48,830
edits
Difference between revisions of "Nephroureterectomy grossing"
Jump to navigation
Jump to search
no edit summary
| Line 68: | Line 68: | ||
===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; | **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]]. | ||