Cystoprostatectomy grossing - Revision history

Michael: /* Protocol notes */

2025-06-18T12:43:01Z

Protocol notes

← Older revision		Revision as of 12:43, 18 June 2025
Line 66:		Line 66:
	*† The parasagittal sections of the bladder and prostate are important for staging.		*† The parasagittal sections of the bladder and prostate are important for staging.
	**Invasion into the prostatic stroma is pT4.		**Invasion into the prostatic stroma is pT4.
	***The parasagittal sections should contain the interface between the bladder and prostate. It is ''not'' recommended that those sections extend further into the prostate or through the prostate.		**The parasagittal sections should contain the interface between the bladder and prostate. It is ''not'' recommended that those sections extend further into the prostate or through the prostate.
	*‡ Should be in separate blocks ''or'' inked with different colours (such that they can be separated at time of microscopy).		*‡ Should be in separate blocks ''or'' inked with different colours (such that they can be separated at time of microscopy).

Michael at 12:41, 18 June 2025

2025-06-18T12:41:27Z

← Older revision		Revision as of 12:41, 18 June 2025
Line 66:		Line 66:
	*† The parasagittal sections of the bladder and prostate are important for staging.		*† The parasagittal sections of the bladder and prostate are important for staging.
	**Invasion into the prostatic stroma is pT4.		**Invasion into the prostatic stroma is pT4.
			***The parasagittal sections should contain the interface between the bladder and prostate. It is ''not'' recommended that those sections extend further into the prostate or through the prostate.
	*‡ Should be in separate blocks ''or'' inked with different colours (such that they can be separated at time of microscopy).		*‡ Should be in separate blocks ''or'' inked with different colours (such that they can be separated at time of microscopy).

Michael: /* Specimen opening */

2015-05-06T23:39:54Z

Specimen opening

← Older revision		Revision as of 23:39, 6 May 2015
Line 22:		Line 22:
	**Should be pinned open on a large block of paraffin wax.		**Should be pinned open on a large block of paraffin wax.
	***A paper towel should be placed behind the specimen - between the specimen and paraffinx wax.		***A paper towel should be placed behind the specimen - between the specimen and paraffinx wax.
			*Place specimen(s) in [[formalin]].

	==Protocol==		==Protocol==

Michael: /* Introduction */

2015-04-09T23:06:51Z

Introduction

← Older revision		Revision as of 23:06, 9 April 2015
Line 3:		Line 3:
	==Introduction==		==Introduction==
	Cystoprostatectomies are done for [[bladder cancer]]. Granular areas of the [[urinary bladder\|bladder]] often correlate with [[urothelial carcinoma in situ\|carcinoma in situ]].		Cystoprostatectomies are done for [[bladder cancer]]. Granular areas of the [[urinary bladder\|bladder]] often correlate with [[urothelial carcinoma in situ\|carcinoma in situ]].

			Lack of a tumour is common in muscle invasive cases that had neoadjuvant therapy; approximately 15% of cases are ypT0.<ref name=pmid22915241>{{Cite journal \| last1 = D'Souza \| first1 = AM. \| last2 = Pohar \| first2 = KS. \| last3 = Arif \| first3 = T. \| last4 = Geyer \| first4 = S. \| last5 = Zynger \| first5 = DL. \| title = Retrospective analysis of survival in muscle-invasive bladder cancer: impact of pT classification, node status, lymphovascular invasion, and neoadjuvant chemotherapy. \| journal = Virchows Arch \| volume = 461 \| issue = 4 \| pages = 467-74 \| month = Oct \| year = 2012 \| doi = 10.1007/s00428-012-1249-4 \| PMID = 22915241 }}</ref>

	==Specimen opening==		==Specimen opening==

Michael: /* Protocol notes */

2015-04-09T22:59:27Z

Protocol notes

← Older revision		Revision as of 22:59, 9 April 2015
Line 62:		Line 62:
	*§ This is how it is done in [[prostatectomy\|prostatectomies]].		*§ This is how it is done in [[prostatectomy\|prostatectomies]].
	*† The parasagittal sections of the bladder and prostate are important for staging.		*† The parasagittal sections of the bladder and prostate are important for staging.
			**Invasion into the prostatic stroma is pT4.
	*‡ Should be in separate blocks ''or'' inked with different colours (such that they can be separated at time of microscopy).		*‡ Should be in separate blocks ''or'' inked with different colours (such that they can be separated at time of microscopy).

Michael: /* Specimen opening */

2015-03-09T17:36:19Z

Specimen opening

← Older revision		Revision as of 17:36, 9 March 2015
Line 19:		Line 19:
	**Continue cut through urethra upward to left and upward to right - such that anterior bladder wall can be flipped upward.		**Continue cut through urethra upward to left and upward to right - such that anterior bladder wall can be flipped upward.
	**Should be pinned open on a large block of paraffin wax.		**Should be pinned open on a large block of paraffin wax.
			***A paper towel should be placed behind the specimen - between the specimen and paraffinx wax.

