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Difference between revisions of "Nephroureterectomy grossing"
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*Adrenal gland: [___ x ___ x ___ cm / not identified]. | *Adrenal gland: [___ x ___ x ___ cm / not identified]. | ||
*Inking of surface: [colour]. | *Inking of surface: [colour]. | ||
*Inking of bladder cuff/resection margin: [colour]. | |||
*Size of kidney (superior-inferior, left-right, anterior-posterior): ___ x ___ x ___ cm. | *Size of kidney (superior-inferior, left-right, anterior-posterior): ___ x ___ x ___ cm. | ||
*Perinephric fat (maximal dimension): ___ cm. | *Perinephric fat (maximal dimension): ___ cm. | ||
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Representative sections are submitted: | Representative sections are submitted: | ||
*Renal vein margin and renal artery margin ([[en face margin|en face]]). | *Renal vein margin and renal artery margin ([[en face margin|en face]]). | ||
*Urinary bladder cuff margin ([[on edge margin|on edge]]).§ | *Urinary bladder cuff margin ([[on edge margin|on edge]]). § | ||
*Urinary bladder cuff. | *Urinary bladder cuff. | ||
*Ureter - representative sections. | *Ureter - representative sections. ¶ | ||
*Tumour with nearest margin. | *Tumour with nearest margin. | ||
*Tumour in relation to perinephric fat. † | *Tumour in relation to perinephric fat. † | ||
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===Protocol notes=== | ===Protocol notes=== | ||
*§ Bladder cuff margin may be done en face. | |||
*¶ Should be cross sections - ''not'' longitudinal sections. | |||
*† This typically upstages to pT4. It is uncommon that the tumour goes through the kidney and into the perinephric fat. | *† This typically upstages to pT4. It is uncommon that the tumour goes through the kidney and into the perinephric fat. | ||
*†† Invasion into the renal parenchyma typically upstages to pT3. This can be difficult to judge on [[cut-up]]. If renal parenchymal invasion is ''not'' seen grossly at least three sections should be taken. Small tumours are usually [[submitted in toto]]. | *†† Invasion into the renal parenchyma typically upstages to pT3. This can be difficult to judge on [[cut-up]]. If renal parenchymal invasion is ''not'' seen grossly at least three sections should be taken. Small tumours are usually [[submitted in toto]]. | ||
===Alternate approaches=== | ===Alternate approaches=== | ||