Radical cystectomy grossing
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.