Macroscopy and carving in the Pathological Anatomy laboratory

The Macroscopy and Carving course aimed at Pathological Anatomy technicians proposes a comprehensive training in this area of ​​Pathology in which the technicians acquire more and more responsibility and many even exclusive dedication.

Macroscopy begins the pathological diagnosis process. It is the basis that allows the selection and identification of lesions and abnormal processes that microscopy and additional techniques will complement until the diagnosis and final report.

It is a fundamental part of pathological anatomy, the first that was historically developed and something that maintains its essence apart from new technological advances that modulate other areas of pathology.

The course is taught almost exclusively by Pathological Anatomy Technicians. All have extensive experience in carving, which in some cases exceeds 15 years. They come from different hospitals, which allows integrating the general standards of carving to the particularities that are defined in each hospital. The course has a global vision and all surgical parts and varieties of biopsies are studied, with the idea that even the most complex lesions and parts can be learned by technicians and done with full responsibility, having adequate training and experience.

The approach is essentially practical and together with general notions of each topic, numerous videos are incorporated that reproduce real cases, and facilitate following the entire carving process in detail. The course places special emphasis on photography techniques that allow the registration of all cases, simplify the review in complex cases and provide an excellent way of quality control, if as better the traceability of the samples.

The incorporation of technicians to carving is something relatively recent and that is being implemented not only in our country but also in the European environment and in the rest of the developed world.

Therefore we think that the course offers good prospects for an easier job integration, and we trust that you will like it.


Who is it addressed to

Who is it addressed to:

Pathological Anatomy Technicians, Biologists and Pathological Anatomy Resident Physicians.

* Continuing education credits are not valid for resident physicians.


Registration open for the following school periods:


1st edition: from June 1, 2021 to August 29, 2021

2nd edition: from September 1, 2021 to November 28, 2021

3rd edition: from December 1, 2021 to February 27, 2022

4th edition: from March 1, 2022 to May 29, 2022


Topic 1: Introduction to macroscopic study in Pathology.

1.1 Objectives of the macroscopic study. General fundamentals on orientation of surgical pieces, description of lesions and selection of samples. The TNM system. Dr. Luis Alfaro

1.2 Digital photography of surgical specimens.

1.2.1.- Image capture. Dr. Luis Alfaro

1.2.2.- Image editing. Rodrigo García / Dr. Luis Alfaro


Topic 2: Macroscopic study of small biopsies.

2.1 Endoscopic biopsies. Colon polyps. Types of polyps and orientation. Isabel Conesa / Nuria García Balsalobre

2.2 Biopsies obtained by curettage: endometrial biopsy, transurethral resection (TUR) of the bladder and prostate. Marina Estarlich Mateu

2.3 Tissue cylinders. Raquel Catalán

2.4 Small biopsies of difficult orientation: biopsies of lesions on the cervix, vulva, oral, laryngeal, bronchial mucosa, etc. Candelaria Barberá

2.5 Types of skin biopsies. Carving of punch biopsies, spindle / cutaneous oval. Skin specimens with anatomical and / or surgical landmarks. Celia Villaplana

2.6 Lymph nodes. Hematolymphoid pathology. María José Roca

Topic 3: Macroscopic study of surgical specimens: gastrointestinal pathology

3.1. Gallbladder and cecal appendix. Nuria Gurrea

3.2 Colectomy, rectal resection and abdominoperineal amputation. Silvia Tena

3.3. Esophagus and stomach. Lola Sánchez

3.4. Pancreatectomy. Maribel Domínguez

Topic 4: Macroscopic study of surgical specimens: breast pathology.

4.1 Lumpectomy and breast quadrantectomy. Raquel Catalán

4.2 Mastectomy pieces and axillary lymphadenectomies. Mamen Huart


Topic 5: Macroscopic study of surgical specimens: urological pathology.

5.1 Adenomectomy and prostatectomy. Elena González

5.2 Bladder resection. Lola Sánchez

5.3 Kidney tumors. Elena González

5.4 Testicular tumors. Sílvia Tena


Topic 6: Macroscopic study of surgical specimens: gynecological and obstetric pathology.

6.1 Cervical conization. Borja Gallardo

6.2 Uterine tumors. Amparo Cruz

6.3 Adnexal tumors. Reyes Cañadas

6.4 Placenta. Isabel Giner

6.5 Small fetuses. Reyes Cañadas


Topic 7: Head and neck pathology

7.1 Salivary glands and larynx. Maribel Domínguez

7.2 Thyroid and parathyroid. Eduardo García

7.3 Ocular pathology. Diana Martínez


Topic 8: Lung. Lola Sánchez

Topic 9: Bone and soft tissue tumors. Amputation pieces. Mamen Huart

Topic 10: Formalin toxicity and safety in grinding. Dr. Luis Alfaro


Teaching Hours
75 €

Solicitada la acreditación a la Comisión de Formación Continuada de las Profesiones Sanitarias de la Comunidad de Madrid.

Get the complete information in PDF


Dra. Carolina Martínez Ciarpaglini

Dra. Carolina Martínez Ciarpaglini

Médica Patóloga Adjunta al Servicio de Anatomía Patológica
H. Clínico Universitario de Valencia
Nº de Colegiado: 464622652
Colegio de Médicos de Valencia


Dr. Luis Alfaro

Dr. Luis Alfaro

Médico Patólogo Responsable de las Unidades de Anatomía Patológica
Hospitales Vithas de Valencia y Castellón.
Nº de Colegiado: 464614693
Colegio de Médicos de Valencia