Difference between revisions of "Radical cystectomy grossing"

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Line 27: Line 27:
*Left bladder wall.  
*Left bladder wall.  
*Right bladder wall.  
*Right bladder wall.  
*Anterior bladder wall.
*Posterior bladder wall.
*Dome of bladder.  
*Dome of bladder.  
*Trigone of bladder.  
*Trigone of bladder.  

Revision as of 17:44, 22 August 2014

Radical cystectomy, may be 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: cystectomy.
  • 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.
  • Anterior bladder wall.
  • Posterior bladder wall.
  • Dome of bladder.
  • Trigone of bladder.

Protocol notes

Alternate approaches

See also

Related protocols

References

External links