Transurethral resection of bladder tumour grossing: Difference between revisions
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==Introduction== | ==Introduction== | ||
TURBT specimens are common urologic pathology specimens. | TURBT specimens are common urologic pathology specimens. TURBTs are done for [[bladder cancer]], typically [[urothelial carcinoma]]. | ||
==Specimen opening== | ==Specimen opening== | ||
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*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==== | ||
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*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== | ||