Cystoprostatectomy grossing

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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 of tumour (superior-inferior, left-right, anterior-posterior): ___ x ___ x ___ cm.
  • Location of tumour: [dome, left, right, anterior, posterior, trigone].
  • Nearest margin: [soft tissue margin / urethral / ureteric ].
  • Distance to nearest margin: ___.
  • Configuration: [ulcerated / exophytic].
  • Appearance: [tan/brown / white], [firm / friable].
  • Extension into perivescicular adipose tissue: [not identified, present].

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.

Protocol notes

Alternate approaches

See also

Related protocols

References