉ=áë=áå=éçëëÉëëáçå=çÑ=íÜÉ=ÄçÇóK= pìÄëÉèìÉåí= Çáëéçë~ä= çÑ= çêÖ~åë= åÉÉÇë= íç= ÄÉ= ~ÖêÉÉÇ= ïáíÜ= íÜÉ= åÉñí= çÑ= âáå= ~åÇ= íÜÉ=`çêçåÉê=EëÉÉ=qÜÉ=oçó~ä=`çääÉÖÉ=çÑ=m~íÜçäçÖáëíëÛ=ÖìáÇÉäáåÉë=çå=çêÖ~å=êÉíÉåíáçåFK=

QKSKQ= `çêçåÉêëÛ= ~ìíçéëáÉë= ëÜçìäÇ= ÄÉ= êÉéçêíÉÇ= íç= íÜÉ= ë~ãÉ= ÜáÖÜ= ëí~åÇ~êÇë= êÉÅçããÉåÇÉÇ= áå= íÜÉ=`çääÉÖÉÛë= ÉñáëíáåÖ= ÖìáÇÉäáåÉëI= ~åÇ= íÜçëÉ= åçï= ÇÉëÅêáÄÉÇ= áå= íÜÉëÉ=dìáÇÉäáåÉë= EëÉÉ= pÉÅíáçå= UI=^ìíçéëó= Éñ~ãáå~íáçåë= ~åÇ= êÉéçêíëFK= qÜÉ= éêçîáëáçå= çÑ= ~= èì~äáíó= ëÉêîáÅÉ= íç= íÜÉ= `çêçåÉê=áåÅäìÇÉë=~ìÇáí=çÑ=íÜ~í=ëÉêîáÅÉK=

QKSKR= qÜÉ=éêÉëÉåí=ëÜçêí=éêç=Ñçêã~=ìëÉÇ=Äó=ã~åó=`çêçåÉêë=áë=íçç=êÉëíêáÅíáîÉ=áÑ=áí=áë=êáÖáÇäó=~ÇÜÉêÉÇ=íç= ÄìíI= ïáíÜ= ÅìêêÉåí= áåÑçêã~íáçå= íÉÅÜåçäçÖó= EfqF= ~åÇ= ïçêÇ= éêçÅÉëëáåÖI= áí= áë= Å~é~ÄäÉ= çÑ=Éñé~åëáçå=íç=ÖáîÉ=~=ãçêÉ=ë~íáëÑ~Åíçêó=êÉéçêí=ÅçåëáëíÉåí=ïáíÜ=íÜÉ=`çääÉÖÉ=êÉÅçããÉåÇ~íáçåëK=

=QKT= qÜÉ=ÇáëíêáÄìíáçå=çÑ=`çêçåá~ä=~ìíçéëó=êÉéçêíë=

= qÜÉ=é~íÜçäçÖáëíÛë=êÉéçêí=íç=íÜÉ=`çêçåÉê=áë=íÜÉ=éêçéÉêíó=çÑ=íÜÉ=`çêçåÉê=ÄìíI=~ë=ÄÉëí=éê~ÅíáÅÉI=ëÜçìäÇ= ÄÉ= êÉÅÉáîÉÇ= Äó= íÜÉ= Åçåëìäí~åí= êÉëéçåëáÄäÉ= Ñçê= Üçëéáí~ä= Å~êÉI= íÜÉ= é~íáÉåíÛë= ÖÉåÉê~ä=éê~ÅíáíáçåÉê=~åÇ=çíÜÉê=ÇçÅíçêë=~åÇ=é~êíáÉë=ïáíÜ=~= äÉÖáíáã~íÉ= áåíÉêÉëí=Ó= áKÉK= ÑìäÑáääáåÖ=ÅäáåáÅ~ä=ÖçîÉêå~åÅÉ= êÉèìáêÉãÉåíëK= fÇÉ~ääóI= íÜÉ= áåÑçêã~íáçå= ëÜçìäÇ= ÄÉ= ÑÉÇ= Ä~Åâ= íç= íÜÉ= åÉñí= çÑ= âáåK=qÜÉêÉ=ã~ó=ÄÉ=é~êíáÅìä~ê=êÉ~ëçåëI=ëìÅÜ=~ë=~å=áåèìÉëí=çê=éçëëáÄäÉ=Åêáãáå~ä=éêçÅÉÉÇáåÖëI=ïÜó=~=

CR - The Royal College of Pathologists 314-008-015

Guidelines on autopsy practice RCPath September 2002 9

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=QKU= råë~íáëÑ~Åíçêó=`çêçåá~ä=~ìíçéëáÉë=

= qÜÉêÉ= áë=ïáÇÉëéêÉ~Ç=Çáëë~íáëÑ~Åíáçå=ïáíÜ= íÜÉ=éêÉëÉåí=ãÉÇáÅçJäÉÖ~ä= ëóëíÉã=~åÇ= áíë=çéÉê~íáçå=ìåÇÉê= íÜÉ= ÉñáëíáåÖ= `çêçåÉêë= ^Åí= ~åÇ= `çêçåÉêë= oìäÉëK= få= é~êíáÅìä~êI= íÜÉ= áåÅêÉ~ëáåÖ=éêçãáåÉåÅÉ= çÑ= ÅäáåáÅ~ä= ÖçîÉêå~åÅÉ= áå= Üçëéáí~ä= éê~ÅíáÅÉ= êìåë= Åçåíê~êó= íç= ã~åó= çÑ= íÜÉ=éê~ÅíáÅÉë= ÇÉã~åÇÉÇ= Äó= `çêçåÉêëK= pçãÉ= çÑ= íÜÉ= éê~ÅíáÅ~ä= Ñ~Åíçêë= íÜ~í= äÉ~Ç= íç= äÉëë= íÜ~å=ë~íáëÑ~Åíçêó=~ìíçéëáÉë=áåÅäìÇÉ=íÜÉ=ÑçääçïáåÖ=éçáåíëK=

QKUKN= i~Åâ= çÑ= ~ÇÉèì~íÉ= áåÑçêã~íáçå= ÄÉÑçêÉ= ~ìíçéëóK= qÜÉ= `çêçåÉê= Ü~ë= åç= éçïÉê= íç= çêÇÉê= íÜÉ=éêçÇìÅíáçå= çÑ= ãÉÇáÅ~ä= êÉÅçêÇë= Ñçê= íÜÉ= é~íÜçäçÖáëí= ÄìíI= áå= éê~ÅíáÅÉI= ïÜÉå= ~= ãÉÇáÅçJäÉÖ~ä=~ìíçéëó= áë=éÉêÑçêãÉÇ= áå= íÜÉ=Üçëéáí~ä=çÑ= íÜÉ=é~íáÉåíI= íÜÉ= êÉÅçêÇë=~êÉ=~î~áä~ÄäÉK=eçëéáí~ä= fq=åÉíïçêâë= áåÅäìÇÉ= áåÅêÉ~ëáåÖ=ê~åÖÉë=~åÇ=íóéÉë=çÑ=ãÉÇáÅ~ä=êÉÅçêÇ=Ç~í~Ä~ëÉëK=^ÅÅÉëë= íç= íÜÉëÉ=Å~å=ÄÉ=áãéçêí~åí=áå=éêçîáÇáåÖ=áåÑçêã~íáçå=íÜ~í=ï~ë=åçí=~î~áä~ÄäÉ=íç=íÜÉ=`çêçåÉêÛë=çÑÑáÅÉêë=~ìíÜçêáëáåÖ=~ìíçéëáÉëK=

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QKUKP= qÜÉêÉ=ëÜçìäÇ=ÄÉ=~=ãáåáãìã=Ç~í~ëÉí=çÑ=áåÑçêã~íáçå=éêÉëÉåíÉÇ=Ñçê=ÇÉ~íÜë=áå=íÜÉ=ÅçããìåáíóI=áå=~ÇÇáíáçå=íç=íÜÉ=ìëì~ä=áÇÉåíáÑáÉêë=~åÇ=éä~ÅÉ=çÑ=ÇÉ~íÜK=qÜÉëÉ=áåÅäìÇÉW==• íÜÉ=éêÉÅáëÉ=ÅáêÅìãëí~åÅÉë=çÑ=íÜÉ=ÇÉ~íÜ==• íÜÉ=ãÉÇáÅ~ä=Üáëíçêó=~åÇ=éêÉëÅêáÄÉÇ=ãÉÇáÅ~íáçåë=• êÉÅÉåí=Üçëéáí~ä=~Çãáëëáçåë=ïáíÜ=ÇÉí~áäë=çÑ=äçÅ~íáçå=~åÇ=äÉ~Ç=ÅäáåáÅá~å=• âåçïå=çê=ëìëéÉÅíÉÇ=ìëÉ=çÑ=~äÅçÜçä=çê=çíÜÉê=êÉÅêÉ~íáçå~ä=ÇêìÖë=• çÅÅìé~íáçå=• éÜçåÉ=åìãÄÉê=çÑ=íÜÉ=é~íáÉåíÛë=ÖÉåÉê~ä=éê~ÅíáíáçåÉêK=

QKUKQ= mÉêÑçêãáåÖ= íçç= ã~åó= ~ìíçéëáÉë= ïáíÜáå= ~= íáãÉ= éÉêáçÇ= ~î~áä~ÄäÉI= êÉëìäíáåÖ= áå= áåëìÑÑáÅáÉåí=~ííÉåíáçå= íç= éêçÄäÉã~íáÅ= Å~ëÉëK= qÜÉëÉ= áåÅäìÇÉ= Üçëéáí~ä= Å~ëÉë= ëìÅÜ= ~ë= éçëíJçéÉê~íáîÉ= ~åÇ=áåíÉåëáîÉ= Å~êÉ= ÇÉ~íÜëI= ïÜÉêÉ= Å~êÉÑìä= áåëéÉÅíáçå= çÑ= êÉÅçêÇëI= Çá~äçÖìÉ= ïáíÜ= ÅäáåáÅá~åëI= éçëíJãçêíÉã= ÜáëíçäçÖó= ~åÇ= íÜÉ= êÉëìäíë= çÑ= éêÉJãçêíÉã= áåîÉëíáÖ~íáçåë= ~åÇ= ÄáçéëáÉë= ã~ó= ~ää= ÄÉ=êÉäÉî~åíK=qÜÉëÉ=dìáÇÉäáåÉë=Å~ååçí=ëéÉÅáÑó=íÜÉ=éêçéÉê=åìãÄÉê=çÑ=Å~ëÉë=éÉê=ïçêâáåÖ=ëÉëëáçåI=ÄÉÅ~ìëÉ= áí= ÇÉéÉåÇë= ëç=ãìÅÜ= çå= Å~ëÉ=ãáñ= ~åÇ= çå= íÜÉ= ÇÉÖêÉÉ= çÑ= ~ëëáëí~åÅÉ= ~î~áä~ÄäÉ= Ñêçã=^mqë=~åÇ=Ñêçã=íê~áåÉÉë=EáÑ=~î~áä~ÄäÉFK=eçïÉîÉêI=êÉîáÉï=çÑ=Ç~í~=çå=ïçêâäç~Çë=áë=áåÅêÉ~ëáåÖäó=é~êí=çÑ=êÉÖìä~ê=~ééê~áë~äë=çÑ=ãÉÇáÅ~ä=ëí~ÑÑI=~åÇ=~ìíçéëó=êÉéçêíë=~êÉ=ìëÉÇ=Ñçê=áåíÉêå~ä=~ìÇáíëK=eÉ~Çë=çÑ= ëÉêîáÅÉë=~åÇ=ÇÉé~êíãÉåíëI=~åÇ=Åçåëìäí~åí=ÅçääÉ~ÖìÉëI=ïáää=ÄÉ=ã~âáåÖ= àìÇÖÉãÉåíë=çå= ïÜÉíÜÉê= áåÇáîáÇì~ä= é~íÜçäçÖáëíë= ~êÉ= éÉêÑçêãáåÖ= ~ìíçéëáÉë= áå= ëìÅÜ= ~= ã~ååÉê= íÜ~í= íÜÉ=êÉëìäíáåÖ=áåÑçêã~íáçå=áë=ìåë~íáëÑ~ÅíçêóK==

QKUKR= i~Åâ=çÑ=~ìÇáíK=tÜÉêÉ=é~íÜçäçÖáëíëÛ=êÉéçêíë=~êÉ=ìåäáâÉäó=íç=ÅçãÉ=ìåÇÉê=~=éÉÉê=êÉîáÉïI=íÜÉêÉ=ã~ó=ÄÉ=~= íÉåÇÉåÅó= Ñçê= ëí~åÇ~êÇë= íç= Ñ~ääK=_çíÜ=`çêçåÉêë=~åÇ=eÉ~äíÜ=pÉêîáÅÉ= ëí~íáëíáÅë=åÉÉÇ=ÜáÖÜ=èì~äáíóI=~ÇÉèì~íÉäó=~ìÇáíÉÇ=~ìíçéëáÉëK==

QKUKS= ^ííáíìÇÉë=çÑ=é~íÜçäçÖáëíëI=`çêçåÉêë=~åÇ=`çêçåÉêëÛ=çÑÑáÅÉêëK=mêÉëëìêÉ=íç=éêçîáÇÉ=~=ê~éáÇ=~åÇ=éä~ìëáÄäÉ=å~íìê~ä=Å~ìëÉ=çÑ=ÇÉ~íÜ=ã~ó=äÉ~Ç=íç=áå~ÇÉèì~íÉ=áåîÉëíáÖ~íáçå=çÑ=Å~ëÉë=ïÜáÅÜ=ã~ó=ÄÉ=ãçêÉ= ÅçãéäÉñ= íÜ~å= ~ééÉ~êë= ~í= Ñáêëí= ëáÖÜíK= qÜÉ= ÖêÉ~íÉê= íáãÉ= ~åÇ= ÉñéÉåëÉ= áåîçäîÉÇ= áå= íÜÉ=éêçéÉê= áåîÉëíáÖ~íáçå=çÑ= ëìÅÜ=Å~ëÉëI=é~êíáÅìä~êäó=ïáíÜ=ÜáëíçäçÖóI=ã~ó=åçí=ÄÉ=çÑ=î~äìÉ= íç= íÜÉ=`çêçåÉêë=Äìí=áë=åÉÉÇÉÇ=Äó=íÜÉ=eÉ~äíÜ=pÉêîáÅÉI=íÜÉ=éìÄäáÅ=áåíÉêÉëí=~åÇI=áãéçêí~åíäóI=ÄÉêÉ~îÉÇ=

CR - The Royal College of Pathologists 314-008-016

Guidelines on autopsy practice RCPath September 2002 10

Ñ~ãáäáÉëK= `äáåáÅá~åë= ~åÇ= çíÜÉê= áåíÉêÉëíÉÇ= é~êíáÉë= ïÜç= êÉÅÉáîÉ= áå~ÇÉèì~íÉ= êÉéçêíë= Ñêçã=~ìíçéëó= Éñ~ãáå~íáçå= äçëÉ= Ñ~áíÜ= áå= áíë= î~äìÉK=pìÅÜ=ÇÉÑáÅáÉåÅáÉë=Ü~îÉ=ÄÉÉå=ÅçããÉåíÉÇ=çå= áå=êÉéçêíë= Ñêçã= qÜÉ= k~íáçå~ä= `çåÑáÇÉåíá~ä= båèìáêó= áåíç= mÉêáçéÉê~íáîÉ= aÉ~íÜë= Ek`bmlaFI=`çåÑáÇÉåíá~ä= båèìáêó= áåíç= píáääÄáêíÜë= ~åÇ= aÉ~íÜë= áå= fåÑ~åÅó= E`bpafFI= íÜÉ= `çåÑáÇÉåíá~ä=båèìáêáÉë=áåíç=j~íÉêå~ä=aÉ~íÜë=~åÇ=íÜÉ=k~íáçå~ä=pÉåíáåÉä=`äáåáÅ~ä=^ìÇáí=çå=béáäÉéëóJêÉä~íÉÇ=aÉ~íÜK==

QKUKT= cêÉÉä~åÅÉ= é~íÜçäçÖáëíë= ïçêâáåÖ= áåÇÉéÉåÇÉåíäó= ïáíÜçìí= ~íí~ÅÜãÉåí= íç= kep= çê= ìåáîÉêëáíó=ÇÉé~êíãÉåíë=~êÉ=ïçêâáåÖ=Ñçê=`çêçåÉêë=áå=ëçãÉ=~êÉ~ëK=qÜáë=áë=~ÅÅÉéí~ÄäÉ=áÑ=íÜÉ=éêçÅÉëëÉë=çÑ=ÅçåíáåìáåÖ= éêçÑÉëëáçå~ä= ÇÉîÉäçéãÉåí= E`maF= ~åÇ= êÉÖìä~ê= ~ééê~áë~ä= ~êÉ= áå= éä~ÅÉ= ~åÇ= íÜÉ=ãçêíì~êó=Ñ~ÅáäáíáÉë=~êÉ=ëìÄàÉÅí=íç=`m^=ErhF=iíÇ=áåëéÉÅíáçåK==

5 AUDIT: THE AUTOPSY IN CLINICAL PRACTICE =RKN= qÜÉ=áåíêçÇìÅíáçå=å~íáçå~ääó=çÑ=ÅäáåáÅ~ä=ÖçîÉêå~åÅÉ=éçíÉåíá~ääó=Äççëíë=íÜÉ=ëáÖåáÑáÅ~åí=êçäÉ=Ñçê=

íÜÉ= ~ìíçéëó= áå= Üçëéáí~ä= ~åÇ= ÖÉåÉê~ä= éê~ÅíáÅÉK= eçïÉîÉêI= ãìÅÜ= Ü~ë= ÅÜ~åÖÉÇ= áå= íÜÉ= ÇÉÅ~ÇÉ=ëáåÅÉ=íÜÉ=NVVN=àçáåí=ïçêâáåÖ=é~êíó=êÉéçêí=çå=íÜÉ=~ìíçéëó=~åÇ=~ìÇáíK=qÜÉ=éêçéçëÉÇ=ë~ãéäáåÖ=~í=~ìíçéëó=çÑ=NMB=çÑ=ÖÉåÉê~ä=Üçëéáí~ä=ÇÉ~íÜë=ïÜÉêÉ=íÜÉêÉ=ï~ë=åç=ëéÉÅáÑáÅ=ÅäáåáÅ~ä=ÇÉã~åÇI=Ñçê= Éñ~ãéäÉI= áë= åçï= áåÅçåÅÉáî~ÄäÉX= ~é~êí= Ñêçã= íÜÉ= ÅçåíáåìÉÇ= ÇÉÅäáåÉ= áå= åìãÄÉêë= çÑ=ÅçåëÉåíÉÇ=~ìíçéëáÉëI=íÜÉ=eìã~å=oáÖÜíë=^Åí=NVVU=ïçìäÇ=éêÉîÉåí=ëìÅÜ=~ÅíáçåK=

=RKO= låÉ=~êÉ~=çÑ=~ìíçéëó=éê~ÅíáÅÉ=çÑ=ÖêÉ~í=ëáÖåáÑáÅ~åÅÉ=Ñçê=Üçëéáí~äë=áë=éÉêáçéÉê~íáîÉ=ÇÉ~íÜK=låäó=

