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Difference between revisions of "Total nephrectomy for tumour grossing"
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Total nephrectomy for tumour grossing (view source)
Revision as of 06:37, 28 July 2014
, 06:37, 28 July 2014no edit summary
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This article deals with the [[cut-up]] of '''nephrectomy''' specimens. | This article deals with the [[cut-up]] of '''total nephrectomy''' specimens. It includes '''radical nephrectomy''' with or without adrenal gland. | ||
''Partial nephrectomy'' specimens are dealt with separately. | |||
==Introduction== | ==Introduction== | ||
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They come in three basics flavours: | They come in three basics flavours: | ||
*Partial nephrectomy. | *[[Partial nephrectomy]]. | ||
*Nephrectomy. | *Nephrectomy. | ||
*Radical nephrectomy - includes Gerota's fascia. | *Radical nephrectomy - includes Gerota's fascia. | ||
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*Weight: ___ grams. | *Weight: ___ grams. | ||
*Size of specimen (superior-inferior, left-right, anterior-posterior): ___ x ___ x ___ cm. | *Size of specimen (superior-inferior, left-right, anterior-posterior): ___ x ___ x ___ cm. | ||
*Ureter (length x diameter): ___ x ___ cm. | *Ureter (length x diameter): ___ x ___ cm. | ||
*Renal vein (length x diameter): ___ x ___ cm. | *Renal vein (length x diameter): ___ x ___ cm. | ||
*Renal artery (length x diameter): ___ x ___ cm. | *Renal artery (length x diameter): ___ x ___ cm. | ||
*Adrenal gland: [___ x ___ x ___ cm / not identified]. | |||
*Inking of surface: [colour]. | |||
*Size of kidney (superior-inferior, left-right, anterior-posterior): ___ x ___ x ___ cm. | |||
*Perinephric fat (maximal dimension): ___ cm. | |||
Tumour: | Tumour: | ||
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*Location: [upper pole / mid / lower pole]. | *Location: [upper pole / mid / lower pole]. | ||
*Colour: [yellow, tan, white]. | *Colour: [yellow, tan, white]. | ||
*Circumscription: [well circumscribed | *Circumscription: [well circumscribed / indeterminate / infiltrative border]. | ||
*Friability: [friable/not friable]. | *Friability: [friable / not friable]. | ||
*Hemorrhage: [present/absent]. | *Hemorrhage: [present / absent]. | ||
*Necrosis: [present/absent]. | *Necrosis: [present / absent]. | ||
*Nearest margin: ___ cm. | *Nearest margin: ___ cm. | ||
*Extension into perinephric fat: [absent/ | *Extension into perinephric fat: [absent / not identified-pushing border / suspicious / present]. | ||
*Extension into renal hilar fat: [absent/ | *Extension into renal hilar fat: [absent / not identified-pushing border / suspicious / present]. | ||
*Extension into the collecting system: [absent/suspicious/present]. | *Extension into the collecting system: [absent / suspicious / present]. | ||
*Extension into renal vein: [absent/suspicious/present]. | *Extension into renal vein: [absent / suspicious / present]. | ||
Other: | Other: | ||
*Non-tumour parenchyma: [cortex unremarkable / thinned]. | *Non-tumour parenchyma: [cortex unremarkable / thinned]. | ||
*Collecting system mucosa: [smooth and regular / granular / irregular / dilated]. | *Collecting system mucosa: [smooth and regular / granular / irregular / dilated]. | ||
*Lymph nodes: [number of lymph nodes with [unremarkable cut surface / tumour] / not identified]. | |||
Representative sections are submitted: | Representative sections are submitted: | ||
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==See also== | ==See also== | ||
===Related protocols=== | ===Related protocols=== | ||
*[[Partial nephrectomy]]. | |||
==References== | ==References== | ||
{{Reflist|1}} | {{Reflist|1}} | ||
[[Category:Gross pathology]] | [[Category:Gross pathology]] | ||