48,589
edits
Difference between revisions of "Transurethral resection of bladder tumour grossing"
Jump to navigation
Jump to search
Transurethral resection of bladder tumour grossing (view source)
Revision as of 22:43, 10 June 2024
, 10 Juneno edit summary
| (7 intermediate revisions by the same user not shown) | |||
| Line 8: | Line 8: | ||
==Protocol== | ==Protocol== | ||
*Weight | Specimen: | ||
* | *Weight ___ grams. | ||
*Dimensions (in aggregate): ___ x ___ x ___ cm. | |||
*Number of fragments: [1-6 / multiple (>6)]. | |||
*Appearance: [tan-gray / yellow / orange]. | |||
*Consistency: [rubbery / firm]. | |||
*Other: [none / hemorrhagic appearance / necrotic appearing]. | |||
[Submitted in total/Representative sections submitted] in block(s) ___. † | |||
Notes: | |||
*Recommendations vary on what to do with large TUR specimens - see ''[[Transurethral_resection_of_bladder_tumour_grossing#Alternate_approaches|alternate approaches]]'' section. | |||
† Submit 15 blocks for initial assessment - if not muscle invasive: submit more tissue. | |||
===Protocol notes=== | ===Protocol notes=== | ||
*The ''European Association of Urology'' recommends submitting separately the exophytic part of the tumour and tumour base in separate containers.<ref name=pmid34926567/> | *The ''European Association of Urology'' (''EAU'') recommends submitting separately the exophytic part of the tumour and tumour base in separate containers.<ref name=pmid34926567/> | ||
**If the specimen is submitted as per ''EAU'' recommendations, submission of the tumour base may be sufficient for staging purposes. | |||
====Staging==== | ====Staging==== | ||
| Line 20: | Line 30: | ||
===Alternate approaches=== | ===Alternate approaches=== | ||
Mazzuccheli ''et al.'' suggests:<ref name=pmid34926567>{{cite journal |authors=Mazzucchelli R, Marzioni D, Tossetta G, Pepi L, Montironi R |title=Bladder Cancer Sample Handling and Reporting: Pathologist's Point of View |journal=Front Surg |volume=8 |issue= |pages=754741 |date=2021 |pmid=34926567 |pmc=8674620 |doi=10.3389/fsurg.2021.754741 |url=}}</ref> | |||
*EIT for TUR specimens up to 10 grams. | |||
*If tumour can be identified at gross: submit 1 block per cm of tumour + some additional tumour if >10 blocks.<ref name=pmid34926567/> | |||
University of Chicago suggests:<ref>URL: [https://voices.uchicago.edu/grosspathology/gu-renal/bladder-turbt/ https://voices.uchicago.edu/grosspathology/gu-renal/bladder-turbt/]. Accessed on: 2024 June 10.</ref> | |||
*Submit in total. | |||
UCLA Health suggests:<ref>URL: [https://www.uclahealth.org/sites/default/files/documents/59/transurethral-resection-bladder-tumor-turbt-022223.pdf https://www.uclahealth.org/sites/default/files/documents/59/transurethral-resection-bladder-tumor-turbt-022223.pdf]. Accessed on: 2024 June 10.</ref> | |||
*Submit 20 blocks. If tissue remains consult with the pathologist. | |||
==See also== | ==See also== | ||
*[[Urothelial carcinoma]]. | *[[Urothelial carcinoma]]. | ||