PNB=çÑ=éÉêáçéÉê~íáîÉ=ÇÉ~íÜë=êÉéçêíÉÇ=íç=k`bmla=áå=NVVVLOMMM=Ü~Ç=~å=~ìíçéëóI=~åÇ=UQB=çÑ=íÜçëÉ=ïÉêÉ=ãÉÇáÅçJäÉÖ~äK=j~àçê=ÇáëÅêÉé~åÅó=Ñêçã=íÜÉ=éêÉJãçêíÉã=ÅäáåáÅ~ä=Çá~Öåçëáë=ï~ë=ÑçìåÇ=áå=OPB=çÑ=Å~ëÉëK=eáëíçäçÖó=ï~ë=ÇçåÉ=áå=äÉëë=íÜ~å=çåÉ=íÜáêÇ=çÑ=Å~ëÉëI=éêçÄ~Ääó=ÄÉÅ~ìëÉ=çÑ=~Åíì~ä=çê=éÉêÅÉáîÉÇ=êÉëíêáÅíáçåë=ìåÇÉê=`çêçåÉêë=oìäÉ=V=Eçå=íÜÉ=êÉíÉåíáçå=çÑ=íáëëìÉFK=^ÄëÉåí=çê=ìåáåÑçêã~íáîÉ=ÅäáåáÅ~ä=Üáëíçêó=ï~ë=~=ÑÉ~íìêÉ=çÑ=çåÉ=ÑáÑíÜ=çÑ=íÜÉ=~ìíçéëó=êÉéçêíëI=~åÇ=äÉëë=íÜ~å= Ü~äÑ= íÜÉ= êÉéçêíë= áåÅäìÇÉÇ= ~å= ~ÇÉèì~íÉ= ÅäáåáÅçé~íÜçäçÖáÅ~ä= ÅçêêÉä~íáçåK= qÜÉ=êÉÅçããÉåÇ~íáçåë=ïáíÜáå=íÜÉ=ä~íÉëí=k`bmla=éìÄäáÅ~íáçå=EOMMNF=íç=áãéêçîÉ=íÜÉ=èì~äáíó=~åÇ=ìëÉÑìäåÉëë= çÑ= éÉêáçéÉê~íáîÉ= ÇÉ~íÜ= ~ìíçéëáÉë= ~êÉ= ÅçåÖêìÉåí= ïáíÜ= íÜÉ= dìáÇÉäáåÉë= éêÉëÉåíÉÇ=ÜÉêÉK=

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=RKQ= qÜÉ=oçó~ä=`çääÉÖÉ=çÑ=m~íÜçäçÖáëíë=~ÑÑáêãë=íÜ~í=íÜÉ=~ìíçéëó=éêçîáÇÉë=î~äì~ÄäÉ=~ìÇáí=áåëáÖÜíë=

áåíç= íÜÉ= å~íìêÉ= ~åÇ= ÅäáåáÅ~ä= ã~å~ÖÉãÉåí= çÑ= ÇáëÉ~ëÉI= ïÜáÅÜ= ÅäáåáÅ~ä= ÅçääÉ~ÖìÉëI= Üçëéáí~äëI=ÖÉåÉê~ä= éê~ÅíáÅÉë= ~åÇ= çíÜÉê= ÜÉ~äíÜ= áåëíáíìíáçåë= ëÜçìäÇ= ëÉÉâ= ïÜÉåÉîÉê= éçëëáÄäÉK= `çåëáëíÉåí=éÉêÑçêã~åÅÉ= ~åÇ= ÇçÅìãÉåí~íáçå= çÑ= ~= ÜáÖÜ= èì~äáíó= ~ìíçéëó= ~êÉ= éêÉJêÉèìáëáíÉë= Ñçê= èì~äáíó=ÅäáåáÅ~ä=ÖçîÉêå~åÅÉ=éÉêí~áåáåÖ=íç=ãçêí~äáíóK==

=RKR= oÉÅçããÉåÇ~íáçåë=

RKRKN= ^ìíçéëó=êÉèìÉëí=Ñçêãë=ãìëí=éêçîáÇÉ=~å=~ÇÉèì~íÉ=ÅäáåáÅ~ä=ëìãã~êóI=áÇÉåíáÑó=ëéÉÅáÑáÅ=ÅäáåáÅ~ä=éêçÄäÉãëI=áÇÉåíáÑó=âåçïå=çê=ëìëéÉÅíÉÇ=áåÑÉÅíáçå=êáëâë=~åÇ=éêçîáÇÉ=~=íÉäÉéÜçåÉ=åìãÄÉê=çÑ=~=ÅäáåáÅá~å=ïÜç=âåçïë=íÜÉ=Å~ëÉK=tÜÉêÉ=íÜÉêÉ=áë=åçí=Åä~êáíóI=éêáçê=ÇáëÅìëëáçå=ÄÉíïÉÉå=ÅäáåáÅá~å=~åÇ= é~íÜçäçÖáëí= ïáää= ÉäáÅáí= íÜÉ= ÅäáåáÅ~ä= èìÉëíáçåë= ÄÉáåÖ= ~ÇÇêÉëëÉÇ= ~åÇ= Éå~ÄäÉ= ~ééêçéêá~íÉ=áåÑçêãÉÇ=ÅçåëÉåí=íç=ÄÉ=ëçìÖÜí=Ñêçã=êÉä~íáîÉëK=

RKRKO= ^ìíçéëó= êÉèìÉëí= Ñçêãë= ëÜçìäÇ= ÄÉ= ~ÅÅçãé~åáÉÇ= Äó= íÜÉ= Å~ëÉ= åçíÉëI= ~åÇ= Äó= íÜÉ= Çá~ÖåçëíáÅ=áã~ÖÉë=ïÜÉêÉ=éçëëáÄäÉK=

CR - The Royal College of Pathologists 314-008-017

Guidelines on autopsy practice RCPath September 2002 11

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CR - The Royal College of Pathologists 314-008-018

Guidelines on autopsy practice RCPath September 2002 12

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CR - The Royal College of Pathologists 314-008-019

Guidelines on autopsy practice RCPath September 2002 13

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SKTKO= qÜÉ=ed@P=~ÖÉåíë=íÜ~í=ã~ó=ÄÉ=ÉåÅçìåíÉêÉÇ=áå=íÜÉ=éçëíJãçêíÉã=êççã=áå=íÜÉ=rh=~êÉ=äáëíÉÇ=áå=^ééÉåÇáñ= NI= e~ò~êÇ= dêçìé= P= é~íÜçÖÉåëK= j~åó= ~êÉ= çåäó= áãéçêíÉÇ= ~åÇ= ~êÉ= ÉñíêÉãÉäó=áåÑêÉèìÉåí= áå= éê~ÅíáÅÉI= Äìí= íÜÉó=åÉÉÇ= íç=ÄÉ= Å~íÉÖçêáëÉÇ= ëç= íÜ~í= ~ééêçéêá~íÉ= ~Åíáçå=ã~ó=ÄÉ=í~âÉå= áå= íÜÉ=ÉîÉåí=çÑ=~å=~ìíçéëó=ÄÉáåÖ=êÉèìáêÉÇK=qÜÉ=ãçëí= ÑêÉèìÉåí=~êÉ= íìÄÉêÅìäçëáë= Eq_FI=Üìã~å=áããìåçÇÉÑáÅáÉåÅó=îáêìë=EefsFI=ÜÉé~íáíáë=_=îáêìë=Ee_sF=~åÇ=ÜÉé~íáíáë=`=îáêìë=Ee`sFK=

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=

CR - The Royal College of Pathologists 314-008-020

Guidelines on autopsy practice RCPath September 2002 14

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SKVKO= få=ã~åó=ÅÉåíêÉëI=íÜÉêÉ=Ü~ë=ÄÉÉå=êÉÖìä~ê=íÉëíáåÖ=çÑ=~éé~êÉåí=ÜáÖÜJêáëâ=Å~Ç~îÉêë=Ñçê=íÜÉ=ÄäççÇJÄçêåÉ=îáêìëÉë=e_sI=e`s=~åÇ=efsK=qÜáë=é~êíáÅìä~êäó=éÉêí~áåë=áå=íÜÉ=`çêçåá~ä=ëóëíÉã=ïÜÉêÉ=ÅÉêí~áå=éÉêëçåë= ~êÉ= êÉÖ~êÇÉÇ=~ë= ÚÜáÖÜ= êáëâÛ= íÜêçìÖÜ=ÄÉÜ~îáçìê~ä= ~åÇ= ÉíÜåáÅ= ÅÜ~ê~ÅíÉêáëíáÅëK=eçïÉîÉêI= íÜÉëÉ= áåÑÉÅíáçåë=~äëç=çÅÅìê= áå=åçåJÚÜáÖÜ=êáëâÛ=ÖêçìéëI= êÉåÇÉêáåÖ=~åó=ëÅÜÉãÉ=íÜ~í=ÇçÉë= åçí= íÉëí= åÉ~êäó= ÉîÉêó= Å~Ç~îÉê= áãéÉêÑÉÅí= áå= ÇÉíÉÅíáåÖ= éçíÉåíá~ääó= Ü~ò~êÇçìë= áåÑÉÅíáçåK=e_s= î~ÅÅáå~íáçå= áë= åçï= ìåáîÉêë~ä= Ñçê= ~ää= ãçêíì~êó= ëí~ÑÑ= áå= ÄçíÜ= Üçëéáí~ä= ~åÇ= éìÄäáÅ=ãçêíì~êáÉëI=~åÇ=ÑáåÇáåÖ=ëÉêçäçÖáÅ~ä=ÉîáÇÉåÅÉ=çÑ=e_s=áåÑÉÅíáçå=áå=~=Å~Ç~îÉê=áë=åç=êÉ~ëçå=íç=êÉÑìëÉ=íç=éÉêÑçêã=~å=~ìíçéëóK==

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• ^=é~íÜçäçÖáëí=ã~ó=íÉëí= Ñçê=~åó=áåÑÉÅíáçå=íÜ~í=~ééÉ~êë=êÉäÉî~åí=íç=íÜÉ=Å~ìëÉ=çÑ=ÇÉ~íÜI=ìëáåÖ=éçëíJãçêíÉã=ë~ãéäÉëI=áå=ãÉÇáÅçJäÉÖ~ä=Å~ëÉëK=få=ÅçåëÉåíÉÇ=~ìíçéëáÉëI=íÜÉ=åÉñí=çÑ=âáå=ëÜçìäÇ=ÄÉ=áåÑçêãÉÇ=çÑ=íÜÉ=éêçÅÉëë=~åÇ=íÜÉ=êÉëìäíK==

• fÑ=~=ÜÉ~äíÜ=Å~êÉ=ïçêâÉê= áë= áåàìêÉÇ=ÇìêáåÖ=~å=~ìíçéëóI= íÜÉ=ÇÉÅÉ~ëÉÇ=ã~ó=ÄÉ=íÉëíÉÇ=Ñçê=ëìëéÉÅíÉÇ=áåÑÉÅíáçå=Ó=ïÜÉå=íÜÉêÉ=áë=ÚÖççÇ=êÉ~ëçåÛ=íç=ëìëéÉÅí=íÜ~í=áåÑÉÅíáçåK==

• qÜÉêÉ= áë= åç= àìëíáÑáÅ~íáçå= Ñçê= Ää~åâÉí= éêÉJ~ìíçéëó= íÉëíáåÖ= çÑ= Å~Ç~îÉêë= Ñçê= ~= ê~åÖÉ= çÑ=ëÉêáçìë= ÅçããìåáÅ~ÄäÉ= ÇáëÉ~ëÉë= Ep`aF= ~ë= ~= éêçíÉÅíáçå= Ñçê= ëí~ÑÑ= ìåÇÉê= íÜÉ= EëéìêáçìëF=àìëíáÑáÅ~íáçå= çÑ= ëÉÉâáåÖ= Çá~ÖåçëíáÅ= áåÑçêã~íáçå= ÄÉÑçêÉ= íÜÉ= ~ìíçéëóK= fÑ= íÜÉ= ~ìíçéëó=êÉîÉ~äë=ÉîáÇÉåÅÉ=íÜ~í=äÉ~Çë=íç=ëìëéáÅáçå=çÑ=~=p`aI=íÜÉå=íÉëíáåÖ=í~âÉë=éä~ÅÉK=fÑ=íÜÉêÉ=áë=åç=ëìÅÜ=ÉîáÇÉåÅÉI=~åÇ=íÜÉ=éêÉëÉåÅÉ=çê=~ÄëÉåÅÉ=çÑ=~=éçëëáÄäÉ=p`a=áå=~éé~êÉåíäó=ÚÜáÖÜÉê=êáëâÛ=é~íáÉåíë=ÇçÉë=åçí=~ÑÑÉÅí=çê=áåÑçêã=çå=íÜÉ=é~íÜçäçÖáÅ~ä=Å~ìëÉ=çÑ=ÇÉ~íÜI=íÜÉå=íÜÉêÉ=áë= åç= ëíêáÅí= àìëíáÑáÅ~íáçå= Ñçê= íÉëíáåÖK= fí= áë= áãéäáÅáí= áå= íÜáë= ÖìáÇ~åÅÉ= íÜ~í= êÉ~ëçå~ÄäÉ=ìåáîÉêë~ä=éêÉÅ~ìíáçåë=~êÉ=ìëÉÇ=Ñçê=~ìíçéëáÉëK==

• tÜÉêÉ=íÜÉ=Çá~ÖåçëÉÇ=p`a=áë=é~êí=çÑ=íÜÉ=ÅÜ~áå=çÑ=ÉîÉåíë=áå=íÜÉ=Å~ìëÉ=çÑ=ÇÉ~íÜI=ïÜÉíÜÉê=ìåÇÉê=m~êíë=f=çê=ff=çÑ=íÜÉ=ëí~åÇ~êÇ=ÇÉ~íÜ=ÅÉêíáÑáÅ~íÉI=íÜáë=áåÑçêã~íáçå=ãìëí=ÄÉ=éêÉëÉåíÉÇ=~åÇ= êÉÅçêÇÉÇK= qÜÉ= éìÄäáÅ= ÜÉ~äíÜ= áåÑçêã~íáçå= çìíïÉáÖÜë= íÜÉ= éêáî~íÉ= ÅçåÅÉêåë= çÑ=êÉä~íáîÉëK= qÜáë= é~êíáÅìä~êäó= ~ééäáÉë= íç= é~íáÉåíë= ïáíÜ=efsL^fapI= ïÜÉå= êÉä~íáîÉë= çÑíÉå=ïáëÜ=íÜÉ=áåÑçêã~íáçå=åçí=íç=~ééÉ~ê=çå=íÜÉ=ÇÉ~íÜ=ÅÉêíáÑáÅ~íÉK==

• kÉñí= çÑ= âáå= ïÜç= ã~ó= ÄÉ= ~í= êáëâ= Ñêçã= ~= p`a= ëÜçìäÇ= ÄÉ= áåÑçêãÉÇ= çÑ= ~= éçëáíáîÉ=Çá~Öåçëáë= çÑ= p`a= áå= ~= Å~Ç~îÉê= áÑ= áí= áë= ÇáëÅçîÉêÉÇ= ~í= çê= ~ÑíÉê= ~ìíçéëóK= cçê= éê~ÅíáÅ~ä=éìêéçëÉëI= íÜÉ= é~íÜçäçÖáëí= áåÑçêãë= íÜÉ= `çêçåÉêI= íÜÉ= ÅäáåáÅá~å= ïÜç= êÉèìÉëíÉÇ= íÜÉ=~ìíçéëó=çê=íÜÉ=Åçåëìäí~åí=áå=ÅçããìåáÅ~ÄäÉ=ÇáëÉ~ëÉ=Åçåíêçä=E``a`F=çÑ=íÜÉ=éêÉëÉåÅÉ=çÑ=~= éêÉîáçìëäó= ìåëìëéÉÅíÉÇ= çê= ìåÅçåÑáêãÉÇ= p`a= EëÉÉ= ^ééÉåÇáñ= QI= kçíáÑáÅ~íáçå= çÑ=áåÑÉÅíáçìë= ÇáëÉ~ëÉëFK= fí= áë= ìé= íç= íÜÉ= `çêçåÉêI= ÅäáåáÅá~å= çê= ``a`= íç= éêçîáÇÉ= íÜáë=áåÑçêã~íáçå= íç= íÜÉ= êÉäÉî~åí= åÉñí= çÑ= âáåI= éÉêÜ~éë= îá~= íÜÉ= ÖÉåÉê~ä= éê~ÅíáíáçåÉê= çê=~ééêçéêá~íÉ=Åçåí~Åí=íê~ÅáåÖ=ìåáíK==

=

CR - The Royal College of Pathologists 314-008-021

Guidelines on autopsy practice RCPath September 2002 15

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• áå=~=ïÉääJÉèìáééÉÇ=ãçêíì~êó=ïáíÜ=~ÇÉèì~íÉ=îÉåíáä~íáçåI=ïÜÉêÉ= íÜÉ= êÉÅçããÉåÇ~íáçåë=áå= íÜáë=ÇçÅìãÉåí=~êÉ= ÑçääçïÉÇI= íÜÉ=êáëâ=çÑ= áåÑÉÅíáçå=Ñêçã=ed@P=Å~ëÉë= áë=ëç= äçï=íÜ~í=êÉÑìë~ä=íç=éÉêÑçêã=~å=~ìíçéëó=çå=íÜÉ=ÖêçìåÇë=çÑ= Úêáëâ=çÑ= áåÑÉÅíáçåÛ= áë= áääçÖáÅ~äI= áÑ=åçí=ìåÉíÜáÅ~äK= eçïÉîÉêI= áÑ= íÜÉ= é~íÜçäçÖáëí= ÅçåëáÇÉêë= Üáã= çê= ÜÉêëÉäÑ= áåëìÑÑáÅáÉåíäó=ÉñéÉêáÉåÅÉÇ= çê= éê~ÅíáëÉÇ= áå= ëéÉÅáÑáÅ= áåÑÉÅíáçìë= Å~ëÉë= íç= ÇÉêáîÉ= íÜÉ= åÉÅÉëë~êó=ÅäáåáÅçé~íÜçäçÖáÅ~ä= ÅçåÅäìëáçåëI= íÜÉêÉ= áë= ~= ëíêçåÖ= Å~ëÉ= Ñçê= êÉÑÉêêáåÖ= íÜÉ= ~ìíçéëó= íç= ~=ÅÉåíêÉ=ïáíÜ=íÜÉ=~ééêçéêá~íÉ=ÉñéÉêáÉåÅÉ=

CR - The Royal College of Pathologists 314-008-022

Guidelines on autopsy practice RCPath September 2002 16

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• ~=ÅáêÅìä~íçê=E~=íÜáêÇ=éÉêëçå=ïçêâáåÖ=~äçåÖëáÇÉ=íÜÉ=é~íÜçäçÖáëí=~åÇ=^mqI=êÉãçíÉ=íç=íÜÉ=~Åíì~ä=éêçÅÉÇìêÉë=~í=íÜÉ=~ìíçéëó=í~ÄäÉ=~åÇ=ïÜç=~ëëáëíë=ïáíÜ=ÅçããìåáÅ~íáçåI=~êê~åÖáåÖ=ëéÉÅáãÉå= êÉãçî~äI= éêçîáÇáåÖ= ÅäÉ~å= áåëíêìãÉåíë= ~åÇ= éÜçíçÖê~éÜóF= áë= áÇÉ~ä= EÄÉëí=éê~ÅíáÅÉF=Äìí=åçí=ÉëëÉåíá~ä=Ñçê=ÜáÖÜJêáëâ=Å~ëÉë=

• íê~áåÉÉ= é~íÜçäçÖáëíë= ëÜçìäÇ= Ö~áå= ÉñéÉêáÉåÅÉ= çÑ= íÜÉëÉ= Å~ëÉë= ~åÇ= ~ëëáëí= ïÜÉå= íÜÉó= ~êÉ=ÇÉÉãÉÇ= íÉÅÜåáÅ~ääó= ÅçãéÉíÉåí=~åÇ= ë~ÑÉ= áå=Ü~åÇäáåÖ= áåÑÉÅíÉÇ= íáëëìÉë=~åÇ= áåëíêìãÉåíëK=tÜáäëí= íÜÉ= ep^`Ûë= p~ÑÉ= ïçêâáåÖ= Çê~Ñí= ÇçÅìãÉåí= ëí~íÉë= íÜ~í= íÜÉ= åìãÄÉê= çÑ= éÉçéäÉ=áåîçäîÉÇ= áå=ÜáÖÜJêáëâ=~ìíçéëáÉë= ëÜçìäÇ=ÄÉ= äáãáíÉÇ= íç= íÜêÉÉI= ÑäÉñáÄáäáíó= áë=åÉÅÉëë~êó= Ñçê=íê~áåáåÖ=éìêéçëÉëX=íÜáë=~äëç=~ééäáÉë=íç=íê~áåáåÖ=~å~íçãáÅ~ä=é~íÜçäçÖáÅ~ä=íÉÅÜåáÅá~åë=

