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Difference between revisions of "Partial nephrectomy grossing"
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Partial nephrectomy grossing (view source)
Revision as of 13:53, 5 February 2016
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[[Image:Diagram showing before and after a partial nephrectomy CRUK 102.svg|thumb|right|250px|Schematic showing the before and after for a partial nephrectomy. (WC/CRUK)]] | |||
This article deals with the [[cut-up]] of '''partial nephrectomy for tumour''' specimens. | This article deals with the [[cut-up]] of '''partial nephrectomy for tumour''' specimens. | ||
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==Introduction== | ==Introduction== | ||
Partial nephrectomies are done for [[kidney tumours]]. | Partial nephrectomies are done for [[kidney tumours]] (specifically [[renal cell carcinoma]]) and may be done on large tumours (>4 cm) with good outcomes.<ref name=pmid24578747>{{Cite journal | last1 = El-Ghazaly | first1 = TH. | last2 = Mason | first2 = RJ. | last3 = Rendon | first3 = RA. | title = Oncological outcomes of partial nephrectomy for tumours larger than 4 cm: A systematic review. | journal = Can Urol Assoc J | volume = 8 | issue = 1-2 | pages = 61-6 | month = Jan | year = 2014 | doi = 10.5489/cuaj.1682 | PMID = 24578747 }}</ref> | ||
They do not have have any (large) vessels or the any significant part of the collecting system. | They do not have have any (large) [[blood vessels|vessels]] or the any significant part of the collecting system. | ||
[[Frozen section]] evaluations in partial nephrectomies are of questionable value.<ref name=pmid18423758>{{Cite journal | last1 = Yossepowitch | first1 = O. | last2 = Thompson | first2 = RH. | last3 = Leibovich | first3 = BC. | last4 = Eggener | first4 = SE. | last5 = Pettus | first5 = JA. | last6 = Kwon | first6 = ED. | last7 = Herr | first7 = HW. | last8 = Blute | first8 = ML. | last9 = Russo | first9 = P. | title = Positive surgical margins at partial nephrectomy: predictors and oncological outcomes. | journal = J Urol | volume = 179 | issue = 6 | pages = 2158-63 | month = Jun | year = 2008 | doi = 10.1016/j.juro.2008.01.100 | PMID = 18423758 }}</ref><ref>{{Cite journal | last1 = Gordetsky | first1 = J. | last2 = Gorin | first2 = MA. | last3 = Canner | first3 = J. | last4 = Ball | first4 = MW. | last5 = Pierorazio | first5 = PM. | last6 = Allaf | first6 = ME. | |||
| last7 = Epstein | first7 = JI. | title = Frozen Section During Partial Nephrectomy: Does it Predict Positive Margins? | journal = BJU Int. | volume = | issue = | pages = | month = Dec | year = 2014 | doi = 10.1111/bju.13011 | PMID = }}</ref> | |||
==Protocol== | ==Protocol== | ||
Dimensions: | Dimensions, weight and inking: | ||
*Type: partial nephrectomy. | *Type: partial nephrectomy. | ||
*Laterality: [left / right]. | *Laterality: [left / right]. | ||
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*Location: [upper pole / mid / lower pole]. | *Location: [upper pole / mid / lower pole]. | ||
*Colour: [yellow / tan / white]. | *Colour: [yellow / tan / white]. | ||
*Morphology: [solid / cystic / solid and cystic - with ___ % cystic]. | |||
*Friability: [friable / not friable]. | *Friability: [friable / not friable]. | ||
*Circumscription: [well circumscribed / indeterminate / infiltrative border]. | *Circumscription: [well circumscribed / indeterminate / infiltrative border]. | ||
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===Protocol notes=== | ===Protocol notes=== | ||
*Tumour size cut points: <=4 cm, <=7 cm. | *Tumour [[stage]] size cut points: <=4 cm, <=7 cm. | ||
===Alternate approaches=== | ===Alternate approaches=== | ||
==See also== | ==See also== | ||
*[[Kidney cancer staging]]. | |||
===Related protocols=== | ===Related protocols=== | ||
*[[Total nephrectomy for tumour]]. | *[[Total nephrectomy for tumour]]. | ||
*[[Nephroureterectomy]]. | |||
==References== | ==References== | ||
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[[Category:Gross pathology]] | [[Category:Gross pathology]] | ||
[[Category:Genitourinary pathology]] | |||