Partial cystectomy grossing

The article deals with partial cystectomy grossing. A 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.

See also

Related protocols

• Radical cystectomy.
• Cystoprostatectomy.