• é~íÜçäçÖáëíë= ÇÉÅáÇÉ= íÜÉãëÉäîÉë= çå=ïÜÉíÜÉê= íç= Ñçääçï= íÜÉ= p~ÑÉ=ïçêâáåÖ= ÇçÅìãÉåí= áå=Å~ëÉë=çÑ=`êÉìíòÑÉäÇíJg~âçÄ=ÇáëÉ~ëÉ= áå= ÉåÅäçëáåÖ= íÜÉ= ÉåíáêÉ=ÜÉ~Ç=ïáíÜáå=~= ä~êÖÉ=éä~ëíáÅ=Ä~Ö=ÇìêáåÖ=ìëÉ=çÑ=~=ÄçåÉ=ë~ï=EëÉÉ=^ééÉåÇáñ=PKQI=`êÉìíòÑÉäÇíJg~âçÄ=ÇáëÉ~ëÉF=

• ~ééêçéêá~íÉ=î~ÅÅáå~íáçå=ëÅÜÉÇìäÉë=ÄÉ=ÖáîÉå=íç=é~íÜçäçÖáëíë=~åÇ=^mqëW=– íÜÉ=ÑçääçïáåÖ=î~ÅÅáå~íáçåë=íç=ÄÉ=êçìíáåÉI=ïáíÜ=äçÖÄççâë=ÜÉäÇ=áå=íÜÉ=çÅÅìé~íáçå~ä=

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– ãÉåáåÖçÅçÅÅ~ä=î~ÅÅáå~íáçåX=åçí=êÉÅçããÉåÇÉÇI=ëÉÉ=é~ê~Öê~éÜ=SKSKO=Ó= áå=ÅÉåíêÉë=ïÜÉêÉ=íÜÉêÉ=~êÉ=ã~åó=é~íáÉåíë=ÅçãáåÖ=Ñêçã=êÉëçìêÅÉJéççê=ÅçìåíêáÉë=

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7 AUTOPSY EXAMINATION OVERVIEW =TKN= qÜÉëÉ=dìáÇÉäáåÉë=~êÉ=åçí=íÜÉ=éä~ÅÉ=Ñçê=~=ÇÉí~áäÉÇ=ÇÉëÅêáéíáçå=çÑ=íÜÉ=~Åíì~ä=~ìíçéëó=éêçÅÉëë=

~åÇ=éÜóëáÅ~ä=íÉÅÜåáèìÉK=j~åó=áääìëíê~íÉÇ=àçìêå~ä=~åÇ=Äççâ=íÉñíë=~êÉ=~î~áä~ÄäÉK=eçïÉîÉêI=~=ÄêáÉÑ=ëìãã~êó=áë=~ééêçéêá~íÉ=~ë=~=ÖìáÇÉäáåÉ=íçï~êÇë=ÖççÇ=éê~ÅíáÅÉK=

=TKO= m~íáÉåí= åçíÉë= ~åÇ= ÅçåëÉåí= Ñçêãë= ãìëí= ÄÉ= áåëéÉÅíÉÇ= Å~êÉÑìääóI= é~êíáÅìä~êäó= áå= êÉä~íáçå= íç=

ÅäáåáÅ~ä= èìÉëíáçåë= íÜ~í= íÜÉ= ~ìíçéëó= ãìëí= ~ÇÇêÉëë= ~åÇ= éçëëáÄäÉ= äáãáí~íáçåë= éä~ÅÉÇ= çå= íÜÉ=Éñ~ãáå~íáçå=Äó=êÉä~íáîÉëK==

=TKP= qÜÉ=áÇÉåíáíó=çÑ=íÜÉ=Å~Ç~îÉê=ãìëí=ÄÉ=ÅçåÑáêãÉÇI=Äó=áåëéÉÅíáçå=çÑ=é~íáÉåí=ä~ÄÉä=Ä~åÇë=çå=íÜÉ=

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= fÑ=íÜÉ=é~íáÉåí=Ü~ë=ÇáÉÇ=ïáíÜ=íìÄÉëI=fs=äáåÉëI=Å~ååìä~ÉI=ÉíÅK=áåëÉêíÉÇI=íÜÉ=Å~Ç~îÉê=ëÜçìäÇ=ÅçãÉ=íç=íÜÉ=ãçêíì~êó=Ñçê=~ìíçéëó=ïáíÜ=~ää=íÜÉëÉ=ãÉÇáÅ~ä=ÇÉîáÅÉë=áå=ëáíìK=kìêëáåÖ=ëí~ÑÑ=ã~ó=ïáëÜ=íç=êÉãçîÉ=íÜÉã=éêáçê=íç=íê~åëÑÉêI=Äìí=Üçëéáí~ä=ÅäáåáÅ~ä=ÖçîÉêå~åÅÉ=ÖìáÇÉäáåÉë=ãìëí=ã~âÉ=ÅäÉ~ê=íÜçëÉ= ÅáêÅìãëí~åÅÉë= ïÜÉêÉ= ëìÅÜ= ãÉÇáÅ~ä= ÇÉîáÅÉë= ãìëí= åçí= ÄÉ= êÉãçîÉÇI= ~åÇ= ëéÉÅáÑó=

CR - The Royal College of Pathologists 314-008-023

Guidelines on autopsy practice RCPath September 2002 17

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=TKR= aáëëÉÅíáçå=

TKRKN= qÜÉ= é~íÜçäçÖáëí= ëÜçìäÇ= åçí= ÅçããÉåÅÉ= íÜÉ= Éñ~ãáå~íáçå= éêáçê= íç= íÜÉ= éêçîáëáçå= çÑ= ~= Ñìää=ÅäáåáÅ~ä= ÜáëíçêóI= çê= çÑ= ÇÉí~áäë= êÉÖ~êÇáåÖ= íÜÉ= ÅáêÅìãëí~åÅÉë= çÑ= ~= ÇÉ~íÜ= áå= íÜÉ= ÅçããìåáíóK=tÜÉêÉ= ~å= áå~ÇÉèì~íÉ= Üáëíçêó= áë= éêçîáÇÉÇ= Äó= íÜÉ= `çêçåÉêI= íÜÉ= é~íÜçäçÖáëí= ëÜçìäÇ= Éñéä~áå=ïÜ~í=ÑìêíÜÉê=áåÑçêã~íáçå=áë=êÉèìáêÉÇ=~åÇ=ÇÉÅäáåÉ=íç=éÉêÑçêã=íÜÉ=~ìíçéëó=ìåíáä=áí=áë=~î~áä~ÄäÉK=

TKRKO= ^ÑíÉê=áÇÉåíáÑáÅ~íáçå=~åÇ=ÉñíÉêå~ä=Éñ~ãáå~íáçå=Äó=íÜÉ=é~íÜçäçÖáëíI=íÜÉ=ÄçÇó=áë=çéÉåÉÇ=Äó=íÜÉ=é~íÜçäçÖáëí=çê=^mqK=qÜÉ=ëí~åÇ~êÇ=ÚvÛ=áåÅáëáçå=ïáíÜ=áå=ëáíì=ÇáëëÉÅíáçå=çÑ=íÜÉ=åÉÅâ=ëíêìÅíìêÉë=áë=êÉÅçããÉåÇÉÇ= ~ë= ÄÉëí= éê~ÅíáÅÉ= Ñçê= Ä~ëáÅ= Éñ~ãáå~íáçå= çÑ= ÄçíÜ= ëÉñÉëX= Äìí= íÜÉ= îÉêíáÅ~ä= äáåÉ=áåÅáëáçå=çÑ= íÜÉ= äçïÉê=åÉÅâ= áë= ~ÅÅÉéí~ÄäÉ= Ñçê= Å~ëÉë=ïÜÉêÉ=ÇÉí~áäÉÇ= Éñ~ãáå~íáçå=çÑ= íÜÉ=åÉÅâ=ëíêìÅíìêÉë= áë= åçí= ÅêáíáÅ~äK= qÜÉ= áåíÉêå~ä= çêÖ~åë=ã~ó= ÄÉ= êÉãçîÉÇ= áåÇáîáÇì~ääóI= íçÖÉíÜÉê= áå= ~=ëáåÖäÉ= ÄäçÅâ= çê= áå= Ñçìê= ã~áå= ÄäçÅâë= EíÜçê~ÅáÅI= áåíÉëíáåÉëI= çíÜÉê= ~ÄÇçãáå~ä= ~åÇ= éÉäîáÅFK=lêÖ~åë= çÑíÉå= çîÉêäççâÉÇ= ~í= ~ìíçéëó= áåÅäìÇÉ= íÉëíÉëI= ÄêÉ~ëí= ~åÇ= áåíÉëíáåÉëK= råäÉëë= íÜÉ=Éñ~ãáå~íáçå=êÉèìáêÉë=~äíÉêå~íáîÉ=~ééêç~ÅÜÉë=íç=ÇÉãçåëíê~íÉ=ëéÉÅáÑáÅ=é~íÜçäçÖáÅ~ä=éêçÅÉëëÉëI=íÜÉ=éÉäîáÅ=Ñäççê=ëÜçìäÇ=ÄÉ=äÉÑí=áåí~ÅíK=qÜÉ=áåíÉêå~ä=ÑÉã~äÉ=ÖÉåáí~äá~=ëÜçìäÇ=ÄÉ=êÉãçîÉÇ=ïáíÜ=~=ëÜçêí=ÅìÑÑ=çÑ=î~Öáå~=~åÇ=êÉÅíìãK=páíÉë=çÑ=ÅçãéäÉñ=êÉÅÉåí=ëìêÖÉêó=~êÉ=ÄÉëí=Éñ~ãáåÉÇ=ïáíÜ=íÜÉ=~ééêçéêá~íÉ=ÅäáåáÅá~å=éêÉëÉåíK=

TKRKP= qÜÉ=éêÉÅáëÉ=çêÇÉê=áå=ïÜáÅÜ=áåÇáîáÇì~ä=çêÖ~åë=~åÇ=ëóëíÉãë=~êÉ=ÇáëëÉÅíÉÇ=áë=åçí=áãéçêí~åíI=Äìí=íÜÉ= ãÉíÜçÇ= çÑ= ÇáëëÉÅíáçå= ãìëí= ÄÉ= ÖçîÉêåÉÇ= Äó= íÜÉ= åÉÉÇ= íç= ÇÉãçåëíê~íÉ= ~åÇ= ÇçÅìãÉåí=~ÅÅìê~íÉäó= ~åÇ= ÅçãéäÉíÉäó= íÜÉ= é~íÜçäçÖáÅ~ä= ÅçåÇáíáçåë= íÜ~í= ~êÉ= êÉäÉî~åí= áå= íÜÉ= ëéÉÅáÑáÅ=ÅäáåáÅ~ä= ÅáêÅìãëí~åÅÉëK= qÜáë= ã~ó= êÉèìáêÉ= ãçÇáÑáÅ~íáçå= çÑ= åçêã~ä= ÇáëëÉÅíáçå= êçìíáåÉë= ~åÇ=ÇÉä~ó= íÜÉ= Ñáå~ä= ÇáëëÉÅíáçå= ìåíáä= íÜÉ= ÇÉãçåëíê~íáçå= çÑ= ~ìíçéëó= ÑáåÇáåÖëK= ^ää= ã~àçê= çêÖ~åë=EÜÉ~êíI=äìåÖëI=Äê~áåI=äáîÉê=~åÇ=âáÇåÉóëF=ëÜçìäÇ=ÄÉ=ÇáëëÉÅíÉÇ=áå=çêÇÉê=íç=Ñ~Åáäáí~íÉ=Éñ~ãáå~íáçå=çÑ=íÜÉ=ÄäççÇ=~åÇ=äóãéÜ~íáÅ=Çê~áå~ÖÉ=áå=~ÇÇáíáçå=íç=êÉä~íáçåë=ïáíÜ=~Çà~ÅÉåí=ëíêìÅíìêÉëK=qÜÉëÉ=çêÖ~åë=ëÜçìäÇ=ÄÉ=ëÉé~ê~íÉÇ=~åÇ=ïÉáÖÜÉÇK=fÑ=éÉêãáííÉÇ=~åÇ=ÅäáåáÅ~ääó=êÉäÉî~åíI=Ñáñ~íáçå=çÑ=íÜÉ=áåí~Åí=Äê~áåI= ÑçääçïÉÇ=Äó=~=ÇÉí~áäÉÇ=Éñ~ãáå~íáçå=Äó=~=åÉìêçé~íÜçäçÖáëíI=éêçÇìÅÉë=~=ÜáÖÜÉê=ÇÉíÉÅíáçå=ê~íÉ=çÑ=~Äåçêã~äáíáÉëK=

TKRKQ= m~íÜçäçÖáëíë= ëÜçìäÇ= Ü~îÉ= ~= Ñìää= êÉéÉêíçáêÉ= çÑ= ëéÉÅá~ä= ÇáëëÉÅíáçå= íÉÅÜåáèìÉë= íç= Éå~ÄäÉ=Éñ~ãáå~íáçå=çÑ=ìåìëì~ä=ëáíÉëK=bñ~ãéäÉë=áåÅäìÇÉW==

• ëéáå~ä=ÅçêÇ=• îÉêíÉÄê~ä=~êíÉêáÉë=• íÉãéçê~ä=ÄçåÉ=• ëáåçJå~ë~ä=ÄäçÅâ=• çêÄáí~ä=ÅçåíÉåíë=• ÅÉêîáÅ~ä=ëéáåÉ=• Å~êÇá~Å=ÅçåÇìÅíáåÖ=ëóëíÉã=• éÉêáéÜÉê~ä=åÉêîÉë=• äçåÖ=ÄçåÉë=~åÇ=àçáåíëK=

TKRKR= péÉÅáÑáÅ= ÅçåëÉåí=ãìëí= ÄÉ= çÄí~áåÉÇ= Ñçê= ~åó= éçíÉåíá~ääó= ÇáëÑáÖìêáåÖ= éêçÅÉÇìêÉ= áå= ~= Üçëéáí~ä=ÅçåëÉåí= ~ìíçéëóX= áå= ~= ãÉÇáÅçJäÉÖ~ä= ~ìíçéëóI= ëìÅÜ= éêçÅÉÇìêÉë= ëÜçìäÇ= åçí= ÄÉ= éÉêÑçêãÉÇ=ïáíÜçìí= Éñéä~å~íáçå= íç= êÉä~íáîÉë=~åÇ= ëÜçìäÇ=ÄÉ=ã~ÇÉ=~ÑíÉê=çééçêíìåáíáÉë= Ñçê=îáÉïáåÖ=Ü~îÉ=ÄÉÉå=í~âÉåK==

TKRKS= ^ï~êÉåÉëë= çÑ= Üçï= íç= çÄí~áå= ~ééêçéêá~íÉ= ë~ãéäÉë= Ñçê= ÄáçÅÜÉãáÅ~äI= ãáÅêçÄáçäçÖáÅ~ä= ~åÇ=íçñáÅçäçÖáÅ~ä= ~å~äóëÉë= áë= áãéçêí~åíK= péÉÅáÑáÅ= ~ééÉåÇáÅÉë= ~êÉ= ÄÉáåÖ= ÇÉîÉäçéÉÇ= íç= ÅçîÉê=Åçããçå=ëÅÉå~êáçëI=Äìí=ÖÉåÉê~ä=ÖìáÇ~åÅÉ=áë=~î~áä~ÄäÉ=áå=íÜÉ=äáíÉê~íìêÉK==

TKRKT= ^ëéÉÅíë= çÑ= éê~ÅíáÅ~ä= ~ìíçéëó= éÉêÑçêã~åÅÉ= êÉäÉî~åí= íç= ÑÉí~ä= ~åÇ= éÉêáå~í~ä= ÇÉ~íÜëI=ã~íÉêå~ä=ÇÉ~íÜëI= ëáÅâäÉ= ÅÉääë= ÇÉ~íÜë= ~åÇ=åÉìêçé~íÜçäçÖáÅ~ä= Å~ëÉë= ~êÉ= áåÇáÅ~íÉÇ= áå=çíÜÉê= ëÉÅíáçåë= ~åÇ=~ééÉåÇáÅÉë=çÑ=íÜÉëÉ=dìáÇÉäáåÉëK=

=

CR - The Royal College of Pathologists 314-008-024

Guidelines on autopsy practice RCPath September 2002 18

TKS= `çãéäÉíÉåÉëë=çÑ=íÜÉ=~ìíçéëó=

TKSKN= qÜÉêÉ= áë= ~= ÄçÇó= çÑ= çéáåáçå= ~ãçåÖ= é~íÜçäçÖáëíë= íÜ~í= Ñ~îçìêë= îçäìåí~êó= äáãáí~íáçå= çÑ= íÜÉ=éêçÅÉÇìêÉ= ïÜÉå= ~= Öêçëëäó= çÄîáçìë= ~åÇ= ~éé~êÉåíäó= ë~íáëÑ~Åíçêó= Å~ìëÉ= çÑ= ÇÉ~íÜ= áë= ÑçìåÇ=ÇìêáåÖ=ÉîáëÅÉê~íáçå=~åÇ=ÇáëëÉÅíáçåK=qÜÉ=éêáãÉ=Éñ~ãéäÉ=áë=åçí=íç=Éñ~ãáåÉ=íÜÉ=ëâìää=~åÇ=Äê~áå=áÑ= ~å= áåÅçåíêçîÉêíáÄäÉ= Å~ìëÉ= çÑ= ÇÉ~íÜ= áë= áÇÉåíáÑáÉÇ= ÉäëÉïÜÉêÉK= `çåëÉåíÉÇ= ~åÇ= `çêçåá~ä=~ìíçéëáÉë=~êÉ=ÄçíÜ=~ÑÑÉÅíÉÇI=íÜÉ=áåíÉåíáçå=ÄÉáåÖ=íç=êÉÇìÅÉ=ìååÉÅÉëë~êó=áåÅáëáçåë=~åÇ=êÉÇìÅÉ=ÅçåÅÉêå=~ãçåÖ=íÜÉ=åÉñí=çÑ=âáåK==

TKSKO= ^ë= ÄÉëí= éê~ÅíáÅÉI= íÜÉ= `çääÉÖÉ= ëí~åÇë= Ñáêãäó= Ñçê= ~ë= Ñìää= Éñ~ãáå~íáçå= ~ë= éçëëáÄäÉ=ïáíÜáå= íÜÉ=~ÖêÉÉÇ=ÅçåëÉåí=~åÇ=`çêçåá~ä=~ìíÜçêáë~íáçåK=tÜÉêÉ=~å=~ìíçéëó=áë=ÅçåëáÇÉêÉÇ=åÉÅÉëë~êó=~ÑíÉê=éêçéÉê=áåîÉëíáÖ~íáçå=çÑ=íÜÉ=ÅáêÅìãëí~åÅÉë=çÑ=íÜÉ=ÇÉ~íÜI=íÜ~í=~ìíçéëó=ëÜçìäÇ=ÄÉ=~=ÜáÖÜ=èì~äáíó=Éñ~ãáå~íáçåI=ïÜáÅÜ= ~ÇÇêÉëëÉë= ~ää= íÜÉ= èìÉëíáçåë= íÜ~í=ã~ó= ÄÉ= ê~áëÉÇ= Äó= íÜÉ= ÇÉ~íÜK=oçìíáåÉ=Äê~áå=Éñ~ãáå~íáçå=áë=ÇáëÅìëëÉÇ=ÑìêíÜÉê=áå=^ééÉåÇáñ=RI=jáåáãìã=Ç~í~ëÉíë=~åÇ=ÄÉëí=éê~ÅíáÅÉ=Ñçê=Éñ~ãáå~íáçåë=~åÇ=êÉéçêíë=çå=áåíÉêå~ä=çêÖ~åëK==

