Difference between revisions of "Radical cystectomy grossing"

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m (Michael moved page Radical cystectomy to Radical cystectomy grossing: to mat)
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'''Radical cystectomy''', may be referred to as '''[[cystectomy]]''', is removal of the [[urinary bladder]].
This article deals with '''radical cystectomy grossing''', also '''radical cystectomy''' [[cut-up]].
 
A '''[[cystectomy]]''' is removal of the [[urinary bladder]]; however, it may refer to the removal of a cyst, e.g. ''ovarian cystectomy''.


==Introduction==
==Introduction==

Revision as of 16:51, 28 November 2014

This article deals with radical cystectomy grossing, also radical cystectomy cut-up.

A cystectomy is removal of the urinary bladder; however, it may refer to the removal of a cyst, e.g. ovarian cystectomy.

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 [with vagina / uterus / uterine tubes / ovaries].
  • Specimen weight: ___ grams.
  • Specimen dimensions (superior-inferior, left-right, anterior-posterior): ___ x ___ x ___ cm.

Tumour:

  • Size of tumour (superior-inferior, left-right, anterior-posterior): ___ x ___ x ___ cm.
  • Location of tumour: [dome, left, right, anterior, posterior, trigone].
  • Nearest margin: [soft tissue margin / urethral / ureteric ].
  • Distance to nearest margin: ___.
  • Configuration: [ulcerated / exophytic].
  • Appearance: [tan/brown / white], [firm / friable].
  • Extension into perivescicular adipose tissue: [not identified, present].

Representative sections:

  • Urethral resection margin on edge.
  • Ureteral surgical (or specimen) margins (left and right).
  • 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 at site of ureteric oriface.
  • Right bladder wall at site of ureteric oriface.
  • Anterior bladder wall.
  • Posterior bladder wall.
  • Dome of bladder.
  • Trigone of bladder.

Sections of additional structures (if applicable):

  • Ovaries.
  • Uterine tubes - esp. fibriated ends.
  • Vagina - esp. in relation to tumour.
  • Uterus:
    • Cervix.
    • Corpus - anterior & posterior walls.

Protocol notes

Alternate approaches

See also

Related protocols

References

External links