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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===Protocol notes===
===Protocol notes===
*The ''European Association of Urology'' (''EAU'') 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.
*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 suggest:<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>
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>