Difference between revisions of "Orchiectomy grossing"

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Orchiectomy grossing (view source)

Revision as of 20:52, 26 April 2016

980 bytes removed ,  20:52, 26 April 2016
→‎Staging
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====Staging====
====Staging====
{{Main|Testicular cancer staging}}
Based on AJCC 7th Edition:<ref>URL: [https://en.wikibooks.org/wiki/Radiation_Oncology/Testis/Staging https://en.wikibooks.org/wiki/Radiation_Oncology/Testis/Staging]. Accessed on: 15 December 2014.</ref><ref name=cancer_org>URL: [http://www.cancer.org/cancer/testicularcancer/detailedguide/testicular-cancer-staging http://www.cancer.org/cancer/testicularcancer/detailedguide/testicular-cancer-staging]. Accessed on: 15 December 2014.</ref>
Based on AJCC 7th Edition:<ref>URL: [https://en.wikibooks.org/wiki/Radiation_Oncology/Testis/Staging https://en.wikibooks.org/wiki/Radiation_Oncology/Testis/Staging]. Accessed on: 15 December 2014.</ref><ref name=cancer_org>URL: [http://www.cancer.org/cancer/testicularcancer/detailedguide/testicular-cancer-staging http://www.cancer.org/cancer/testicularcancer/detailedguide/testicular-cancer-staging]. Accessed on: 15 December 2014.</ref>
*pT1 - confined to the testis or epididymis, no [[lymphovascular invasion]].
*pT1 - confined to the testis or epididymis, no [[lymphovascular invasion]].
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*pT3 - into [[spermatic cord]].
*pT3 - into [[spermatic cord]].
*pT4 - into the [[scrotum]].
*pT4 - into the [[scrotum]].
Notes:
*Invasion into the [[epididymis]] and/or tunica albuginea does not change the [[cancer staging|stage]].<ref name=cancer_org/>
*[[Rete testis]] involvement and testicular hilum involvement may be seen or suspected at the time of [[cut-up]]. Both of these are poor prognosticators;<ref>{{Cite journal  | last1 = Yilmaz | first1 = A. | last2 = Cheng | first2 = T. | last3 = Zhang | first3 = J. | last4 = Trpkov | first4 = K. | title = Testicular hilum and vascular invasion predict advanced clinical stage in nonseminomatous germ cell tumors. | journal = Mod Pathol | volume = 26 | issue = 4 | pages = 579-86 | month = Apr | year = 2013 | doi = 10.1038/modpathol.2012.189 | PMID = 23238629 }}</ref> however, they to do not affect the (AJCC 7th Edition) stage.
**Involvement of the testicular hilum is not specifically addressed in the AJCC 7th Edition. Based on the current evidence, it is probably best classified as pT1 (if there is no [[LVI]] and the tumour is otherwise confined to the testis/epididymis).


===Alternate approaches===
===Alternate approaches===
Michael
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