Transurethral resection of bladder tumour grossing
Jump to navigation
Jump to search
This article deals with transurethral resection of bladder tumour grossing, also TURBT grossing and TUR specimens.
Introduction
TURBT specimens are common urologic pathology specimens.
Specimen opening
- Not applicable.
Protocol
Specimen:
- Weight ___ grams.
- Dimensions (in aggregate): ___ x ___ x ___ cm.
- Number of fragments: [1-6 / multiple (>6)].
- Appearance: [tan-gray / yellow / orange].
- Consistency: [rubbery / firm].
- Other: [none / hemorrhagic appearance / necrotic appearing].
[Submitted in total/Representative sections submitted] in block(s) ___.
Notes:
- Recommendations vary on what to do with large TUR specimens.
Protocol notes
- The European Association of Urology recommends submitting separately the exophytic part of the tumour and tumour base in separate containers.[1]
Staging
- Not done at time of gross.
Alternate approaches
Mazzuccheli et al. suggests:[1]
- EIT for TUR specimens up to 10 grams.
- If tumour can be identified at gross: submit 1 block per cm of tumour + some additional tumour if >10 blocks.[1]
University of Chicago suggest:[2]
- Submit in total.
UCLA Health suggests:[3]
- Submit 20 blocks. If tissue remains consult with the pathologist.
See also
Related protocols
References
- ↑ 1.0 1.1 1.2 Mazzucchelli R, Marzioni D, Tossetta G, Pepi L, Montironi R (2021). "Bladder Cancer Sample Handling and Reporting: Pathologist's Point of View". Front Surg 8: 754741. doi:10.3389/fsurg.2021.754741. PMC 8674620. PMID 34926567. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8674620/.
- ↑ URL: https://voices.uchicago.edu/grosspathology/gu-renal/bladder-turbt/. Accessed on: 2024 June 10.
- ↑ URL: https://www.uclahealth.org/sites/default/files/documents/59/transurethral-resection-bladder-tumor-turbt-022223.pdf. Accessed on: 2024 June 10.