=TKT= oÉÅçåëíêìÅíáçå=çÑ=íÜÉ=ÄçÇó=

qÜÉ=êÉÅçåëíêìÅíáçå=çÑ=íÜÉ=ÄçÇó=ëÜçìäÇ=ÄÉ=çÑ=~=ÜáÖÜ=ëí~åÇ~êÇ=ëç=íÜ~í=áí=ïáää=åçí=äÉ~â=~åÇ=Å~å=ÄÉ=îáÉïÉÇ=~ÑíÉê=~ìíçéëó=ïáíÜçìí=ÇáëíêÉëëáåÖ=íÜÉ=åÉñí=çÑ=âáåK=qÜÉ=ÄçÇó=ãìëí=åçí=ÄÉ=ìëÉÇ=Ñçê=íÜÉ= Çáëéçë~ä= çÑ= ÅäáåáÅ~ä= ï~ëíÉX= áí= ãìëí= Åçåí~áå= çåäó=ã~íÉêá~ä= Ñêçã= íÜÉ= ÄçÇó= ~åÇ=ã~íÉêá~ä=êÉèìáêÉÇ= Ñçê= áíë= êÉÅçåëíêìÅíáçåK=qÜÉ=é~íÜçäçÖáëí= áë=ìäíáã~íÉäó= êÉëéçåëáÄäÉ= Ñçê= íÜÉ=èì~äáíó=çÑ=íÜÉ=êÉÅçåëíêìÅíáçåI=~åÇ=ëÜçìäÇ=ÉåëìêÉ=íÜ~í=íÜÉ=^mqë=ïÜçI= áå=ãçëí=Å~ëÉëI=éÉêÑçêã=íÜÉ=í~ëâ=~êÉ=~ÇÉèì~íÉäó=ëâáääÉÇK==

8 AUTOPSY EXAMINATIONS AND REPORTS: MINIMUM

STANDARDS AND DATASETS =UKN= få=NVVPI=qÜÉ=oçó~ä=`çääÉÖÉ=çÑ=m~íÜçäçÖáëíë=éìÄäáëÜÉÇ=dìáÇÉäáåÉë=Ñçê=éçëí=ãçêíÉã=êÉéçêíëK=

qÜÉëÉ= åÉï=dìáÇÉäáåÉë= êÉéä~ÅÉ= íÜÉ= NVVP= ÉÇáíáçå= ~åÇ= ~äëç= áåÅçêéçê~íÉ= ÖìáÇÉäáåÉë= íÜ~í= Ü~îÉ=ÉãÉêÖÉÇ=áå=íÜÉ=ä~ëí=ÑáîÉ=óÉ~êë=Ñêçã=íÜÉ=`çääÉÖÉ=çÑ=^ãÉêáÅ~å=m~íÜçäçÖáëíëK==

=UKO= qÜÉ= ~ìíçéëó= êÉéçêí= ÅäÉ~êäó= ëÜçìäÇ= áåÑçêã= íÜÉ= ÅäáåáÅá~åI=`çêçåÉêI= ÖÉåÉê~ä= éê~ÅíáíáçåÉê= ~åÇ=

é~íÜçäçÖáëíK=qÜÉ=Ñçêã~í=ãìëí=ÄÉ=ÑäÉñáÄäÉ=~åÇ=ïáÇÉäó=ÅçãéêÉÜÉåëáÄäÉK=qÜÉ=ÉñíÉåëáîÉ=ìëÉ=çÑ=fq=ãÉ~åë=íÜ~íI=ïáíÜáå=~å=áåëíáíìíáçåI=êÉéçêíë=ã~ó=ÄÉ=ëí~åÇ~êÇáëÉÇI=ïáíÜ=ãáåáãìã=Ç~í~=Éåíêó=ëÉÅíáçåëK=qÜÉó=ãìëí=~äëç=ÄÉ=íóéÉïêáííÉå=çê=éêáåíÉÇI=åçí=Ü~åÇïêáííÉåK==

=UKP= ^=ëáåÖäÉ=ëí~åÇ~êÇ=ëÜçìäÇ=ÄÉ=~ééäáÅ~ÄäÉ=íç=~ää=~ìíçéëó=Éñ~ãáå~íáçåëI=ïÜÉíÜÉê=ÑìåÇÉÇ=Äó=íÜÉ=

k~íáçå~ä= eÉ~äíÜ= pÉêîáÅÉI= `çêçåÉê= çê= mêçÅìê~íçê= cáëÅ~äK= låÉ= ÅìêêÉåí= ÇáÑÑÉêÉåÅÉ= ÄÉíïÉÉå=íÜÉëÉ= íóéÉë= áë= áå= íÜÉ= ÑêÉèìÉåÅó= çÑ= ÜáëíçäçÖáÅ~ä= Éñ~ãáå~íáçå= EëÉÉ= pÉÅíáçå= VI= ^ìíçéëó=ÜáëíçäçÖóFK=^ää=~ìíçéëó=êÉéçêíë=ëÜçìäÇ=~ÅÜáÉîÉ=~=Ä~ëáÅ=ãáåáãìã=Ç~í~ëÉíK=tÜ~íÉîÉê=íÜÉ=äÉîÉä=çÑ= ÅçãéäÉñáíó= çÑ= íÜÉ= Å~ëÉI= íÜÉ= êÉéçêí= ãìëí= ~ÇÇêÉëë= ~åÇI= áÑ= éçëëáÄäÉI= ~åëïÉê= íÜÉ= ÅäáåáÅ~ä=èìÉëíáçåë=éçëÉÇK==

=UKQ= ^å=~ìíçéëó=êÉéçêí=ïáää=åçêã~ääó=áåÅäìÇÉW==

• ÇÉãçÖê~éÜáÅ=ÇÉí~áäë=• ÅäáåáÅ~ä=Üáëíçêó=~åÇ=Üçï=áí=ï~ë=çÄí~áåÉÇ=• Üçï=ÅçåëÉåí=íç=~ìíçéëó=ï~ë=çÄí~áåÉÇI=~åÇ=~åó=äáãáí~íáçåë=íç=íÜÉ=Éñ~ãáå~íáçå==• áåÇáÅ~íáçå=çÑ=~ííÉåÇ~åÅÉ=çÑ=ÅäáåáÅá~åë=~í=íÜÉ=~ìíçéëó=• ÉñíÉêå~ä=Éñ~ãáå~íáçå=• áåíÉêå~ä=Éñ~ãáå~íáçå=• ÜáëíçäçÖó=êÉéçêí=Ó=áÑ=ÜáëíçäçÖó=ï~ë=í~âÉå=

CR - The Royal College of Pathologists 314-008-025

Guidelines on autopsy practice RCPath September 2002 19

• çíÜÉê=~å~äóíáÅ~ä=êÉëìäíë=EíçñáÅçäçÖóI=ãáÅêçÄáçäçÖóI=ÉíÅKFI=áåÅäìÇáåÖ=ëáÖåáÑáÅ~åí=åÉÖ~íáîÉ=êÉëìäíë=

• ëìãã~êó=äáëí=çÑ=é~íÜçäçÖáÅ~ä=ÑáåÇáåÖë=~åÇ=~=ÅäáåáÅçé~íÜçäçÖáÅ~ä=ÅçããÉåí~êó=• Å~ìëÉ=çÑ=ÇÉ~íÜI=ìëáåÖ=íÜÉ=lÑÑáÅÉ=çÑ=k~íáçå~ä=pí~íáëíáÅë=ElkpF=Ñçêã~íK=

=UKR= dÉåÉê~ä=ÅçããÉåíë==

fí= áë=Éåîáë~ÖÉÇ=íÜ~í= íÜÉëÉ=dìáÇÉäáåÉë=ëÜçìäÇ=ëÉêîÉ= Ñçê=~ää=Üçëéáí~äI=`çêçåÉê=~åÇ=mêçÅìê~íçê=cáëÅ~ä=~ìíçéëáÉëI=çíÜÉê=íÜ~å=eçãÉ=lÑÑáÅÉ=Å~ëÉëK=qÜÉ=êÉéçêí=ëÜçìäÇ=ÄÉ=íóéÉïêáííÉå=çå=~=Ñçêã=çÑ=~ÇÉèì~íÉ=ëáòÉK=mêÉJéêáåíÉÇI=ëáåÖäÉJé~ÖÉ=Ñçêãë=áãéçëÉ=ÉñÅÉëëáîÉ=ÄêÉîáíóK=

=UKS= qáãáåÖ=çÑ=~ìíçéëó=êÉéçêíë=

UKSKN= ^= éêçîáëáçå~ä= êÉéçêíI= íç= áåÅäìÇÉ= ~í= äÉ~ëí= ~= éêÉäáãáå~êó= Å~ìëÉ= çÑ= ÇÉ~íÜ= EïÜÉêÉ= éçëëáÄäÉFI= ~=ëìãã~êó= çÑ= íÜÉ= ã~àçê= ÑáåÇáåÖë= ~åÇ= ÇÉí~áäë= çÑ= ïÜ~í= Ü~ë= ÄÉÉå= êÉí~áåÉÇ= ~åÇ= ïÜ~í= ÑìêíÜÉê=áåîÉëíáÖ~íáçåë= ~êÉ= åÉÅÉëë~êóI= ëÜçìäÇ= ÄÉ= ëÉåí= çìí=ïáíÜáå= ÑáîÉ=ïçêâáåÖ= Ç~óë= çÑ= íÜÉ= ~ìíçéëóK=^åó= ÅçåÅäìëáçåë= ~åÇ= Å~ìëÉ=çÑ=ÇÉ~íÜ= ~í= íÜáë= ëí~ÖÉ= ~êÉ= íÉåí~íáîÉ= ~åÇ=ã~ó=ÄÉ=ãçÇáÑáÉÇK=qÜÉ=ÜáëíçäçÖáÅ~ä= ÑáåÇáåÖëI= íÜÉ=êÉëìäí=çÑ= íçñáÅçäçÖó=~åÇ=ãáÅêçÄáçäçÖó= EïÜÉêÉ= áåÇáÅ~íÉÇF=ïáíÜ= íÜÉ=ÅçããÉåí~êóLÅçåÅäìëáçåë=~åÇ=Å~ìëÉ=çÑ=ÇÉ~íÜ=ëÜçìäÇ=ÄÉ=ëÉåí=çìí=~ë=ëççå=~ë=éçëëáÄäÉI=ïáíÜáå=çåÉ=ïÉÉâ=çÑ=íÜÉ=~î~áä~Äáäáíó=çÑ=íÜÉ=çìíëí~åÇáåÖ=áåîÉëíáÖ~íáçåëK==

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– `çêçåÉê=çê=mêçÅìê~íçê=cáëÅ~ä=– ÖÉåÉê~ä=éê~ÅíáíáçåÉê=– Üçëéáí~ä=Åçåëìäí~åí=EáåÅäìÇáåÖ=^Cb=ÇÉé~êíãÉåí=ÜÉ~ÇF=– çíÜÉê=êÉäÉî~åí=Üçëéáí~ä=ëí~ÑÑ=EÉKÖK=áåíÉåëáîÉ=íÜÉê~éó=ìåáí=ëí~ÑÑI=~å~ÉëíÜÉíáëíF=

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CR - The Royal College of Pathologists 314-008-026

Guidelines on autopsy practice RCPath September 2002 20

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• Eçéíáçå~äF=ê~ÇáçäçÖó=~åÇ=éÜçíçÖê~éÜó=ÄÉÑçêÉ=íÜÉ=~ìíçéëó=ëÜçìäÇ=ÄÉ=ÅçåëáÇÉêÉÇK=kçíÉ=íÜÉ= åÉÉÇ= Ñçê= ÅçåëÉåí= Ñçê=ã~âáåÖ= ~åÇ= ìëáåÖ= áã~ÖÉë= Ñêçã=ïÜáÅÜ= íÜÉ= é~íáÉåí=ã~ó= ÄÉ=áÇÉåíáÑá~ÄäÉ=EëÉÉ=pÉÅíáçå=PKNNI=mÜçíçÖê~éÜóFK==

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CR - The Royal College of Pathologists 314-008-027

Guidelines on autopsy practice RCPath September 2002 21

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UKNMKO= ^= ÅäáåáÅçé~íÜçäçÖáÅ~ä= ÅçããÉåí~êó= ãìëí= ÄÉ= ïêáííÉå= áå= íÜÉ= äáÖÜí= çÑ= ~ää= íÜÉ= áåÑçêã~íáçå=~î~áä~ÄäÉX=íÜÉ=äÉåÖíÜ=ïáää=ÄÉ=ÇÉíÉêãáåÉÇ=Äó=íÜÉ=íóéÉ=~åÇ=ÅçãéäÉñáíó=çÑ=íÜÉ=Å~ëÉK=fÑ=ã~íÉêá~ä=Ü~ë=ÄÉÉå=êÉÑÉêêÉÇ=íç=~å=çìíëáÇÉ=ëéÉÅá~äáëí=é~íÜçäçÖáëíI=ëìãã~êáëÉ=Üáë=çê=ÜÉê=çÄëÉêî~íáçåë=áå=íÜÉ=ÅçããÉåí~êóK==

UKNMKP= qÜÉ=ã~àçê=ÅäáåáÅ~ä=éêçÄäÉãë=ãìëí=ÄÉ=ÅçêêÉä~íÉÇ=ïáíÜ= íÜÉ=é~íÜçäçÖáÅ~ä= ÑáåÇáåÖë=~åÇI=ïÜÉêÉ=éçëëáÄäÉI= ~= ÄêáÉÑ= å~êê~íáîÉ= ÖáîÉå= çÑ= íÜÉ= ëÉèìÉåÅÉ= çÑ= ÉîÉåíë= íÜ~í= äÉÇ= íç= ÇÉ~íÜK= få= `çêçåá~ä=Å~ëÉëI=íÜáë=ã~ó=ÄÉ=éêçîáëáçå~ä=áÑ=íÜÉ=ÅäáåáÅ~ä=Üáëíçêó=áë=åçí=Ñìääó=âåçïå=íç=íÜÉ=é~íÜçäçÖáëí=EëÉÉ=pÉÅíáçå=UKTKQI=`äáåáÅ~ä=ÜáëíçêóFK==

UKNMKQ= kÉï=é~íÜçäçÖáÅ~ä=äÉëáçåë=~êÉ=áåÇáÅ~íÉÇ=ïáíÜ=Éñéä~å~íáçå=çÑ=Üçï=íÜÉëÉ=áääìãáå~íÉ=íÜÉ=ÅäáåáÅ~ä=çÄëÉêî~íáçåëK=fí=ëÜçìäÇ=ÄÉ=ã~ÇÉ=ÅäÉ~ê=ïÜáÅÜ=ÑáåÇáåÖë=~êÉ=áåÅáÇÉåí~ä=íç=íÜÉ=ÇÉ~íÜ=~åÇ=çÑ=åç=ÅäáåáÅ~ä=áãéçêíK=

UKNMKR= ^åó= áåÅçåëáëíÉåÅáÉë= áå= íÜÉ= ÑáåÇáåÖë=çê=~= ëíáää=ìåÅÉêí~áå=é~íÜçÖÉåÉëáë=çÑ= íÜÉ= Ñáå~ä= ÉîÉåíë=~êÉ=éêÉëÉåíÉÇ=~åÇ=ëíÉéë=íç=ÄÉ=í~âÉåI=ëìÅÜ=~ë=ÑìêíÜÉê=çéáåáçåëI=ãçêí~äáíó=~åÇ=~ìÇáí=ãÉÉíáåÖëI=~êÉ=áåÇáÅ~íÉÇK==

UKNMKS= aáëÅìëëáçå=ïáíÜ=íÜÉ=êÉëéçåëáÄäÉ=ÅäáåáÅá~åë=ïáää=óáÉäÇ=çéíáã~ä=ÅäáåáÅçé~íÜçäçÖáÅ~ä=ÅçêêÉä~íáçåI=Äìí=Ñê~åâ=ÇáëÅêÉé~åÅáÉë=çê=Çáë~ÖêÉÉãÉåíë=ãìëí=ÄÉ=åçíÉÇK=

=

CR - The Royal College of Pathologists 314-008-028

Guidelines on autopsy practice RCPath September 2002 22

UKNN= `~ìëÉ=çÑ=ÇÉ~íÜ==

UKNNKN= qÜÉ= Å~ìëÉ= çÑ= ÇÉ~íÜI= Ñçê= ~Çìäíë= ~åÇ= ÅÜáäÇêÉå= çîÉê= OU= Ç~óë= çÑ= ~ÖÉI= ãìëí= ÄÉ= ÖáîÉå= áå= íÜÉ=ëí~åÇ~êÇ=Ñçêã=êÉèìáêÉÇ=Äó=íÜÉ=lÑÑáÅÉ=çÑ=k~íáçå~ä=pí~íáëíáÅë=ElkpFK==

=UKNNKO= qÜÉ= ìåÇÉêäóáåÖ= Å~ìëÉ= çÑ= ÇÉ~íÜ= ëÜçìäÇ= ÄÉ= íÜÉ= äçïÉëí= ÅçãéäÉíÉÇ= äáåÉ= áå= m~êí= fI= ëìÅÜ= íÜ~í=

ÅçåÇáíáçåë=éä~ÅÉÇ=~ÄçîÉ=áí=~êÉ=ÚÇìÉ=íçÛ=íÜ~í=é~íÜçäçÖóK=m~êí=ff=áåÅäìÇÉë=é~íÜçäçÖóI=ìåêÉä~íÉÇ=íç=íÜ~í=áå=m~êí=fI=ïÜáÅÜ=ÅçåíêáÄìíÉÇ=íçï~êÇ=ÇÉ~íÜI=Äìí=ëÜçìäÇ=åçí=ÄÉ=ìëÉÇ=~ë=~=Ä~ëâÉí=Ñçê=~ää=íÜÉ=ãáåçê=é~íÜçäçÖáÉë=ÑçìåÇ=~í=~ìíçéëóK==

=UKNNKP= cçê= ëíáääÄáêíÜë= ~åÇ= äáîÉJÄçêå= ÅÜáäÇêÉå= ÇóáåÖ= ïáíÜáå= OU= Ç~óë= çÑ= ÄáêíÜI= íÜÉêÉ= áë= ~= ÇáÑÑÉêÉåí=

ëí~åÇ~êÇáëÉÇ=Ñçêã~í=Ñçê=íÜÉ=Å~ìëÉ=çÑ=ÇÉ~íÜK=qÜÉ=Ñçêã=çÑ=íÜÉ=ëí~íÉãÉåí=áëW=“=~K= j~áå=ÇáëÉ~ëÉë=çê=ÅçåÇáíáçåë=áå=ÑÉíìëLáåÑ~åí===ÄK= líÜÉê=ÇáëÉ~ëÉë=çê=ÅçåÇáíáçåë=áå=ÑÉíìëLáåÑ~åí=ÅK= j~áå=ã~íÉêå~ä=ÇáëÉ~ëÉë=çê=ÅçåÇáíáçåë=~ÑÑÉÅíáåÖ=ÑÉíìëLáåÑ~åí=ÇK= líÜÉê=ã~íÉêå~ä=ÇáëÉ~ëÉë=çê=ÅçåÇáíáçåë=~ÑÑÉÅíáåÖ=ÑÉíìëLáåÑ~åí=ÉK= líÜÉê=êÉäÉî~åí=Å~ìëÉëKÒ=

=UKNNKQ= fÑ= íÜÉ= é~íáÉåí= ÇáÉÇ= ÑçääçïáåÖ= ~å= çéÉê~íáçå= ~åÇ= íÜ~í= éêçÅÉÇìêÉ= ï~ë= ÇáêÉÅíäó= çê= áåÇáêÉÅíäó=

ÅçåíêáÄìíçêó=íç=íÜÉ=ÇÉ~íÜ=çÑ=íÜÉ=é~íáÉåíI=íÜÉ=Ñ~Åí=~åÇ=íóéÉ=çÑ=íÜÉ=çéÉê~íáçå=ãìëí=ÄÉ=áåÅäìÇÉÇ=áå= íÜÉ= Å~ìëÉ= çÑ= ÇÉ~íÜ= EìåÇÉê= m~êí= f= çê= ffI= ~ÅÅçêÇáåÖ= íç= êÉäÉî~åÅÉF= ~åÇ= íÜÉ= Ç~íÉ= çÑ= íÜÉ=çéÉê~íáçå=ÖáîÉå=EÇ~íÉLãçåíÜLóÉ~êFK==

