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Radical cystectomy grossing (view source)
Revision as of 19:17, 15 August 2014
, 19:17, 15 August 2014no edit summary
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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=== | ||