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Difference between revisions of "Orchiectomy grossing"
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→Staging
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Notes: | Notes: | ||
*Invasion into the [[epididymis]] and/or tunica albuginea does not change the [[cancer staging|stage]].<ref name=cancer_org/> | *Invasion into the [[epididymis]] and/or tunica albuginea does not change the [[cancer staging|stage]].<ref name=cancer_org/> | ||
*[[Rete testis]] involvement and testicular hilum involvement may be seen or suspected at the time of [[cut-up]]. Both of these are poor prognosticators;<ref>{{Cite journal | last1 = Yilmaz | first1 = A. | last2 = Cheng | first2 = T. | last3 = Zhang | first3 = J. | last4 = Trpkov | first4 = K. | title = Testicular hilum and vascular invasion predict advanced clinical stage in nonseminomatous germ cell tumors. | journal = Mod Pathol | volume = 26 | issue = 4 | pages = 579-86 | month = Apr | year = 2013 | doi = 10.1038/modpathol.2012.189 | PMID = 23238629 }}</ref> however, they to do not affect the (AJCC 7th | *[[Rete testis]] involvement and testicular hilum involvement may be seen or suspected at the time of [[cut-up]]. Both of these are poor prognosticators;<ref>{{Cite journal | last1 = Yilmaz | first1 = A. | last2 = Cheng | first2 = T. | last3 = Zhang | first3 = J. | last4 = Trpkov | first4 = K. | title = Testicular hilum and vascular invasion predict advanced clinical stage in nonseminomatous germ cell tumors. | journal = Mod Pathol | volume = 26 | issue = 4 | pages = 579-86 | month = Apr | year = 2013 | doi = 10.1038/modpathol.2012.189 | PMID = 23238629 }}</ref> however, they to do not affect the (AJCC 7th Edition) stage. | ||
**Involvement of the testicular hilum is pT1 | **Involvement of the testicular hilum is not specifically addressed in the AJCC 7th Edition. Based on the current evidence, tt is probably best classified as pT1 (if there is no [[LVI]] and the tumour is otherwise confined to the testis/epididymis). | ||
===Alternate approaches=== | ===Alternate approaches=== | ||