Difference between revisions of "Transurethral resection of bladder tumour grossing"
Jump to navigation
Jump to search
| (5 intermediate revisions by the same user not shown) | |||
| Line 15: | Line 15: | ||
*Consistency: [rubbery / firm]. | *Consistency: [rubbery / firm]. | ||
*Other: [none / hemorrhagic appearance / necrotic appearing]. | *Other: [none / hemorrhagic appearance / necrotic appearing]. | ||
[Submitted in total/Representative sections submitted] in block(s) ___. | [Submitted in total/Representative sections submitted] in block(s) ___. † | ||
Notes: | Notes: | ||
*Recommendations vary on what to do with large TUR specimens. | *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, representative sampling of the exophytic part and submission of the tumour base in total may be sufficient for staging purposes.{{fact}} | |||
====Staging==== | ====Staging==== | ||
| Line 30: | Line 33: | ||
*EIT for TUR specimens up to 10 grams. | *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/> | *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 | 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. | *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> | 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 pathologist. | *Submit 20 blocks. If tissue remains consult with the pathologist. | ||
==See also== | ==See also== | ||
Revision as of 20:52, 11 June 2024
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:
- Recommendations vary on what to do with large TUR specimens - see alternate approaches section.
† 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, representative sampling of the exophytic part and submission of the tumour base in total may be sufficient for staging purposes.[citation needed]
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 suggests:[2]
- Submit in total.
UCLA Health suggests:[3]
- Submit 20 blocks. If tissue remains consult with the pathologist.
See also
Related protocols
References
- ↑ 1.0 1.1 1.2 Mazzucchelli R, Marzioni D, Tossetta G, Pepi L, Montironi R (2021). "Bladder Cancer Sample Handling and Reporting: Pathologist's Point of View". Front Surg 8: 754741. doi:10.3389/fsurg.2021.754741. PMC 8674620. PMID 34926567. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8674620/.
- ↑ URL: https://voices.uchicago.edu/grosspathology/gu-renal/bladder-turbt/. Accessed on: 2024 June 10.
- ↑ URL: https://www.uclahealth.org/sites/default/files/documents/59/transurethral-resection-bladder-tumor-turbt-022223.pdf. Accessed on: 2024 June 10.