Cystoprostatectomy grossing

This article deals with how to cut-up cystoprostatectomy specimens.

Introduction

Cystoprostatectomies are done for bladder cancer.

Protocol

Specimen:

• Type: cystoprostatecomy.
• Specimen weight: ___ grams.
• Specimen dimensions (superior-inferior, left-right, anterior-posterior): ___ x ___ x ___ cm.
• Prostate dimensions (superior-inferior, left-right, anterior-posterior): ___ x ___ x ___ cm.
• Left seminal vesicle: ___ x ___ x ___ cm.
• Right seminal vesicle: ___ x ___ x ___ cm.

Tumour:

• Size (superior-inferior, left-right, anterior-posterior): ___ x ___ x ___ cm.
• Configuration: [ulcerated / exophytic].
• Appearance:

Representative sections:

• Urethral resection margin on edge.
• Posterior prostate, posterior bladder neck and posterior-inferior bladder -- one section, divided to fit into multiple blocks.
• Left prostate - mid part of gland.
• Right prostate - mid part of gland.
• Bladder tumour - 1 section/cm.
  • Section with deepest invasion.
  • One section if fat invasion obvious, three sections if it is suspicious.
• Suspicious granular areas.
• Left bladder wall.
• Right bladder wall.
• Dome of bladder.
• Trigone of bladder.

See also

Related protocols

• Radical prostatectomy.
• Radical cystectomy.