	==Protocol==		==Protocol==

Michael at 17:32, 9 March 2015

2015-03-09T17:32:51Z

← Older revision		Revision as of 17:32, 9 March 2015
Line 14:		Line 14:
	***Line 2: anterior bladder base toward upper right.		***Line 2: anterior bladder base toward upper right.
	**Right prostate - blue.		**Right prostate - blue.
	**Left prostate - ~~green~~.		**Left prostate - black.
	*Opening:		*Opening:
	**Cut along urethra through anterior prostate (bisect green stripe painted on anterior prostate).		**Cut along urethra through anterior prostate (bisect green stripe painted on anterior prostate).

Michael: /* Protocol */

2015-03-03T22:21:00Z

Protocol

← Older revision		Revision as of 22:21, 3 March 2015
Line 40:		Line 40:

	Representative sections:		Representative sections:
	*Urethral resection margin/apex of prostate [[on edge margin\|on edge]].		*Urethral resection margin/apex of prostate [[on edge margin\|on edge]]. §
	*Ureteral surgical (or specimen) margins - left and ~~right‡~~ ([[en face margin\|en face]]).		*Ureteral surgical (or specimen) margins - left and right ‡ ([[en face margin\|en face]]).
	*Sagittal section of posterior prostate, posterior bladder neck and posterior-inferior bladder divided into multiple blocks.		*Sagittal section of posterior prostate, posterior bladder neck and posterior-inferior bladder divided into multiple blocks.
	*Left prostate - mid part of gland.		*Left prostate - mid part of gland.
	*Right prostate - mid part of gland.		*Right prostate - mid part of gland.
	*Left parasagittal ~~section†~~ of the bladder neck and prostate gland.		*Left parasagittal section † of the bladder neck and prostate gland.
	*Right parasagittal ~~section†~~ of the bladder neck and prostate gland.		*Right parasagittal section † of the bladder neck and prostate gland.
	*Bladder tumour - 1 section/cm.		*Bladder tumour - 1 section/cm.
	**Section with deepest invasion.		**Section with deepest invasion.
Line 59:		Line 59:

	===Protocol notes===		===Protocol notes===
			*§ This is how it is done in [[prostatectomy\|prostatectomies]].
	*† The parasagittal sections of the bladder and prostate are important for staging.		*† The parasagittal sections of the bladder and prostate are important for staging.
	*‡ Should be in separate blocks ''or'' inked with different colours (such that they can be separated at time of microscopy).		*‡ Should be in separate blocks ''or'' inked with different colours (such that they can be separated at time of microscopy).

Michael: /* Protocol */

2015-03-03T22:11:54Z

Protocol

← Older revision		Revision as of 22:11, 3 March 2015
Line 40:		Line 40:

	Representative sections:		Representative sections:
	*Urethral resection margin [[on edge margin\|on edge]].		*Urethral resection margin/apex of prostate [[on edge margin\|on edge]].
	*Ureteral surgical (or specimen) margins (left and ~~right)~~ ([[en face margin\|en face]]).		*Ureteral surgical (or specimen) margins - left and right‡ ([[en face margin\|en face]]).
	*Sagittal section of posterior prostate, posterior bladder neck and posterior-inferior bladder divided into multiple blocks.		*Sagittal section of posterior prostate, posterior bladder neck and posterior-inferior bladder divided into multiple blocks.
	*Left prostate - mid part of gland.		*Left prostate - mid part of gland.
	*Right prostate - mid part of gland.		*Right prostate - mid part of gland.
	*Left parasagittal ~~section~~ of the bladder neck and prostate gland.		*Left parasagittal section† of the bladder neck and prostate gland.
	*Right parasagittal ~~section~~ of the bladder neck and prostate gland.		*Right parasagittal section† of the bladder neck and prostate gland.
	*Bladder tumour - 1 section/cm.		*Bladder tumour - 1 section/cm.
	**Section with deepest invasion.		**Section with deepest invasion.
Line 59:		Line 59:

	===Protocol notes===		===Protocol notes===
	*The parasagittal sections of the bladder and prostate are important for staging.		*† The parasagittal sections of the bladder and prostate are important for staging.
			*‡ Should be in separate blocks ''or'' inked with different colours (such that they can be separated at time of microscopy).

	===Alternate approaches===		===Alternate approaches===

Michael: /* Protocol */

2015-03-03T22:08:55Z

Protocol

← Older revision		Revision as of 22:08, 3 March 2015
Line 40:		Line 40:

	Representative sections:		Representative sections:
	*Urethral resection margin on edge.		*Urethral resection margin [[on edge margin\|on edge]].
	*Ureteral surgical (or specimen) margins (left and right).		*Ureteral surgical (or specimen) margins (left and right) ([[en face margin\|en face]]).
	*Sagittal section of posterior prostate, posterior bladder neck and posterior-inferior bladder divided into multiple blocks.		*Sagittal section of posterior prostate, posterior bladder neck and posterior-inferior bladder divided into multiple blocks.
	*Left prostate - mid part of gland.		*Left prostate - mid part of gland.