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UKNOKP= qÜÉ=íáãÉ=í~âÉå=Ñçê=êÉéçêíë=íç=ÄÉ=áëëìÉÇ=~åÇ=ÇÉäáîÉêÉÇ=ëÜçìäÇ=ÄÉ=~ìÇáíÉÇK= 9 AUTOPSY HISTOLOGY =VKN= qÜÉ=áãéçêí~åÅÉ=çÑ=í~âáåÖ=ÜáëíçäçÖó=ë~ãéäÉë=Ñêçã=~ìíçéëáÉë=áë=ÉîáÇÉåí=íç=é~íÜçäçÖáëíë=~ë=~å=

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qÜáë= áë=åçí=éçëëáÄäÉ= áÑ= íÜÉ=`çêçåÉê=çê=éÉêëçå= ÅçåëÉåíáåÖ= íç=~ìíçéëó=ïáää=åçí= ë~åÅíáçå= íÜáë=EëÉÉ= pÉÅíáçå= PI= `çåëÉåí= áëëìÉëFK= qÜÉêÉ= áë= ïáÇÉ= î~êá~íáçå= áå= `çêçåÉêëÛ= ~ééêç~ÅÜÉë= íç=ÜáëíçäçÖóW=~=ÑÉï=ÉåÅçìê~ÖÉ=êçìíáåÉ=íáëëìÉ=ë~ãéäáåÖ=Ñçê=ÅçãéäÉíÉåÉëë=çÑ=íÜÉ=êÉÅçêÇX=çíÜÉêë=Çç=åçí=éÉêãáí=ÜáëíçäçÖó=ìåäÉëë=ã~åÇ~íÉÇ=Äó=íÜÉ=åÉÉÇ=íç=çéÉå=~å=áåèìÉëí=E`çêçåÉêë=oìäÉë=NVUQI=pÉÅíáçåë= V= ~åÇ= NOX= `çêçåÉêë= ^Åí= NVUUI= pÉÅíáçå= OMEQFFX= ãçëí= ëáí= ëçãÉïÜÉêÉ= áå= ÄÉíïÉÉåK=aáëÅìëëáçå=ïáíÜ=`çêçåÉêë=áë=ÅêáíáÅ~äI=ÉãéÜ~ëáëáåÖ=íÜÉ=éêÉëÉåí=~åÇ=ÑìíìêÉ=ëáÖåáÑáÅ~åÅÉ=çÑ=Ñìää=áåîÉëíáÖ~íáçå=~åÇ=ÇçÅìãÉåí~íáçåK==

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íÜáë=ã~ó= ÄÉÅçãÉ= ~= éêÉÑÉêêÉÇ= ~ÇàìåÅí= áå= íÜçëÉ= Å~ëÉëI= ëìÄàÉÅí= íç= ÅçåëÉåí= EëÉÉ= pÉÅíáçå= PKNNI=mÜçíçÖê~éÜóFK= bñ~ãéäÉë= ~êÉ= êìéíìêÉÇ= ~ÄÇçãáå~ä= ~åÉìêóëãI= Å~êÇá~Å= í~ãéçå~ÇÉ= ~åÇ=éÉêÑçê~íÉÇ=îáëÅìëK==

=

CR - The Royal College of Pathologists 314-008-029

Guidelines on autopsy practice RCPath September 2002 23

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=VKR= dìáÇÉäáåÉë=Ñçê=ÅçåëÉåíÉÇ=Üçëéáí~ä=~ìíçéëáÉë=

VKRKN= få=~ää=ÅçåëÉåíÉÇ=~ìíçéëáÉë=ïÜÉêÉ=éÉêãáëëáçå=Ü~ë=ÄÉÉå=ëç=Öê~åíÉÇ=Äó=íÜÉ=åÉñí=çÑ=âáåI=íáëëìÉ=ë~ãéäÉë= ëÜçìäÇ= ÄÉ= í~âÉå= Ñêçã= ~ää= ã~àçê= çêÖ~åëK= qÜáë= ïáää= ÅçåÑáêã= íÜÉ= ã~ÅêçëÅçéáÅ=Çá~ÖåçëáëI= êÉÑáåÉ= íÜÉ= Å~ìëÉ= çÑ= ÇÉ~íÜ= ~åÇ= ~ëëáëí= áå= ÅäáåáÅ~ä= ~ìÇáí= ~åÇ= íÜÉ= íê~áåáåÖ= çÑ=é~íÜçäçÖáëíëK=

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VKSKP= p~ãéäáåÖ= íÜÉ= é~íÜçäçÖáÅ~ä= çêÖ~åë= ïÜçëÉ= ÜáëíçäçÖó= ïáää= ëìééçêí= íÜÉ= ã~áå= Çá~Öåçëáë= çê=Çá~ÖåçëÉë=áå=~ää=`çêçåá~ä=~ìíçéëáÉë=Éå~ÄäÉë=êÉîáÉï=çÑ=íÜÉ=Çá~Öåçëáë=áÑ=íÜÉêÉ=áë=~=ëìÄëÉèìÉåí=ÅÜ~ääÉåÖÉK=qÜáë=ïçìäÇ=~ééäó=íç=Å~ëÉë=ïÜÉêÉ=íÜÉ=Çá~Öåçëáë=áë=Öêçëëäó=ÉîáÇÉåí=~åÇI=áå=íÜÉ=îáÉï=çÑ= íÜÉ=ã~àçêáíó=çÑ=é~íÜçäçÖáëíëI=ïçìäÇ=åçí=åçêã~ääó=êÉèìáêÉ=ÜáëíçäçÖó=ë~ãéäÉë= íç=ã~âÉ=çê=ÅçåÑáêã=íÜÉ=Çá~ÖåçëáëK=qÜÉ=`çêçåÉê=ã~ó=êÉÑìëÉ=éÉêãáëëáçå=íç=ÅçåëáÇÉê=íÜáë=ë~ãéäáåÖI=Äìí=áí=ÅçåëíáíìíÉë=ÄÉëí=éê~ÅíáÅÉK==

VKSKQ= qÜÉ= `çääÉÖÉ= êÉÅçããÉåÇë= í~âáåÖ= ÜáëíçäçÖó= ë~ãéäÉë= áå= Å~ëÉë= ïÜÉêÉ= íÜÉ= íóéÉ= çÑ= äÉëáçå= áë=ÉîáÇÉåí=~åÇ=íÜÉêÉ=áë=~=å~íìê~ä=Å~ìëÉ=çÑ=ÇÉ~íÜ=Äìí=ë~ãéäáåÖ=ïçìäÇ=éêçîáÇÉ=~=ãçêÉ=~ÅÅìê~íÉ=Å~íÉÖçêáë~íáçå=çÑ= íÜÉ=é~íÜçäçÖó= EÉKÖK= íÜÉ=ÜáëíçäçÖáÅ~ä= íóéÉ=çÑ= äìåÖ= Å~åÅÉêFK= pçãÉ=`çêçåÉêë=ÄÉäáÉîÉ= íÜáë= ÖçÉë= ÄÉóçåÇ= íÜÉ= ëíêáÅí= áåíÉêéêÉí~íáçå= çÑ= íÜÉ= `çêçåÉêë= oìäÉë= ~åÇ= ^Åí= ~åÇ=ë~ãéäáåÖ=ã~ó= åçí= ÄÉ= éÉêãáííÉÇ= Äó= íÜÉ= `çêçåÉêK=eçïÉîÉê= ëçãÉ=`çêçåÉêë= Çç= åçí= çÄàÉÅíI=éêçîáÇÉÇ=íÜ~í=íÜÉ=êÉä~íáîÉë=Ü~îÉ=ÄÉÉå=áåÑçêãÉÇ=~åÇ=íÜÉó=Çç=åçí=çÄàÉÅíK==

CR - The Royal College of Pathologists 314-008-030

Guidelines on autopsy practice RCPath September 2002 24

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CR - The Royal College of Pathologists 314-008-031

Guidelines on autopsy practice RCPath September 2002 25

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CR - The Royal College of Pathologists 314-008-032

Guidelines on autopsy practice RCPath September 2002 26

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CR - The Royal College of Pathologists 314-008-033

Guidelines on autopsy practice RCPath September 2002 27

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CR - The Royal College of Pathologists 314-008-034

Guidelines on autopsy practice RCPath September 2002 28

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CR - The Royal College of Pathologists 314-008-035

Guidelines on autopsy practice RCPath September 2002 29

BIBLIOGRAPHY =

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CR - The Royal College of Pathologists 314-008-036

Guidelines on autopsy practice RCPath September 2002 30

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CR - The Royal College of Pathologists 314-008-037

Guidelines on autopsy practice RCPath September 2002 31

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j~íÉêå~ä=ãçêí~äáíó=

oìëÜíçå=afI=a~ïëçå=fjK=qÜÉ=ã~íÉêå~ä=~ìíçéëóK=g=`äáå=m~íÜçä=NVUOXPRWVMVÓVONK==aÉé~êíãÉåí=çÑ=eÉ~äíÜK=tÜó=ãçíÜÉêë=ÇáÉK=oÉéçêí=çå=`çåÑáÇÉåíá~ä=båèìáêáÉë=áåíç=j~íÉêå~ä=aÉ~íÜë=áå=íÜÉ=råáíÉÇ=háåÖÇçãI=NVVQÓNVVSK=qÜÉ=pí~íáçåÉêó=lÑÑáÅÉI=NVVUK= k~íáçå~ä=fåëíáíìíÉ=çÑ=`äáåáÅ~ä=bñÅÉääÉåÅÉK=tÜó=ãçíÜÉêë=ÇáÉ=NVVTÓNVVVKqÜÉ=`çåÑáÇÉåíá~ä=båèìáêáÉë=áåíç=j~íÉêå~ä=aÉ~íÜë=áå=íÜÉ=råáíÉÇ=háåÖÇçãK=içåÇçåW=aÉé~êíãÉåí=çÑ=eÉ~äíÜI=OMMNK=`Ü~éíÉê=NU=áë=çå=é~íÜçäçÖóI=Äó=aê=e=jáääï~êÇJp~ÇäÉêK==

CR - The Royal College of Pathologists 314-008-038

Guidelines on autopsy practice RCPath September 2002 32

mÉêáçéÉê~íáîÉ=ÇÉ~íÜë=

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CR - The Royal College of Pathologists 314-008-039

Guidelines on autopsy practice RCPath September 2002 33

i~åÖ~å=vI=k~ëÜÉÑ=iI=p~åÇÉê=gtK=pìÇÇÉå=ìåÉñéÉÅíÉÇ=ÇÉ~íÜ=áå=ÉéáäÉéëóW=~=ëÉêáÉë=çÑ=ïáíåÉëëÉÇ=ÇÉ~íÜëK=gçìêå~ä=çÑ=kÉìêçäçÖóI=kÉìêçëìêÖÉêó=C=mëóÅÜá~íêó=OMMMXSUWONNÓONPK==qÜÉ=k~íáçå~ä=pÉåíáåÉä=`äáåáÅ~ä=^ìÇáí=çÑ=béáäÉéëóJêÉä~íÉÇ=aÉ~íÜëK=béáäÉéëóW=ÇÉ~íÜ=áå=íÜÉ=ëÜ~ÇçïëK=qÜÉ=pí~íáçåÉêó=lÑÑáÅÉI=OMMOK==tÜáíïÉää=eiK=dìáÇ~åÅÉ=Ñçê=êÉíÉåíáçå=çÑ=Äê~áå=~åÇ=ëéáå~ä=ÅçêÇ=ÑçääçïáåÖ=éçëíJãçêíÉã=Éñ~ãáå~íáçå=~åÇ=ïÜÉêÉ=Åêáãáå~ä=éêçÅÉÉÇáåÖë=~êÉ=áå=éêçëéÉÅíK=_ìääÉíáå=o`m~íÜ=OMMOXNNUWOMÓOPK==

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vçìåÖ=k^I=k~êóëÜâáå=pK=^å=áãéäÉãÉåí~íáçå=éä~å=Ñçê=~ìíçéëó=èì~äáíó=Åçåíêçä=~åÇ=èì~äáíó=~ëëìê~åÅÉK=^êÅÜ=m~íÜçä=i~Ä=jÉÇ=NVVPXNNTWRPNÓRPQK==_~âÉê=m_I=w~êÄç=ogI=eçï~åáíò=mgK=nì~äáíó=~ëëìê~åÅÉ=çÑ=~ìíçéëó=Ñ~ÅÉ=ëÜÉÉí=êÉéçêíáåÖI=Ñáå~ä=~ìíçéëó=êÉéçêí=íìêå~êçìåÇ=íáãÉ=~åÇ=~ìíçéëó=ê~íÉëK=^=`^m=nJéêçÄÉë=ëíìÇó=çÑ=NMMMP=~ìíçéëáÉë=Ñêçã=QNU=áåëíáíìíáçåëK=^êÅÜ=m~íÜçä=i~Ä=jÉÇ=NVVSXNOMWNMMPÓNMMUK===páå~êÇ=geI=_äççÇ=agK=nì~äáíó=áãéêçîÉãÉåí=çå=~å=~Å~ÇÉãáÅ=~ìíçéëó=ëÉêîáÅÉK=^êÅÜ=m~íÜçä=i~Ä=jÉÇ=OMMNXNORWOPTÓOQRK===_~âÉê=mI=p~ä~Çáåç=^gK=nJmêçÄÉëK=^ìíçéëó=ÅçåíêáÄìíáçåë=áå=èì~äáíó=~ëëìê~åÅÉK=açÅìãÉåí=VPÓMSK=`çääÉÖÉ=çÑ=^ãÉêáÅ~å=m~íÜçäçÖáëíëI=NVVPK==_~âÉê=mI=w~êÄç=ogK=nJmêçÄÉëK=^ìíçéëó=íáãÉäáåÉëë=~åÇ=éÉêãáí=~ÇÉèì~ÅóK=açÅìãÉåí=VOÓMPK=`çääÉÖÉ=çÑ=^ãÉêáÅ~å=m~íÜçäçÖáëíëI=NVVPK==

CR - The Royal College of Pathologists 314-008-040

Guidelines on autopsy practice RCPath September 2002 34

CONTACT WEBSITES

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CR - The Royal College of Pathologists 314-008-041

Guidelines on autopsy practice RCPath September 2002 35

APPENDICES ==A1 Hazard Group 3 pathogens =^NKN= sáêìëÉë=

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eáëíçéä~ëã~=Å~éëìä~íìãX=`çÅÅáÇáçáÇÉë=áããáíáëX=m~ê~ÅçÅÅáÇáçáÇÉë=Äê~òáäáÉåëáëX=mÉåáÅáääáìã=ã~êåÉÑÑÉáK=Efå=éê~ÅíáÅÉI=íÜÉ=~Åíì~ä=éÜ~ëÉ=çÑ=äáÑÉ=ÅóÅäÉ=áå=ã~å=íÜ~í=ã~ó=ÄÉ=ÉåÅçìåíÉêÉÇ=~í=~ìíçéëó=áë=åçí=íÜÉ=áåÑÉÅíáîÉ=éÜ~ëÉI=êÉåÇÉêáåÖ=íÜÉëÉ=áåÑÉÅíáçåë=äÉëë=Ü~ò~êÇçìë=íÜ~å=áå=ä~Äçê~íçêó=ÅìäíìêÉKF=

=^NKQ= m~ê~ëáíÉë=

bÅÜáåçÅçÅÅìë=ëééX=iÉáëÜã~åá~=Äê~òáäáÉåëáë=~åÇ=iK=Ççåçî~åáX=k~ÉÖäÉêá~=ÑçïäÉêáX==mä~ëãçÇáìã=Ñ~äÅáé~êìãX=qêóé~åçëçã~=ëéé=Efå=éê~ÅíáÅÉI=íÜÉ=~Åíì~ä=éÜ~ëÉ=çÑ=äáÑÉ=ÅóÅäÉ=áå=ã~å=íÜ~í=ã~ó=ÄÉ=ÉåÅçìåíÉêÉÇ=~í=~ìíçéëó=áë=åçí=íÜÉ=áåÑÉÅíáîÉ=éÜ~ëÉI=êÉåÇÉêáåÖ=íÜÉëÉ=áåÑÉÅíáçåë=äÉëë=Ü~ò~êÇçìë=íÜ~å=áå=ä~Äçê~íçêó=ÅìäíìêÉKF=

===

CR - The Royal College of Pathologists 314-008-042

Guidelines on autopsy practice RCPath September 2002 36

A2 Guidelines for assessing presence of Hazard Group 4 pathogens in a cadaver

^OKN= _äççÇ= Ñêçã= íÜÉ= é~íáÉåíI= í~âÉå= ÄÉÑçêÉ= çê= ~ÑíÉê= ÇÉ~íÜI= áë= íç= ÄÉ= íÉëíÉÇ= Ñçê= íÜÉ= ã~áå= îáê~ä=

Ü~ÉãçêêÜ~ÖáÅ= ÑÉîÉêë= EsecëFI= ÇÉåÖìÉI= óÉääçï= ÑÉîÉêI= Ñ~äÅáé~êìã= ã~ä~êá~I= káé~Ü= îáêìë= ~åÇ=äÉéíçëéáêçëáëK= qÜÉ= mìÄäáÅ= eÉ~äíÜ= i~Äçê~íçêó= pÉêîáÅÉ= E`çäáåÇ~äÉF= ~åÇ= `ÉåíêÉ= Ñçê= ^ééäáÉÇ=jáÅêçÄáçäçÖáÅ~ä=oÉëÉ~êÅÜ= Emçêíçå=açïåF= ä~Äçê~íçêáÉë=Å~å=Çç= íÜáë= áå=~=ïçêâáåÖ=Ç~ó= áÑ= íÜÉ=ë~ãéäÉë=~êÉ=ÅçìêáÉêÉÇK=qÜÉ=ÖÉçÖê~éÜáÅ~ä=Üáëíçêó=çÑ=íÜÉ=é~íáÉåí= áë= áãéçêí~åí= áå=ÇÉíÉêãáåáåÖ=ïÜÉíÜÉê= íÜÉ= é~íáÉåí= ÅçìäÇ= êÉ~äáëíáÅ~ääó= Ü~îÉ= ~ÅèìáêÉÇ= ~= sec= çê= íÜÉ= çíÜÉê= áåÑÉÅíáçåë= íÜ~í=ÅäáåáÅ~ääó=ãáãáÅ=sec=Eã~ä~êá~I=äÉéíçëéáêçëáëI=ÇÉåÖìÉI=káé~ÜFK==

=^OKO= fÑ= íÜÉëÉ= íÉëíë= ëÜçï= ~ÄëÉåÅÉ= çÑ= íÜÉ= îáê~ä= áåÑÉÅíáçåë= Äìí= éêÉëÉåÅÉ= çÑ= Ñ~äÅáé~êìã=ã~ä~êá~= çê=

äÉéíçëéáêçëáëI=íÜÉå=íÜÉ=~ìíçéëó=áë=ë~ÑÉ=íç=éÉêÑçêã=ìåÇÉê=ëí~åÇ~êÇ=ÅçåÇáíáçåëK==^OKP= fÑ=káé~Ü=îáêìë=áåÑÉÅíáçå=áë=ÇÉãçåëíê~íÉÇI=êÉÑÉêê~ä=íç=~=ëéÉÅá~äáëí=ÅÉåíêÉ=Å~å=ÄÉ=ÅçåëáÇÉêÉÇ=çê=

íÜÉ=~ìíçéëó=åçí=ÇçåÉK==^OKQ= fÑ= ÇÉåÖìÉ=çê= óÉääçï= ÑÉîÉê= îáêìë= áåÑÉÅíáçå= áë= ÇÉãçåëíê~íÉÇI= íÜÉ= ~ìíçéëó= Å~å=ÄÉ=ÇçåÉ=ìåÇÉê=

