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Difference between revisions of "Total nephrectomy for tumour grossing"
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Total nephrectomy for tumour grossing (view source)
Revision as of 17:15, 29 August 2014
, 17:15, 29 August 2014→Protocol notes
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===Protocol notes=== | ===Protocol notes=== | ||
*Tumour [[stage]] size cut points: <=4 cm, <=7 cm. | *Tumour [[stage]] size cut points: <=4 cm, <=7 cm. | ||
*It is important to sample the renal vein wall if tumour thrombus projecting out of the renal vein, as a positive margin is called based on microscopic involvement of the vein wall.<ref name=pmid24025521>{{Cite journal | last1 = Trpkov | first1 = K. | last2 = Grignon | first2 = DJ. | last3 = Bonsib | first3 = SM. | last4 = Amin | first4 = MB. | last5 = Billis | first5 = A. | last6 = Lopez-Beltran | first6 = A. | last7 = Samaratunga | first7 = H. | last8 = Tamboli | first8 = P. | last9 = Delahunt | first9 = B. | title = Handling and staging of renal cell carcinoma: the International Society of Urological Pathology Consensus (ISUP) conference recommendations. | journal = Am J Surg Pathol | volume = 37 | issue = 10 | pages = 1505-17 | month = Oct | year = 2013 | doi = 10.1097/PAS.0b013e31829a85d0 | PMID = 24025521 }}</ref> | |||
**Tumour projecting out of the vein (i.e. at surface of specimen), at the time of grossing, is presumed to be due to retraction of the vein after it is cut. | |||
===Alternate approaches=== | ===Alternate approaches=== | ||