Nephroureterectomy grossing: Difference between revisions
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#Open the kidney in the frontal plane (from lateral to medial). | #Open the kidney in the frontal plane (from lateral to medial). | ||
#*The cut should go through the renal pelvis. | #*The cut should go through the renal pelvis. | ||
#Place specimen(s) in [[formalin]]. | |||
==Protocol== | ==Protocol== | ||
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*Renal artery (length x diameter): ___ x ___ cm. | *Renal artery (length x diameter): ___ x ___ cm. | ||
*Adrenal gland: [___ x ___ x ___ cm / not identified]. | *Adrenal gland: [___ x ___ x ___ cm / not identified]. | ||
*Inking of | *Inking of kidney: [colour]. | ||
*Inking of proximal ureter: [colour]. ¶ | |||
*Inking of mid ureter: [colour]. ¶ | |||
*Inking of distal ureter: [colour]. ¶ | |||
*Inking of bladder cuff/resection margin: [colour]. | *Inking of bladder cuff/resection margin: [colour]. | ||
*Size of kidney (superior-inferior, left-right, anterior-posterior): ___ x ___ x ___ cm. | *Size of kidney (superior-inferior, left-right, anterior-posterior): ___ x ___ x ___ cm. | ||
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===Protocol notes=== | ===Protocol notes=== | ||
*§ Bladder cuff margin may be done en face. | *§ Bladder cuff margin may be done en face. | ||
*¶ | *¶ The ureter should be cross sections - ''not'' longitudinal sections. It is advantageous to ink the ureter three different colours; this allows one to determine where the remaining ureter is from. | ||
**If ''proximal ureter'' is blue, ''mid ureter'' is ''red'' and ''distal ureter'' is ''green'': blue-red is proximal, red-green is distal; the orientation and anatomical location is important if one submits more tissue. | |||
*† This typically upstages to pT4. It is uncommon that the tumour goes through the kidney and into the perinephric fat. | *† This typically upstages to pT4. It is uncommon that the tumour goes through the kidney and into the perinephric fat. | ||
*†† Invasion into the renal parenchyma typically upstages to pT3. This can be difficult to judge on [[cut-up]]. If renal parenchymal invasion is ''not'' seen grossly at least three sections should be taken. Small tumours are usually [[submitted in toto]]. | *†† Invasion into the renal parenchyma typically upstages to pT3. This can be difficult to judge on [[cut-up]]. If renal parenchymal invasion is ''not'' seen grossly at least three sections should be taken. Small tumours are usually [[submitted in toto]]. | ||