ÉåÜ~åÅÉÇ=ed@P=ÅçåÇáíáçåë=EáKÉK=~ë=Ñçê=efs=áåÑÉÅíáçåFK==^OKR= fÑ=~=sec=áë=ÅçåÑáêãÉÇI=íÜÉå=íÜÉ=~ìíçéëó=áë=åçí=ÇçåÉK=====

CR - The Royal College of Pathologists 314-008-043

Guidelines on autopsy practice RCPath September 2002 37

A3 Protocols for performing post-mortem examinations on known or suspect ‘high-risk’ infected cadavers: Hazard Group 3 infections HIV, hepatitis C, tuberculosis, Creutzfeldt-Jakob disease

==

A3.1 HIV/AIDS NK= k^jb=lc=fkcb`qflk== efsJN=~åÇ=efsJO==OK== ofph=^q=^rqlmpv== ^Åèìáëáíáçå=çÑ=îáê~ä=áåÑÉÅíáçåI=^fap== ^ëëçÅá~íÉÇ=áåÑÉÅíáçåë=áå=efsJáåÑÉÅíÉÇ=Å~Ç~îÉêëW=íìÄÉêÅìäçëáëI=e_sI=e`s==PK== albp=fkcb`qflrpkbpp=lc=`^a^sbop=ab`ifkb=lsbo=qfjb== vÉëI=Äìí=áåÑÉÅíáçå=ÇçÅìãÉåíÉÇ=ìé=íç=NS=Ç~óë=~ÑíÉê=ÇÉ~íÜK=qÜÉêÉÑçêÉ=~ëëìãÉ=~äï~óë=

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îáê~ä=äç~Ç=ÄÉäçï=íÜÉ=äáãáíë=çÑ=ÇÉíÉÅíáçå=EYRM=ÅçéáÉëLãäFK=^äíÜçìÖÜ=íÜÉ=êáëâ=çÑ=áåÑÉÅíáçå=Ñêçã=ëìÅÜ=é~íáÉåíë=íÜêçìÖÜ=~å=~ÅÅáÇÉåí=ÇìêáåÖ=~å=~ìíçéëó=áë=íÜÉêÉÑçêÉ=ÉñÅÉÉÇáåÖäó=äçïI=íÜÉ=~ìíçéëó=éêçíçÅçäë=ëÜçìäÇ=ÄÉ=íÜÉ=ë~ãÉ=~ë=Ñçê=íÜçëÉ=é~íáÉåíë=ïáíÜ=âåçïå=ÜáÖÜ=îáê~ä=äç~Çë=çê=ìåâåçïå=îáê~ä=äç~Ç=

=QK== jlabp=lc=^`nrfpfqflk== mÉêÅìí~åÉçìë=áåàìêóI=ãìÅçë~ä=Åçåí~ãáå~íáçåI=ëâáå=Åçåí~ãáå~íáçå==RK== ofph=lc=^`nrfpfqflk=lc=fkcb`qflk== mÉêÅìí~åÉçìë=áåàìêóW=MKPB=êáëâ=çÑ=áåÑÉÅíáçå=EïáíÜçìí=mbm=Ó=ëÉÉ=éçáåí=PP=ÄÉäçïF== jìÅçë~ä=Åçåí~ãáå~íáçåW=MKMPB=êáëâ== pâáå=Åçåí~ãáå~íáçåW=ìåÅÉêí~áåI=Äìí=Ü~ë=çÅÅìêêÉÇ=íÜêçìÖÜ=ÄêçâÉå=ëâáå=áå=åìêëáåÖ=

ÉåîáêçåãÉåí== qç=Ç~íÉI=çåÉ=é~íÜçäçÖáëí=âåçïå=íç=Ü~îÉ=Åçåíê~ÅíÉÇ=efs=Ñêçã=éÉêÅìí~åÉçìë=áåàìêó=ïÜáäëí=

éÉêÑçêãáåÖ=~=éçëíJãçêíÉã=EêÉãçîáåÖ=íÜÉ=ëÅ~äéF==SK== tel=fp=molpb`qlo== `çåëìäí~åí=Üáëíçé~íÜçäçÖáëí=çê=ÉñéÉêáÉåÅÉÇ=àìåáçê=é~íÜçäçÖáëí==TK== tel=fp=^ppfpq^kq=^mq== aáéäçã~íÉ=áå=^å~íçãáÅ~ä=m~íÜçäçÖó=qÉÅÜåçäçÖóI=áKÉK=jqlO=Öê~ÇÉ=çê=ÜáÖÜÉê==UK== kbba=clo=`fo`ri^qlo== fÇÉ~ääó=óÉëI=Äìí=åçí=ÉëëÉåíá~ä==VK== lqebo=mblmib=mbojfqqba=fk=^rqlmpv=ollj=^q=p^jb=qfjb== vÉëI=Äìí=~í=Çáëí~åÅÉ=Ñêçã=ÄäççÇ=ëéä~ëÜ=Åçåí~ãáå~íáçå==NMK== mobsflrp=pq^cc=s^``fk^qflkp== _`dI=e_s=~êÉ=ÉëëÉåíá~ä==NNK== bppbkqf^i=ql=rpb=pbm^o^qb=ÚefdeJofph=prfqbÛ=fk=jloqr^ov== kçI=Äìí=íÜÉ=ãçêíì~êó=ãìëí=Ü~îÉ=~ÇÉèì~íÉ=îÉåíáä~íáçåI=ï~íÉê=ëìééäó=~åÇ=Çê~áå~ÖÉX==

~=ëÉé~ê~íÉ=ëìáíÉ=áë=ÇÉëáê~ÄäÉ==

CR - The Royal College of Pathologists 314-008-044

Guidelines on autopsy practice RCPath September 2002 38

NOK== `ilqefkd=clo=molpb`qlo=^ka=^ppfpq^kq=^mq== pí~åÇ~êÇW=ëÅêìÄ=ëìáíëI=Çáëéçë~ÄäÉ=ï~íÉêéêççÑ=Öçïå=íÜ~í=ÅçîÉêë=íÜÉ=~êãëI=Çáëéçë~ÄäÉ=éä~ëíáÅ=

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~ééêçéêá~íÉ=ÅçåëÉåí=Ñêçã=êÉä~íáîÉë==ONK== pmb`fcf`=lod^kp=lo=m^oqp=qe^q=jrpq=_b=bu^jfkba=clo=`^pb=

^p`boq^fkjbkq== kçåÉ==OOK== pmb`f^i=mob`^rqflkp=fk=objlsfkd=lod^kp== kçåÉI=ë~îÉ=Å~êÉ=ïáíÜ=ëÜ~êé=ÄçåÉ=ÉÇÖÉë==OPK== elt=ql=pbt=rm=`^a^sbo== pí~åÇ~êÇ=íïáåÉ=çê=Åäáéë==OQK== cfu^qfsb=clo=pq^ka^oa=efpqlildv== cçêã~äáå=Ó=âáääë=efs=ê~éáÇäóX=Äê~áå=ÇáëáåÑÉÅíÉÇ=Äó=íïç=ïÉÉâë=áå=Ñçêã~äáå==ORK== cobpe=qfpprb=p^jmibp=^ka=abpqfk^qflk== cçê=ãáÅêçÄáçäçÖó=áÑ=åÉÅÉëë~êó=EÉKÖK=ëìëéÉÅíÉÇ=q_I=ãóÅçëáëI=ëÉéíáÅ~Éãá~F==OSK== afpmlp^i=lc=qfpprbp=klq=obmi^`ba=fk=`^a^sbo== fåÅáåÉê~íáçå==

CR - The Royal College of Pathologists 314-008-045

Guidelines on autopsy practice RCPath September 2002 39

OTK== c^qb=lc=fkpqorjbkqp=rpba=fk=afppb`qflk== pí~åÇ~êÇ=ÅäÉ~åáåÖ=~åÇ=ÇÉÅçåí~ãáå~íáçå==OUK== pmb`f^i=proc^`b=ab`lkq^jfk^qflk=^ka=`ib^kfkd=obnrfobjbkqp== kçåÉ=Ó=ëí~åÇ~êÇ=ÅäÉ~åáåÖ=éêçÅÉÇìêÉë==OVK== kbba=ql=klqfcv=rkaboq^hbop=lc=ofph=lc=fkcb`qflk== vÉë==PMK== klqfcf`^qflk=lc=fkcb`qflrp=^rqlmpv=`^pb=ql=lqebop== kçI=Äìí=âÉÉé=ëÉÅìêÉ=êÉÖáëíÉê=áå=ãçêíì~êó=Ñçê=ÜÉ~äíÜ=~åÇ=ë~ÑÉíó=éìêéçëÉëI=áKÉK=åçíÉ=efsJ

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mbm=áÑ=ÅçåëáÇÉêÉÇ=~ééêçéêá~íÉ===A3.2 HEPATITIS C VIRUS =NK== k^jb=lc=fkcb`qflk== eÉé~íáíáë=`=îáêìë=Ee`sF==OK== ofph=^q=^rqlmpv=

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CR - The Royal College of Pathologists 314-008-046

Guidelines on autopsy practice RCPath September 2002 40

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CR - The Royal College of Pathologists 314-008-047

Guidelines on autopsy practice RCPath September 2002 41

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CR - The Royal College of Pathologists 314-008-048

Guidelines on autopsy practice RCPath September 2002 42

QK== jlabp=lc=^`nrfpfqflk== fåÜ~ä~íáçå=çÑ=ãóÅçÄ~ÅíÉêá~=Ñêçã=íáëëìÉëX=éÉêÅìí~åÉçìë=áåàìêóX=ãìÅçë~ä=Åçåí~ãáå~íáçå==RK== ofph=lc=^`nrfpfqflk=lc=fkcb`qflk=

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CR - The Royal College of Pathologists 314-008-049

Guidelines on autopsy practice RCPath September 2002 43

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CR - The Royal College of Pathologists 314-008-050

Guidelines on autopsy practice RCPath September 2002 44

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CR - The Royal College of Pathologists 314-008-051

Guidelines on autopsy practice RCPath September 2002 45

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CR - The Royal College of Pathologists 314-008-052

Guidelines on autopsy practice RCPath September 2002 46

A4 Notification of infectious diseases =

^QKN= qÜÉ=åçíáÑá~ÄäÉ=ÇáëÉ~ëÉë=~êÉW=

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====

CR - The Royal College of Pathologists 314-008-053

Guidelines on autopsy practice RCPath September 2002 47

A5 Minimum datasets and best practice for examinations and reports on internal organs

qÜÉ= ÑçääçïáåÖ= çêÖ~å= ëóëíÉãë= ëÜçìäÇ= ÄÉ= Éñ~ãáåÉÇ= ~åÇ= ÅçããÉåíÉÇ= ìéçåK= fÑ= ~å= çêÖ~å= çê=ëóëíÉã=áë=åçí=Éñ~ãáåÉÇI=íÜáë=ëÜçìäÇ=ÄÉ=åçíÉÇK===

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CR - The Royal College of Pathologists 314-008-054

Guidelines on autopsy practice RCPath September 2002 48

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===

CR - The Royal College of Pathologists 314-008-055

Guidelines on autopsy practice RCPath September 2002 49

A6 Guidelines for autopsy investigation of fetal and perinatal death =

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• ^í=äÉ~ëí=çåÉ=ÄäçÅâ=çÑ=~ää=ã~àçê=íÜçê~ÅáÅ=~åÇ=~ÄÇçãáå~ä=çêÖ~åë=EêáÖÜí=~åÇ=äÉÑí=äìåÖëI=ÜÉ~êíI=äáîÉêI=âáÇåÉóI=íÜóãìëI=~ÇêÉå~äë=~åÇ=é~åÅêÉ~ëF=

• `çëíçÅÜçåÇê~ä=àìåÅíáçå=EçîÉê=OQ=ïÉÉâëÛ=ÖÉëí~íáçåF=

• ^ÇÉèì~íÉ=ë~ãéäáåÖ=çÑ=Äê~áå=Eî~êáÉë=ïáíÜ=Å~ëÉW=ãáåáãìã=çÑ=çåÉ=ÄäçÅâ=Ñêçã=ÜáåÇ=Äê~áå=~åÇ=çåÉ=Ñêçã=ÅÉêÉÄê~ä=ÜÉãáëéÜÉêÉëF=

• ^ÇÉèì~íÉ=ë~ãéäáåÖ=çÑ=éä~ÅÉåí~=EÅçêÇI=ãÉãÄê~åÉëI=ÑçÅ~ä=äÉëáçåëI=Öêçëëäó=åçêã~ä=é~êÉåÅÜóã~=íç=áåÅäìÇÉ=~ãåáçå=~åÇ=ÇÉÅáÇì~FK=

=

CR - The Royal College of Pathologists 314-008-056

Guidelines on autopsy practice RCPath September 2002 50

^SKR= péÉÅá~ä=éêçÅÉÇìêÉë=~åÇ=áåîÉëíáÖ~íáçåë=

• uJê~ó=ã~åÇ~íçêó=Ñçê=ëìëéÉÅíÉÇ=ëâÉäÉí~ä=Çóëéä~ëá~=~åÇ=ãìäíáéäÉ=ã~äÑçêã~íáçåë==

• mÜçíçÖê~éÜó=ã~åÇ~íçêó=Ñçê=ÇóëãçêéÜáÅ=ÑÉíìëÉë=~åÇ=Ä~ÄáÉë=ïáíÜçìí=~åíÉJãçêíÉã=Çá~ÖåçëáëX=~ÇîáëÉÇ=Ñçê=çíÜÉê=Öêçëë=~Äåçêã~äáíáÉë=

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• píçê~ÖÉ=çÑ=ÑáÄêçÄä~ëíëLÑêçòÉå=íáëëìÉLak^I=áÑ=ÅäáåáÅ~ääó=áåÇáÅ~íÉÇ=

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• e~Éã~íçäçÖóI=áÑ=ÅäáåáÅ~ääó=áåÇáÅ~íÉÇ=

• kÉìêçé~íÜçäçÖóI=áÑ=ÅäáåáÅ~ä=çê=ê~ÇáçäçÖáÅ~ä=ÉîáÇÉåÅÉ=çÑ=`kp=é~íÜçäçÖó=çê=íÜÉ=Äê~áå=~ééÉ~êë=~Äåçêã~ä=çå=ÉñíÉêå~ä=Éñ~ãáå~íáçåK=

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• ^ííÉåÇ~åÅÉ=çÑ=ÅäáåáÅá~å=

• `äáåáÅ~ä=Üáëíçêó=

• póëíÉã~íáÅ=ÇÉëÅêáéíáçå=çÑ=ÉñíÉêå~äI=áåíÉêå~ä=~åÇ=éä~ÅÉåí~ä=Éñ~ãáå~íáçå=~åÇ=êÉëìäíë=çÑ=uJê~óë=~åÇ=çíÜÉê=~åÅáää~êó=áåîÉëíáÖ~íáçåë=

• pìãã~êó=çÑ=ã~àçê=ÑáåÇáåÖë=áåÅäìÇáåÖ=ëÉñ=~åÇ=~éé~êÉåí=ÖÉëí~íáçåI=Éëíáã~íÉÇ=íáãáåÖ=çÑ=ÇÉ~íÜ=áå=Ä~ÄáÉë=Äçêå=ÇÉ~ÇI=~ÇÉèì~Åó=çÑ=ÖêçïíÜ=~åÇ=åìíêáíáçåI=éêÉëÉåÅÉL~ÄëÉåÅÉ=çÑ=ÅçåÖÉåáí~ä=~Äåçêã~äáíáÉëI=ã~àçê=é~íÜçäçÖáÅ~ä=äÉëáçåëI=ÉîáÇÉåÅÉ=çÑ=ÅÜêçåáÅ=ëíêÉëë=çê=ÇáëÉ~ëÉ=éêáçê=íç=ÇÉ~íÜI=éä~ÅÉåí~ä=Éñ~ãáå~íáçå=

• `çããÉåí~êó=~ÇÇêÉëëáåÖ=íÜÉ=ÅäáåáÅ~ä=èìÉëíáçåë=~åÇ=ëáÖåáÑáÅ~åÅÉ=çÑ=é~íÜçäçÖáÅ~ä=ÑáåÇáåÖë=

• jçÇÉLÅ~ìëÉ=çÑ=ÇÉ~íÜ==

• oÉÅçêÇ=çÑ=éÜçíçÖê~éÜë=~åÇ=~åó=ë~ãéäÉë=êÉí~áåÉÇ=

• oÉÅçêÇ=çÑ=Çáëéçë~ä=çÑ=~åó=íáëëìÉë=çê=ë~ãéäÉë=

• ^=éêçîáëáçå~ä=êÉéçêí=çå=íÜÉ=ã~ÅêçëÅçéáÅ=ÑáåÇáåÖë=ëÜçìäÇ=ÄÉ=áëëìÉÇ=ïáíÜáå=OQÓQU=Üçìêë=çÑ=íÜÉ=~ìíçéëóI=ïáíÜ=íÜÉ=ÜáëíçäçÖó=~åÇ=ÑìêíÜÉê=áåîÉëíáÖ~íáçåë=áåÅçêéçê~íÉÇ=áåíç=~=Ñáå~ä=êÉéçêí=ïÜÉå=~î~áä~ÄäÉ=

• qáãÉäó=Çáëé~íÅÜ=íç=ÅäáåáÅá~åë=ïáíÜ=é~êíáÅìä~ê=êÉÑÉêÉåÅÉ=íç=íÜÉ=íáãáåÖ=çÑ=éçëíå~í~ä=~ééçáåíãÉåíëK=

===

CR - The Royal College of Pathologists 314-008-057

Guidelines on autopsy practice RCPath September 2002 51

A7 Guidelines for autopsy investigation in post-neonatal infant deaths or sudden unexpected deaths in infancy

=jçëí= çÑ= íÜÉëÉ= Éñ~ãáå~íáçåë=ïáää= ÄÉ= ~ìíÜçêáëÉÇ= Äó=ej=`çêçåÉê= çê= íÜÉ= mêçÅìê~íçê= cáëÅ~äI=ïáíÜ= ïÜçã= ~ää= éêçÅÉÇìêÉëI= ë~ãéäáåÖ= ~åÇ= êÉíÉåíáçå= çÑ= íáëëìÉë= ãìëí= ÄÉ= ÉñéäáÅáíäó= ~ÖêÉÉÇK=m~êÉåí~ä=ÅçåëÉåí=áë=êÉèìáêÉÇ=Ñçê=~åó=~ÇÇáíáçå~ä=éêçÅÉÇìêÉ=çê=Ñçê=íÜÉ=ìëÉ=çÑ=íáëëìÉI=ÄäçÅâë=~åÇ=ëäáÇÉë=Ñçê=êÉëÉ~êÅÜK=m~êÉåíë=ëÜçìäÇ=ÄÉ=áåÑçêãÉÇ=çÑ=~åó=íáëëìÉ=çê=çêÖ~å=êÉí~áåÉÇK=qÜÉó=ëÜçìäÇ=ÄÉ= çÑÑÉêÉÇ= íÜÉ= çééçêíìåáíó= çÑ= êÉíìêåI= áÑ= éçëëáÄäÉI= çÑ= ~åó= çêÖ~åë= êÉí~áåÉÇ= ïÜÉå= íÜÉ=áåîÉëíáÖ~íáçå=áë=ÅçãéäÉíÉK==qÜÉ= oÉí~áåÉÇ= lêÖ~åë= `çããáëëáçå= áë= éêÉé~êáåÖ= ~= Åçåëìäí~íáçå= ÇçÅìãÉåí= êÉÖ~êÇáåÖ= íÜÉ=ëí~íìë= çÑ= ÄäçÅâë= ~åÇ= ëäáÇÉëK= qÜÉ= `çääÉÖÉÛë= îáÉï= áë= íÜ~í= íÜÉ= êÉíìêå= çÑ= ÄäçÅâë= ~åÇ= ëäáÇÉë=éêÉîÉåíë= êÉJÉî~äì~íáçå=çÑ=~=ÇÉ~íÜ= ëÜçìäÇ= ÑìêíÜÉê= áåÑçêã~íáçåI=çÑ=ïÜ~íÉîÉê=å~íìêÉI=ÄÉÅçãÉ=~î~áä~ÄäÉI=~åÇ=éêÉîÉåíë=~ìÇáí=çÑ= íÜÉ=èì~äáíó=çÑ= ëÉêîáÅÉë=éêçîáÇÉÇ= íç= íÜÉ=`çêçåÉêW= êÉíìêå=çÑ=íÜáë=ã~íÉêá~ä=áë=åçí=ëìééçêíÉÇK==qÜÉ= ÑçääçïáåÖ= ÖìáÇÉäáåÉë= ~ééäó= é~êíáÅìä~êäó= íç= ëìÇÇÉå= ìåÉñéÉÅíÉÇ= ÇÉ~íÜë= áå= íÜÉ= Ñáêëí= óÉ~ê==çÑ=äáÑÉK=

