Nephroureterectomy grossing - Revision history

Michael at 16:14, 31 July 2024

2024-07-31T16:14:57Z

← Older revision		Revision as of 16:14, 31 July 2024
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	*Adrenal gland: [___ x ___ x ___ cm / not identified].		*Adrenal gland: [___ x ___ x ___ cm / not identified].
	*Inking of kidney: [colour].		*Inking of kidney: [colour].
	*Inking of proximal ureter: [colour].		*Inking of proximal ureter: [colour]. ¶
	*Inking of mid ureter: [colour].		*Inking of mid ureter: [colour]. ¶
	*Inking of distal ureter: [colour].		*Inking of distal ureter: [colour]. ¶
	*Inking of bladder cuff/resection margin: [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.

Michael at 16:13, 31 July 2024

2024-07-31T16:13:48Z

← Older revision		Revision as of 16:13, 31 July 2024
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	===Protocol notes===		===Protocol notes===
	*§ Bladder cuff margin may be done en face.		*§ Bladder cuff margin may be done en face.
	*¶ ~~Should~~ be cross sections - ''not'' longitudinal sections. It is advantageous to ink the ureter three different colours; this allows one to determine where the remaining ureter is from.		*¶ The ureter should be cross sections - ''not'' longitudinal sections. It is advantageous to ink the ureter three different colours; this allows one to determine where the remaining ureter is from.
	**If ''proximal ureter'' is blue, ''mid ureter'' is ''red'' and ''distal ureter'' is ''green'': blue-red is proximal, red-green is distal; ~~this~~ is important if one submits more tissue.		**If ''proximal ureter'' is blue, ''mid ureter'' is ''red'' and ''distal ureter'' is ''green'': blue-red is proximal, red-green is distal; the orientation and anatomical location is important if one submits more tissue.
	*† 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]].

Michael at 16:10, 31 July 2024

2024-07-31T16:10:07Z

← Older revision		Revision as of 16:10, 31 July 2024
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	*Renal artery (length x diameter): ___ x ___ cm.		*Renal artery (length x diameter): ___ x ___ cm.
	*Adrenal gland: [___ x ___ x ___ cm / not identified].		*Adrenal gland: [___ x ___ x ___ cm / not identified].
	*Inking of ~~surface~~: [colour].		*Inking of kidney: [colour].
			*Inking of proximal ureter: [colour].
			*Inking of mid ureter: [colour].
			*Inking of distal ureter: [colour].
	*Inking of bladder cuff/resection margin: [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.
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	===Protocol notes===		===Protocol notes===
	*§ Bladder cuff margin may be done en face.		*§ Bladder cuff margin may be done en face.
	*¶ Should be cross sections - ''not'' longitudinal sections.		*¶ Should be cross sections - ''not'' longitudinal sections. It is advantageous to ink the ureter three different colours; this allows one to determine where the remaining ureter is from.
			**If ''proximal ureter'' is blue, ''mid ureter'' is ''red'' and ''distal ureter'' is ''green'': blue-red is proximal, red-green is distal; this is important if one submits more tissue.
	*† 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]].

Michael: /* Specimen opening */

2015-05-07T01:32:25Z

Specimen opening

← Older revision		Revision as of 01:32, 7 May 2015
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	#Open the kidney in the frontal plane (from lateral to medial).		#Open the kidney in the frontal plane (from lateral to medial).
	#*The cut should go through the renal pelvis.		#*The cut should go through the renal pelvis.
			#Place specimen(s) in [[formalin]].

	==Protocol==		==Protocol==

Michael at 22:28, 3 March 2015

2015-03-03T22:28:44Z

← Older revision		Revision as of 22:28, 3 March 2015
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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]].
	*§ Margin may be done en face.

	===Alternate approaches===		===Alternate approaches===

Michael at 22:24, 3 March 2015

2015-03-03T22:24:37Z

← Older revision		Revision as of 22:24, 3 March 2015
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	Representative sections are submitted:		Representative sections are submitted:
	*Renal vein margin and renal artery margin (en face)		*Renal vein margin and renal artery margin ([[en face margin\|en face]]).
	*Urinary bladder cuff margin (~~en face~~).		*Urinary bladder cuff margin ([[on edge margin\|on edge]]).§
	*Urinary bladder cuff.		*Urinary bladder cuff.
	*Ureter - representative sections.		*Ureter - representative sections.
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	*† 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]].
			*§ Margin may be done en face.

