Transurethral resection of bladder tumour grossing

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This article deals with transurethral resection of bladder tumour grossing, also TURBT grossing and TUR specimens.

Introduction

TURBT specimens are common urologic pathology specimens.

Specimen opening

  • Not applicable.

Protocol

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:

† Submit 15 blocks for initial assessment - if not muscle invasive: submit more tissue.

Protocol notes

  • The European Association of Urology (EAU) recommends submitting separately the exophytic part of the tumour and tumour base in separate containers.[1]
    • If the specimen is submitted as per EAU recommendations, submission of the tumour base may be sufficient for staging purposes.

Staging

  • Not done at time of gross.

Alternate approaches

Mazzuccheli et al. suggests:[1]

  • 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.[1]

University of Chicago suggest:[2]

  • Submit in total.

UCLA Health suggests:[3]

  • Submit 20 blocks. If tissue remains consult with the pathologist.

See also

Related protocols

References