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• k~ãÉ=çÑ=ãçíÜÉê=

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• aÉí~áäÉÇ=ÜáëíçêóI=íç=áåÅäìÇÉ=ÇÉí~áäë=çÑ=éêÉÖå~åÅó=~åÇ=ÇÉäáîÉêóI=éçëí=å~í~ä=ÜáëíçêóI=~åíÉJãçêíÉã=Üáëíçêó=~åÇ=éêÉÅáëÉ=ÅáêÅìãëí~åÅÉë=çÑ=ÇÉ~íÜK=oÉäÉî~åí=ÇÉí~áäë=ïçìäÇ=áåÅäìÇÉ=ÖÉëí~íáçå~ä=~ÖÉI=ÄáêíÜ=ïÉáÖÜíI=ÅçãéäáÅ~íáçåë=çÑ=ÇÉäáîÉêóI=ÑÉÉÇáåÖI=~åó=áääåÉëëÉë=çê=Üçëéáí~ä=~ííÉåÇ~åÅÉëI=áããìåáë~íáçåëI=ÇÉí~áäë=çÑ=ëáÄäáåÖëI=êÉÑÉêÉåÅÉ=íç=íÜÉ=ÅÜáäÇ=éêçíÉÅíáçå=êÉÖáëíÉêI=ÇêìÖ=ìëÉI=íáãÉ=ä~ëí=ëÉÉå=~äáîÉI=íáãÉ=ÑçìåÇ=ÇÉ~Ç=~åÇ=Äó=ïÜçãI=ïÜÉêÉ=ÑçìåÇI=ÅçJëäÉÉéáåÖI=ëí~íÉ=çÑ=ÄçÇó=ïÜÉå=ÑçìåÇ=Eï~êãI=ÅçäÇI=êáÖçêI=ÉíÅKF=~åÇ=~åó=êÉëìëÅáí~íáçåK==

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• tÉáÖÜí=Eíç=åÉ~êÉëí=Öê~ã=áÑ=ìåÇÉê=R=âÖF=

• jÉ~ëìêÉãÉåí=çÑ=ÜÉ~Ç=ÅáêÅìãÑÉêÉåÅÉI=ÅêçïåÓÜÉÉä=~åÇ=ÅêçïåÓêìãé=äÉåÖíÜë=

• dÉåÉê~ä=ëí~íÉ=çÑ=ÄçÇóW=ÅäçíÜáåÖI=åìíêáíáçåI=ÅäÉ~åäáåÉëë=

• oáÖçê=ãçêíáë=

• eóéçëí~íáÅ=ëí~áåáåÖ==

• pÉÅêÉíáçåë=çê=ÄäççÇ=~êçìåÇ=åçëÉ=~åÇ=ãçìíÜ=

• mÉíÉÅÜá~ä=Ü~ÉãçêêÜ~ÖÉë=çå=Ñ~ÅÉI=ÅçåàìåÅíáî~É=çê=çê~ä=ãìÅçë~=

• ^åó=ÉîáÇÉåÅÉ=çÑ=áåàìêó=Eê~ÇáçäçÖó=ã~åÇ~íçêó=áÑ=~åó=áåàìêó=éêÉëÉåíF==

• cìää=ÉñíÉêå~ä=ÇÉëÅêáéíáçå=íç=áåÅäìÇÉ=ÉóÉëI=É~êëI=ëÅ~äéI=Ñçåí~åÉääÉëI=åçëÉI=ãçìíÜ=~åÇ=ÑêÉåìäìã=çÑ=ìééÉê=äáéI=ÇáÖáíëI=ìãÄáäáÅìëI=~åìëI=ÖÉåáí~äá~=~åÇ=äáãÄë=

• aóëãçêéÜáëãK===

CR - The Royal College of Pathologists 314-008-058

Guidelines on autopsy practice RCPath September 2002 52

^TKP= fåíÉêå~ä=Éñ~ãáå~íáçå=

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CR - The Royal College of Pathologists 314-008-059

Guidelines on autopsy practice RCPath September 2002 53

• p~ãéäÉ=çÑ=ëâáå=çê=éÉêáÅ~êÇáìã=Ñçê=ÑáÄêçÄä~ëí=ÅìäíìêÉ=EíáëëìÉ=~åÇ=ãÉíÜçÇ=~ë=~ÇîáëÉÇ=Äó=äçÅ~ä=ä~Äçê~íçêóF=Ñçê=éçëëáÄäÉ=ãÉí~ÄçäáÅ=íÉëíë=~åÇ=~ë=~=ëçìêÅÉ=çÑ=ak^=

• _áçÅÜÉãáëíêó=EîáíêÉçìë=ÑäìáÇ=áÑ=ÉîáÇÉåÅÉ=çÑ=ÉKÖK=Çá~êêÜçÉ~I=ÇÉÜóÇê~íáçå=çê=ëìëéáÅáçå=çÑ=ë~äí=éçáëçåáåÖK=rêáåÉ=áÑ=~î~áä~ÄäÉ=ë~îÉÇ=Ñçê=ãÉí~ÄçäáÅ=áåîÉëíáÖ~íáçåë=çê=íçñáÅçäçÖóF==

• cêçòÉå=ë~ãéäÉ=çÑ=äáîÉê=~åÇ=âáÇåÉó=Ñçê=ÑêçòÉå=ëÉÅíáçå=Ñçê=Ñ~í=Eã~åÇ~íçêó=áå=~ää=ìåÉñéä~áåÉÇ=ìåÉñéÉÅíÉÇ=áåÑ~åí=ÇÉ~íÜë=ìåäÉëë=~åçíÜÉê=ëÅêÉÉåáåÖ=ãÉíÜçÇ=Ñçê=ÇáëçêÇÉêë=çÑ=Ñ~ííó=~ÅáÇ=çñáÇ~íáçå=áë=ìëÉÇFK=

• `çåëáÇÉê=ë~îáåÖ=ë~ãéäÉë=Ñçê=áããìåçäçÖóI=íçñáÅçäçÖó=~åÇ=ÖÉåÉíáÅ=áåîÉëíáÖ~íáçåë=EÉKÖK=ëíçê~ÖÉ=çÑ=éÉêáÅ~êÇáìã=Ñçê=íáëëìÉ=ÅìäíìêÉ=~åÇ=ëéäÉÉå=Ñçê=ÑìíìêÉ=ak^=ëíìÇáÉëFK==

=qÜÉ= êÉéçêí= ëÜçìäÇ= áåÅäìÇÉ= ÇÉí~áäë= çÑ= ~åó= ë~ãéäÉë= âÉéí= ~åÇ= áåëíêìÅíáçåë= Ñçê= íÜÉáê= ÑìêíÜÉê=êÉíÉåíáçå=çê=Çáëéçë~äK=qÜÉ=Ñáå~ä=êÉéçêí=ëÜçìäÇ=ëìãã~êáëÉ=íÜÉ=ã~áå=é~íÜçäçÖáÅ~ä=ÑáåÇáåÖë=~åÇ=áåÅäìÇÉ= ~= ÅçããÉåí~êó= ~ÇÇêÉëëáåÖ= ~åó= ÅäáåáÅ~ä= èìÉëíáçåë= çê= çíÜÉê= ÅçåÅÉêåëK= m~íÜçäçÖáëíë=ëÜçìäÇ=~ëëáëí=~åó=ãìäíáÇáëÅáéäáå~êó=Å~ëÉ=êÉîáÉï=~åÇ=êÉÅçêÇ=íÜÉáê=~ííÉåÇ~åÅÉK=

===

CR - The Royal College of Pathologists 314-008-060

Guidelines on autopsy practice RCPath September 2002 54

A8 Neuropathological cases =A8.1 GENERAL

qÜÉ= ÑçääçïáåÖ= áë= ~= ëìãã~êó= çÑ= íÜÉ= ã~áå= éçáåíë= ïÜáÅÜ= ëÜçìäÇ= ÄÉ= åçíÉÇ= áå= ~ìíçéëáÉë=áåîçäîáåÖ= åÉìêçäçÖáÅ~äI= åÉìêçJëìêÖáÅ~äI= éëóÅÜá~íêáÅ= ~åÇ= ÉéáäÉéëó= ÇÉ~íÜëK= cìêíÜÉê= ÇÉí~áäë= ~êÉ=ÖáîÉå= áå= íÜÉ= _êáíáëÜ= kÉìêçé~íÜçäçÖáÅ~ä= pçÅáÉíóÛë= dìáÇÉäáåÉë= Ñçê= ÖççÇ= éê~ÅíáÅÉ= áå=åÉìêçé~íÜçäçÖóK=qÜáë=Åçåí~áåë=ãáåáãìã=Ç~í~ëÉíë=Ñçê=åÉìêçé~íÜçäçÖáÅ~ä=Éñ~ãáå~íáçå=áå=íÜÉ=ÑçääçïáåÖ=~êÉ~ëW=• ^äòÜÉáãÉêÛë=ÇáëÉ~ëÉ=• åçåJ^äòÜÉáãÉê=ÇÉãÉåíá~ë=• åÉìêçé~íÜçäçÖáÅ~ä=Å~ëÉë=ïáíÜ=~=ëáÖåáÑáÅ~åí=êáëâ=çÑ=áåÑÉÅíáçå=• éÉêáå~í~ä=åÉìêçé~íÜçäçÖó=• ëíêçâÉ=• `kp=íê~ìã~K=

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aáëçêÇÉêë= çÑ= ëâÉäÉí~ä= ãìëÅäÉ= ~åÇ= éÉêáéÜÉê~ä= åÉêîÉ= ÇáëçêÇÉêë= ã~ó= êÉèìáêÉ= ÅçãéäÉñ=ÜáëíçÅÜÉãáëíêó=çÑ=ëå~é=ÑêçòÉå=íáëëìÉë=~åÇ=ÉäÉÅíêçå=ãáÅêçëÅçéóK==

pìêÖÉçåë= çê= áåíÉêîÉåíáçå~ä= ê~ÇáçäçÖáëíë= ëÜçìäÇ= ÄÉ= áåîáíÉÇ= íç= çÄëÉêîÉ= çê= é~êíáÅáé~íÉ= áå=ÇáëëÉÅíáçåI=ïÜÉêÉ=~ééêçéêá~íÉK==

=^UKNKN== bñíÉêå~ä=Éñ~ãáå~íáçå=

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=^UKNKO== eáëíçäçÖó=çÑ=êÉä~íÉÇ=íáëëìÉë=

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=^UKNKP== aáëëÉÅíáçå=çÑ=íÜÉ=åÉÅâ=

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=^UKNKQ== bñ~ãáå~íáçå=çÑ=ëâìää=~åÇ=Äê~áå==

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Éëíáã~íÉ=çÑ=áíë=íÜáÅâåÉëë=ëÜçìäÇ=ÄÉ=ã~ÇÉK=• péÉÅá~ä=íÉÅÜåáèìÉë=ã~ó=ÄÉ=åÉÉÇÉÇ=Ñçê=Éñ~ãáå~íáçå=çÑ=íÜÉ=éçëíÉêáçê=Ñçëë~=çê=ìééÉê=

ëéáå~ä=ÅçêÇI=ÉKÖK=ÅìííáåÖ=~=ïÉÇÖÉ=Ñêçã=íÜÉ=çÅÅáéìí=ÅçãÄáåÉÇ=ïáíÜ=ä~ãáåÉÅíçãóK=• eóÇêçÅÉéÜ~äìë=ã~ó=êÉèìáêÉ=áå=ëáíì=Éñ~ãáå~íáçå=ïáíÜ=êÉãçî~ä=çÑ=íÜÉ=ìééÉê=îÉêíÉÄê~ä=

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= = `~êÉÑìä=êÉÅçåëíêìÅíáçå=áë=ÉëëÉåíá~ä=áÑ=~=ë~íáëÑ~Åíçêó=ÅçëãÉíáÅ=êÉëìäí=áë=íç=ÄÉ=çÄí~áåÉÇK==^UKNKR= mêÉäáãáå~êó=áåëéÉÅíáçå=çÑ=íÜÉ=Äê~áå==

• qÜÉ=Äê~áå=ëÜçìäÇ=åçí=ÄÉ=ëäáÅÉÇ=ÄÉÑçêÉ=Ñáñ~íáçåK=`~êÉÑìä=ã~ÅêçëÅçéáÅ=Éñ~ãáå~íáçå=ïáää=çÑíÉå=éêçîáÇÉ=áåÑçêã~íáçå=Ñçê=~=éêÉäáãáå~êó=Å~ìëÉ=çÑ=ÇÉ~íÜK=

• cêÉëÜ=ë~ãéäÉë=ëÜçìäÇ=ÄÉ=í~âÉå=Ñçê=ãáÅêçÄáçäçÖóI=îáêçäçÖó=çê=åÉìêçÅÜÉãáëíêó=~ë=åÉÉÇÉÇK=aáêÉÅí=ëãÉ~êë=çê=~ëéáê~íáçå=ÅóíçäçÖó=ã~ó=~ëëáëí=íìãçìê=Çá~ÖåçëáëK=

• aáëëÉÅíáçå=çÑ=íÜÉ=`áêÅäÉ=çÑ=táääáë=~åÇ=~êíÉêáÉë=éêáçê=íç=Ñáñ~íáçå=áë=êÉÅçããÉåÇÉÇ=Ñçê=íÜÉ=áÇÉåíáÑáÅ~íáçå=çÑ=~åÉìêóëãë=

CR - The Royal College of Pathologists 314-008-061

Guidelines on autopsy practice RCPath September 2002 55

• pìëéÉåëáçå=çÑ=íÜÉ=Äê~áå=áå=NMB=Ñçêã~ä=ë~äáåÉ=Ñçê=PÓQ=ïÉÉâë=áë=ÉëëÉåíá~äI=ïáíÜ=ïÉÉâäó=ÅÜ~åÖÉë=çÑ=Ñáñ~íáîÉK=qÜÉ=ëéáå~ä=ÅçêÇ=ëÜçìäÇ=ÄÉ=ëìëéÉåÇÉÇ=îÉêíáÅ~ääó=áÑ=éçëëáÄäÉK=

=^UKNKS= aáëëÉÅíáçå==

• tÜáäÉ=Åçêçå~ä=ëÉÅíáçåáåÖ=çÑ=íÜÉ=ÅÉêÉÄê~ä=ÜÉãáëéÜÉêÉë=áë=íê~Çáíáçå~äI=ãáÇäáåÉ=ë~Öáíí~ä=çê=~ñá~ä=éä~åÉë=ã~ó=ÜÉäé=ÅçêêÉä~íáçå=ïáíÜ=`q=ëÅ~å=çê=ã~ÖåÉíáÅ=êÉëçå~åÅÉ=áã~ÖÉëK=qÜÉ=Äê~áå=ëíÉã=áë=ìëì~ääó=ëÉÅíáçåÉÇ=Åçêçå~ääó=~åÇ=íÜÉ=ÅÉêÉÄÉääìã=ë~Öáí~ääóI=Äìí=ÄçíÜ=ã~ó=ÄÉ=ëÉÅíáçåÉÇ=~ñá~ääóK=

• oçìíáåÉ=ÄäçÅâë=ëÜçìäÇ=åçêã~ääó=áåÅäìÇÉ=Çìê~I=Ñêçåí~äI=íÉãéçê~äI=é~êáÉí~äI=çÅÅáéáí~äI=Ä~ë~ä=Ö~åÖäá~I=íÜ~ä~ãáÅ=åìÅäÉáI=ÜáééçÅ~ãéáI=ã~ããáää~êó=ÄçÇáÉëI=Åçêéìë=Å~ääçëìãI=ÅÉêÉÄê~ä=ïÜáíÉ=ã~ííÉêI=ÅÉêÉÄÉääìã=EáåÅäìÇáåÖ=ÇÉåí~íÉ=åìÅäÉìëFI=ãáÇJÄê~áåI=éçåë=~åÇ=ãÉÇìää~K=få=Å~ëÉë=áå=ïÜáÅÜ=íÜÉ=é~íÜçäçÖó=áë=äáãáíÉÇ=íç=~=é~êíáÅìä~ê=é~êí=çÑ=íÜÉ=Äê~áåI=ÜáëíçäçÖáÅ~ä=ë~ãéäáåÖ=ã~ó=ÄÉ=ãçêÉ=êÉëíêáÅíÉÇK=

=A8.2 DEATHS IN EPILEPSY

qÜÉëÉ=ÇÉ~íÜë=~êÉ=~äãçëí=~äï~óë=éÉêÑçêãÉÇ=Ñçê=~=`çêçåÉê=çê=mêçÅìê~íçê=cáëÅ~äK==^UKOKN== ^ìíçéëó=Éñ~ãáå~íáçå=

aìêáåÖ= íÜÉ=~ìíçéëó=Éñ~ãáå~íáçåI= áå=~ÇÇáíáçå= íç=~= ÅçãéäÉíÉ=ã~ÅêçëÅçéáÅ= Éñ~ãáå~íáçåI= íÜÉ=ÑçääçïáåÖ=ëÜçìäÇ=ÄÉ=ÇçÅìãÉåíÉÇ=áåÅäìÇáåÖ=~å=~ééêçéêá~íÉ=ëí~íÉãÉåí=ïÜÉå=~ÄëÉåíW=• ÉîáÇÉåÅÉ=çÑ=íê~ìã~=~åÇ=~ëéÜóñá~=• áåÇáêÉÅí=ÉîáÇÉåÅÉ=éçáåíáåÖ=íç=ëÉáòìêÉ=~Åíáîáíó=~êçìåÇ=íÜÉ=íáãÉ=çÑ=ÇÉ~íÜI=ëìÅÜ=~ë=íçåÖìÉ=

ÄáíÉ=ã~êâë=• Ñìää=Éñ~ãáå~íáçå=çÑ=ÜÉ~êí=~åÇ=äìåÖë=ïáíÜ=ÜáëíçäçÖóI=íÜÉêÉÄó=ÉñÅäìÇáåÖ=~=éêáã~êó=

Å~êÇáçêÉëéáê~íçêó=Å~ìëÉ=Ñçê=ÇáëÉ~ëÉ=• ÄäççÇ=~åÇ=ìêáåÉ=äÉîÉäë=çÑ=~åíáJÉéáäÉéíáÅ=ÇêìÖëI=ÉíÜ~åçä=~åÇ=êÉÅêÉ~íáçå~ä=ÇêìÖëK=

qÜÉ=Äê~áå=ëÜçìäÇ=ÄÉ=Éñ~ãáåÉÇ=~ÑíÉê=Ñáñ~íáçåI=áåÅäìÇáåÖ=ëóëíÉã~íáÅ=Éñ~ãáå~íáçå=Äó=ÜáëíçäçÖóI=íç=Éëí~ÄäáëÜ=çê=ÉñÅäìÇÉ=~åó=~å~íçãáÅ=Å~ìëÉ=Ñçê=ÇáëÉ~ëÉK=

