Partial cystectomy grossing
Partial cystectomy is removal of part of the urinary bladder.
Introduction
It is typically done for urachal carcinoma.
Protocol
Specimen:
- Type: partial cystectomy.
- Specimen weight: ___ grams.
- Specimen dimensions (superior-inferior, left-right, anterior-posterior): ___ x ___ x ___ cm.
- Inking scheme: ___.
Tumour:
- Size (superior-inferior, left-right, anterior-posterior): ___ x ___ x ___ cm.
- Nearest margin: [soft tissue margin / urethral / ureteric ].
- Distance to nearest margin: ___.
- Configuration: [ ulcerated / exophytic ].
- Appearance: [ describe ].
- Extension into perivesicular adipose tissue: [present/ not identified/ suspicious].
Representative sections:
- Urachal margin.
- 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.