Difference between revisions of "Radical cystectomy grossing"
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==Introduction== | ==Introduction== | ||
It is done for [[bladder cancer]]. | It is done for [[bladder cancer]] ([[urothelial carcinoma]]). | ||
In men, the [[urinary bladder]] is usually removed along with the [[prostate gland]] (see [[cystoprostatectomy]]). | |||
==Protocol== | ==Protocol== | ||
Specimen: | |||
*Type: cystoprostatecomy. | |||
*Specimen weight: ___ grams. | |||
*Specimen dimensions (superior-inferior, left-right, anterior-posterior): ___ x ___ x ___ cm. | |||
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: | |||
Representative sections: | |||
*Urethral resection margin on edge. | |||
*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. | |||
===Protocol notes=== | ===Protocol notes=== | ||
===Alternate approaches=== | ===Alternate approaches=== | ||
Revision as of 19:17, 15 August 2014
radical cystectomy, also referred to as cystectomy, is removal of the urinary bladder.
Introduction
It is done for bladder cancer (urothelial carcinoma).
In men, the urinary bladder is usually removed along with the prostate gland (see cystoprostatectomy).
Protocol
Specimen:
- Type: cystoprostatecomy.
- Specimen weight: ___ grams.
- Specimen dimensions (superior-inferior, left-right, anterior-posterior): ___ x ___ x ___ cm.
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:
Representative sections:
- Urethral resection margin on edge.
- 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.