=^UKOKO= qÉêãë=Ñçê=ÅÉêíáÑáÅ~íáçå=çÑ=ÇÉ~íÜ=áå=ÉéáäÉéëó=

~K== ÚpìÇÇÉå=ìåÉñéÉÅíÉÇ=ÇÉ~íÜ=áå=ÉéáäÉéëóÛ=EprabmF==qÜÉ=ÇÉ~íÜ=áë=ëìÇÇÉåI=ìåÉñéÉÅíÉÇI=ïáíÜ=çê=ïáíÜçìí=ÉîáÇÉåÅÉ=çÑ=ëÉáòìêÉK=bñÅäìÇÉ=íê~ìã~I=ÇêçïåáåÖI=íçñáÅçäçÖáÅ~ä=Å~ìëÉë=~åÇ=ÉîáÇÉåí=ãçêÄáÇ=~å~íçãáÅ~ä=Å~ìëÉëK=qÜÉ=íÉêã=ÚpìÇÇÉå=ìåÉñéÉÅíÉÇ=ÇÉ~íÜ=áå=ÉéáäÉéëóÛI=èì~äáÑáÉÇ=~ÅÅçêÇáåÖ=íç=ÅäáåáÅ~ä=Üáëíçêó=~ë=ÚïáíåÉëëÉÇÛ=çê=ÚìåïáíåÉëëÉÇÛI=ã~ó=ÄÉ=ëìÖÖÉëíÉÇ=íç=íÜÉ=`çêçåÉê=ïÜÉêÉ=ÉîáÇÉåÅÉ=áåÇáÅ~íÉë=åç=çíÜÉê=Éñéä~å~íáçåK=

=

ÄK== Úpí~íìë=ÉéáäÉéíáÅìëÛ=qÜáë=ãìëí=ÄÉ=ÅäáåáÅ~ääó=ÇçÅìãÉåíÉÇK=pí~íìë=ÉéáäÉéíáÅìë=áë=~=ëéÉÅáÑáÅ=ÅäáåáÅ~ä=Éåíáíó=~åÇ=Å~ååçí=ÄÉ=~ëëìãÉÇ=Ñêçã=~=éçëíJãçêíÉã=Éñ~ãáå~íáçå=áå=íÜÉ=~ÄëÉåÅÉ=çÑ=ÖççÇ=ÅäáåáÅ~ä=ÇçÅìãÉåí~íáçåK=

=ÅK== ÚbéáäÉéëóJêÉä~íÉÇ=ÇÉ~íÜëÛ=

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CR - The Royal College of Pathologists 314-008-062

Guidelines on autopsy practice RCPath September 2002 56

A9 Maternal death

qÜÉ= ÑçääçïáåÖ= ëÉÅíáçåë= ~êÉ= Åçää~íÉÇ= ~åÇ= ~ãéäáÑáÉÇ= Ñêçã= íÜÉ= aÉé~êíãÉåí= çÑ= eÉ~äíÜ=`çåÑáÇÉåíá~ä= båèìáêáÉë= áåíç= j~íÉêå~ä= aÉ~íÜë= Ñçê= NVVQÓNVVS= ~åÇ= NVVTÓNVVVK= qÜÉó=ëìãã~êáëÉ=íÜÉ=ãçëí=áãéçêí~åí=é~íÜçäçÖáÅ~ä=~ëéÉÅíë=çÑ=íÜÉ=ã~íÉêå~ä=ÇÉ~íÜ=~ìíçéëóK==m~íÜçäçÖáëíë=ïÜç=éÉêÑçêã=~ìíçéëáÉë=çå=ïçãÉå=ïÜç=~êÉ=éêÉÖå~åí=çê=ïÜç=ïÉêÉ=âåçïå= íç=Ü~îÉ=ÄÉÉå=éêÉÖå~åí=ïáíÜáå=~=óÉ~ê=çÑ=ÇÉ~íÜ=ëÜçìäÇ=Åçåí~Åí=íÜÉ=äÉ~Ç=ÅäáåáÅá~å=íç=ÅÜÉÅâ=íÜ~í=íÜÉ=Å~ëÉ=Ü~ë=ÄÉÉå=êÉéçêíÉÇK=`äáåáÅ~ä= áåÑçêã~íáçå=Ñçê=íÜÉ=båèìáêáÉë= áë=ëçãÉíáãÉë= áåÅçãéäÉíÉI=ëç=é~íÜçäçÖáëíë= ëÜçìäÇ=éêçîáÇÉ= ~= êÉîáÉï=çÑ= íÜÉ= ÅäáåáÅ~ä= Üáëíçêó= áå= íÜÉ= êÉéçêíëI= ~äçåÖ=ïáíÜ= íÜÉ=ÜÉáÖÜí= ~åÇ=ïÉáÖÜí= çÑ= íÜÉ= é~íáÉåíK= cäìáÇ= Ä~ä~åÅÉ= ëÜçìäÇ= ÄÉ= åçíÉÇ= ~åÇ= ÅçêêÉä~íÉÇ=ïáíÜ= íÜÉ=é~íÜçäçÖóK===^ää=Å~ëÉë=ëÜçìäÇ=Ü~îÉ=~ää=íÜÉ=ã~àçê=çêÖ~åë=ë~ãéäÉÇ=Ñçê=Üáëíçé~íÜçäçÖóI=áåÅäìÇáåÖ=íÜÉ=ìíÉêìëK=qÜÉ= ~ÄëçäìíÉ= ãáåáãìã= áë= äìåÖëI= ÜÉ~êíI= âáÇåÉóI= äáîÉêI= Äê~áåI= éä~ÅÉåí~ä= ëáíÉK= péÉÅáÑáÅ=ÜáëíçäçÖáÅ~ä=éçáåíë=~êÉ=åçíÉÇ=áå=êÉä~íáçå=íç=íÜÉ=ã~áå=ÅäáåáÅçé~íÜçäçÖáÅ~ä=é~ííÉêåë=çÑ=ã~íÉêå~ä=ãçêí~äáíóK=

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bñÅäìÇÉ=tÉêåáÅâÉÛë=ÉåÅÉéÜ~äçé~íÜóK==^VKT== béáäÉéëó=

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CR - The Royal College of Pathologists 314-008-063

Guidelines on autopsy practice RCPath September 2002 57

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====

CR - The Royal College of Pathologists 314-008-064

Guidelines on autopsy practice RCPath September 2002 58

A10 Forensic examinations ^NMKN== qÜÉ= éê~ÅíáÅÉ= çÑ= ÑçêÉåëáÅ= é~íÜçäçÖó= áë= ÅçåëáÇÉêÉÇ= íç= ÅçãéêáëÉ= ÄçíÜ= åçåJëìëéáÅáçìë= ÇÉ~íÜë=

ïÜÉêÉ= ~= éçëíJãçêíÉã= Éñ~ãáå~íáçå= áë= êÉèìÉëíÉÇ= Äó= ej= `çêçåÉê= ~åÇ= ëìëéáÅáçìë= ÇÉ~íÜë=ïÜÉêÉ=~=éçëíJãçêíÉã=Éñ~ãáå~íáçå=ìåÇÉê=íÜÉ=~ìëéáÅÉë=çÑ=ej=`çêçåÉê=áë=éÉêÑçêãÉÇ=ïáíÜ=~=îáÉï=íç=éêçîáÇáåÖ=ÉîáÇÉåÅÉ=Ñçê=~=Åêáãáå~ä=áåîÉëíáÖ~íáçåK=^=ÇÉé~êíãÉåí=çÑ=ÑçêÉåëáÅ=é~íÜçäçÖó=ëÜçìäÇ=Ü~îÉ=É~ëó=~ÅÅÉëë=íç=ÇÉé~êíãÉåíë=çÑ=~ää=çíÜÉê=Äê~åÅÜÉë=çÑ=é~íÜçäçÖóI=~=ÇÉé~êíãÉåí=çÑ=ê~ÇáçäçÖó=~åÇ=~= ÑçêÉåëáÅ= ëÅáÉåÅÉ= ä~Äçê~íçêóK=tÜÉêÉ=éçëëáÄäÉI= ~ää= íÜÉëÉ=ÇÉé~êíãÉåíë= ëÜçìäÇ=ÅçåÑçêã= íç= íÜÉ= ÅçÇÉ=çÑ=éê~ÅíáÅÉ= ëÉí=çìí=Äó= íÜÉ=~ééêçéêá~íÉ=ãÉÇáÅ~ä= êçó~ä= ÅçääÉÖÉ=çê=çíÜÉê=ëìéÉêîáëáåÖ=ÄçÇóK=

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=^NMKQ= fí= ã~ó= ÄÉ= íÜ~í= íÜÉ= ÑçêÉåëáÅ= é~íÜçäçÖáëí= ïáää= Ü~îÉ= íç= éÉêÑçêã= éçëíJãçêíÉã= Éñ~ãáå~íáçåë=

ïáíÜáå=~=ãçêíì~êó=ïáíÜ=íÜÉ=ÚéêçîáÇÉêëÛ=çÑ=ïÜáÅÜ=Ó=ÄÉ=íÜÉó=kep=qêìëí=çê=äçÅ~ä=~ìíÜçêáíó=Ó=ÜÉ=çê= ëÜÉ= Ü~ë= åç= Ñçêã~ä= Åçåíê~Åí= çÑ= ÉãéäçóãÉåíK= fí= áë= åçí= ìåêÉ~ëçå~ÄäÉI= ÜçïÉîÉêI= Ñçê= íÜÉ=ÑçêÉåëáÅ=é~íÜçäçÖáëí=íç=ÄÉ=ë~íáëÑáÉÇ=íÜ~í=íÜçëÉ=ãçêíì~êáÉë=áå=ïÜáÅÜ=ÜÉ=çê=ëÜÉ=ã~ó=ïçêâ=~êÉ=ÉèìáééÉÇ=íçI=~åÇ=Ü~îÉ=ïçêâáåÖ=éê~ÅíáÅÉë=Ñìääó=çÄëÉêî~åí=çÑI=ëí~åÇ~êÇë=ëÉí=çìí=áå=íÜÉ=ep^`Ûë=p~ÑÉ=ïçêâáåÖ= ÇçÅìãÉåí= ~åÇI= áÑ= åçí= ëç= ë~íáëÑáÉÇI= íç=ã~âÉ= ÅçåÅÉêåë=âåçïå= íç= íÜÉ=`çêçåÉê=íÜ~í=ëìÅÜ=~=ãçêíì~êó=áë=åçí=~=ëìáí~ÄäÉ=éä~ÅÉ=Ñçê=íÜÉ=éê~ÅíáÅÉ=çÑ=éçëíJãçêíÉã=é~íÜçäçÖóK=

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~í= ~= éçëíJãçêíÉã= Éñ~ãáå~íáçå= ~åÇI= íÜÉêÉÑçêÉI= ëÜçìäÇ= ÅçåÑçêã= íç= íÜÉ= ÜÉ~äíÜ= ~åÇ= ë~ÑÉíó=éêçÅÉÇìêÉë=Éñí~åí=áå=íÜÉ=ãçêíì~êó=ïÜÉêÉ=íÜ~í=Éñ~ãáå~íáçå=éêçÅÉÉÇëW=ïÜÉêÉ=åç=ëìÅÜ=éçäáÅó=áë=áå=ÉñáëíÉåÅÉI=íÜÉ=ÑçêÉåëáÅ=é~íÜçäçÖáëí=ëÜçìäÇ=áåëáëí=ìéçå=ÇÉãçåëíê~íáçå=çÑ=íÜÉ=~ÇÉèì~Åó=çÑ=íÜÉ=Ñ~ÅáäáíáÉë=Ñçê=ë~ÑÉ=éçëíJãçêíÉã=Éñ~ãáå~íáçå=~åÇI=áÑ=åçí=~ëëìêÉÇ=çÑ=íÜÉáê=éêÉëÉåÅÉI=ëÜçìäÇ=êÉÑìëÉ=íç=ÅçåÇìÅí=íÜÉ=Éñ~ãáå~íáçå=~í=íÜ~í=ãçêíì~êóK=

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ÑçêÉåëáÅ=é~íÜçäçÖáëí=íÜ~å=áí=áë=íç=~åó=çíÜÉê=Äê~åÅÜ=çÑ=é~íÜçäçÖóW=íÜÉ=ÜÉ~Ç=çÑ=~=ÇÉé~êíãÉåí=çÑ=ÑçêÉåëáÅ=é~íÜçäçÖó=ëÜçìäÇ=ÉåëìêÉ=íÜ~í=íÜ~í=~ÅÅÉëë= áë=éêçîáÇÉÇ=~åÇ=íÜ~íI=ïÜÉêÉ=~ééêçéêá~íÉI=íÜ~í=äáíÉê~íìêÉ=áë=ÅçåëìäíÉÇ=íç=ëìÄëí~åíá~íÉ=çéáåáçåë=ÉñéêÉëëÉÇK=

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ìåÇÉê= ÚÅçåíê~ÅíÛ=ïáíÜ=~=éçäáÅÉ= ÑçêÅÉI=Äìí= íÜÉ= ÑçêÉåëáÅ=é~íÜçäçÖáëí=ãìëí=åçí=~Åí= áå=~åó=ï~ó=íÜ~í=áë=åçí=áå=~ÅÅçêÇ~åÅÉ=ïáíÜ=íÜÉ=dj`Ûë=dççÇ=jÉÇáÅ~ä=mê~ÅíáÅÉ=åçê=áå=~åó=ï~ó=ïÜáÅÜ=ã~ó=ÄÉ=êÉÖ~êÇÉÇ=~ë=~=Ñ~áäìêÉ=íç=~ÅâåçïäÉÇÖÉ=íÜ~í=íÜÉ=é~íÜçäçÖáëíÛë=éêáã~êó=Çìíó=áë=íç=íÜÉ=ÅçìêíI=ê~íÜÉê=íÜ~å=íç=~åó=é~êíó=íç=Åçìêí=éêçÅÉÉÇáåÖëK=fí=áë=ÉñéÉÅíÉÇ=íÜ~í=~=ÇÉé~êíãÉåí=ëÜ~ää=Ü~îÉ=áå=

CR - The Royal College of Pathologists 314-008-065

Guidelines on autopsy practice RCPath September 2002 59

éä~ÅÉ=~=ãÉÅÜ~åáëã=Äó=ïÜáÅÜ=ÇáÑÑáÅìäíáÉë=ÉåÅçìåíÉêÉÇ=áå=íÜÉáê=êÉä~íáçåëÜáéë=ïáíÜ=ãçêíì~êáÉëI=`çêçåÉêë=~åÇ=éçäáÅÉ=ÑçêÅÉë=ïáíÜ=ïÜçã=íÜÉó=ã~ó=ïçêâ=Å~å=ÄÉ=~ÇÇêÉëëÉÇ=~åÇ=êÉëçäîÉÇK=

=^NMKU= qÜÉ= êÉëéçåëáÄáäáíáÉë= çÑ= íÜÉ= ÑçêÉåëáÅ= é~íÜçäçÖáëí= áå= êÉÖ~êÇ= íç= ÅäáåáÅ~ä= ÖçîÉêå~åÅÉI= èì~äáíó=

~ëëìê~åÅÉ= ~åÇ= êÉëÉ~êÅÜ= ~êÉ= åç= ÇáÑÑÉêÉåí= áå= âáåÇ= Ñêçã= íÜçëÉ= çÑ= íÜÉ= Üáëíçé~íÜçäçÖáëíK= qÜÉ=ÑçêÉåëáÅ=é~íÜçäçÖáëí=ã~ó=ÄÉ=ÄÉííÉê=éä~ÅÉÇ=íç=éêçîáÇÉ=íê~áåáåÖ=áå=éçëíJãçêíÉã=éê~ÅíáÅÉ=íç=~ää=íÜçëÉ=éÉêëçåë=ïÜç=ã~ó=ÄÉ=ÅçåÅÉêåÉÇ=ïáíÜ= ëìÅÜ=éê~ÅíáÅÉI=ÄÉ= íÜÉó=é~íÜçäçÖáëíë= áå= íê~áåáåÖI=ãçêíì~êó=~ëëáëí~åíë=çê=ëÅÉåÉJçÑJÅêáãÉ=çÑÑáÅÉêëI=~åÇ=~=ÇÉé~êíãÉåí=ãìëí=ÄÉ=ïáääáåÖ=íç=éêçîáÇÉ=ëìÅÜ=íê~áåáåÖK=tÜÉêÉ=íÜÉ=ÑçêÉåëáÅ=é~íÜçäçÖáëí=éêçîáÇÉë=ëìÅÜ=íê~áåáåÖ=Ñçê=íê~áåÉÉ=é~íÜçäçÖáëíë=~åÇ=ãçêíì~êó=íÉÅÜåáÅá~åëI=íÜÉêÉ=ëÜçìäÇ=ÄÉ=~=Ñçêã~ä=ÚêÉÅçêÇ=çÑ=íê~áåáåÖÛ=ÇçÅìãÉåíáåÖ=ïÜ~í=íê~áåáåÖ=Ü~ë=ÄÉÉå=ÖáîÉå=~åÇ=ïÜÉå=~=ë~íáëÑ~Åíçêó=äÉîÉä=çÑ=éêçÑáÅáÉåÅó=Ü~ë=ÄÉÉå=~íí~áåÉÇK==

===

CR - The Royal College of Pathologists 314-008-066

Guidelines on autopsy practice RCPath September 2002 60

A11 Sickle cell disease =

dìáÇÉäáåÉë=Ñçê=éÉêÑçêãáåÖ=ëáÅâäÉ=~åÇ=ëáÅâäÉJíê~áí=~ìíçéëáÉë=

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^NNKV= aáëíáåÖìáëÜ= ÄÉíïÉÉå= éçëíJãçêíÉã= ëáÅâäáåÖ= EeÄpp= ~åÇ= eÄ^p= ÅÉääë= Å~å= Çç= íÜáëF= ~åÇ= éêÉJãçêíÉã=ëáÅâäáåÖK=

^NNKNM= qÜÉ= ÅäáåáÅ~ä= é~íÜçäçÖó= ëÜçìäÇ= ÄÉ= ÇáëÅìëëÉÇ= ïáíÜ= íÜÉ= ÅäáåáÅá~åëX= áÑ= íÜÉ= Å~ëÉ= áë= `çêçåá~äI= áí=ëÜçìäÇ=ÄÉ= ÉãéÜ~ëáëÉÇ= íç= íÜÉ=`çêçåÉê= íÜÉ= áãéçêí~åÅÉ=çÑ= ëÉÉâáåÖ=ÇÉí~áäÉÇ= ëí~íÉãÉåíë= Ñêçã=íÜÉ=ÅäáåáÅá~åë=íç=ÇÉíÉêãáåÉI=~ë=ÄÉëí=~ë=éçëëáÄäÉI=íÜÉ=ëÉèìÉåÅÉ=çÑ=ÉîÉåíë=íÜ~í=äÉÇ=íç=ÇÉ~íÜK=

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CR - The Royal College of Pathologists 314-008-067

Guidelines on autopsy practice RCPath September 2002 61

A12 Members of the Working Party on the Autopsy =

mêçÑÉëëçê=p_=iìÅ~ëI=dhq=pÅÜççä=çÑ=jÉÇáÅáåÉI=pí=qÜçã~ëÛ=eçëéáí~äI=içåÇçå==E`Ü~áê=~åÇ=pÉÅêÉí~êóF=

aê=`=`çêÄáëÜäÉóI=pí=dÉçêÖÉëÛ=eçëéáí~äI=içåÇçå=

aê=oa=pí~êíI=`ÜÉëíÉêÑáÉäÇ=eçëéáí~äI=aÉêÄóëÜáêÉ=

aê=p=iÉ~ÇÄÉ~ííÉêI=t~äÉë=fåëíáíìíÉ=çÑ=cçêÉåëáÅ=jÉÇáÅáåÉI=råáîÉêëáíó=çÑ=t~äÉë=`çääÉÖÉ=çÑ=jÉÇáÅáåÉI=`~êÇáÑÑ=

aê=g=j~ÅhÉåòáÉI=aÉé~êíãÉåí=çÑ=kÉìêçé~íÜçäçÖóI=^ÄÉêÇÉÉå=

mêçÑÉëëçê=g=_ÉêêóI=m~ÉÇá~íêáÅ=m~íÜçäçÖóI=_êáëíçä=

aê=o=_ìêåÉííI=tÉëíÉêå=fåÑáêã~êóI=dä~ëÖçï=

=September 2002

CR - The Royal College of Pathologists 314-008-068