	===Alternate approaches===		===Alternate approaches===

Michael: /* Protocol notes */

2015-02-13T03:44:51Z

Protocol notes

← Older revision		Revision as of 03:44, 13 February 2015
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	===Protocol notes===		===Protocol notes===
	*† 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.		*†† 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===

Michael: /* Protocol */

2014-12-17T21:55:24Z

Protocol

← Older revision		Revision as of 21:55, 17 December 2014
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	*Margin: [nearest margin ___, distance ___ cm / positive margin, location ___].		*Margin: [nearest margin ___, distance ___ cm / positive margin, location ___].
	*Extension into perinephric fat: [absent / not identified-pushing border / suspicious / present].		*Extension into perinephric fat: [absent / not identified-pushing border / suspicious / present].
	*Extension into the renal parenchyma ~~system~~: [absent / suspicious / present].		*Extension into the renal parenchyma: [absent / suspicious / present].
	*Extension into renal ~~sinus~~ fat: [absent / not identified-pushing border / suspicious / present].		*Extension into renal hilar fat: [absent / not identified-pushing border / suspicious / present].
	*Extension into renal vein: [absent / suspicious / present].		*Extension into renal vein: [absent / suspicious / present].

Michael at 16:46, 28 November 2014

2014-11-28T16:46:23Z

← Older revision		Revision as of 16:46, 28 November 2014
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	This article deals with the '''nephroureterectomy grossing''', also the [[cut-up]] of '''nephroureterectomy''' specimens. These specimens include both a [[kidney]] and a [[~~ureter~~]].		This article deals with the '''nephroureterectomy grossing''', also the [[cut-up]] of '''nephroureterectomy''' specimens. These specimens include both a [[kidney]], a [[ureter]] and a [[urinary bladder]] cuff.

	''[[Total nephrectomy]]'' specimens (without the ureter) and ''[[partial nephrectomy]]'' specimens are dealt with separately.		''[[Total nephrectomy]]'' specimens (without the ureter) and ''[[partial nephrectomy]]'' specimens are dealt with separately.

Michael at 16:43, 28 November 2014

2014-11-28T16:43:51Z

← Older revision		Revision as of 16:43, 28 November 2014
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	This article deals with the [[cut-up]] of '''nephroureterectomy''' specimens ~~which~~ include both a [[kidney]] and a [[ureter]].		This article deals with the '''nephroureterectomy grossing''', also the [[cut-up]] of '''nephroureterectomy''' specimens. These specimens include both a [[kidney]] and a [[ureter]].

	''[[Total nephrectomy]]'' specimens (without the ureter) and ''[[partial nephrectomy]]'' specimens are dealt with separately.		''[[Total nephrectomy]]'' specimens (without the ureter) and ''[[partial nephrectomy]]'' specimens are dealt with separately.

	==Introduction==		==Introduction==
	~~Nephrectomies~~ are ~~often~~ done for [[urothelial carcinoma]].		Nephroureterectomies are done for [[urothelial carcinoma]] of the ureter and/or renal pelvis.

	The false positive/negative for tumour rate is reported as high as 2.9%.<ref name=pmid25408605>{{Cite journal \| last1 = Hong \| first1 = S. \| last2 = Kwon \| first2 = T. \| last3 = You \| first3 = D. \| last4 = Jeong \| first4 = IG. \| last5 = Hong \| first5 = B. \| last6 = Hong \| first6 = JH. \| last7 = Ahn \| first7 = H. \| last8 = Kim \| first8 = CS. \| title = Incidence of benign results after laparoscopic radical nephroureterectomy. \| journal = JSLS \| volume = 18 \| issue = 4 \| pages = \| month = Oct \| year = 2014 \| doi = 10.4293/JSLS.2014.00335 \| PMID = 25408605 }}</ref>		The false positive/negative for tumour rate is reported as high as 2.9%.<ref name=pmid25408605>{{Cite journal \| last1 = Hong \| first1 = S. \| last2 = Kwon \| first2 = T. \| last3 = You \| first3 = D. \| last4 = Jeong \| first4 = IG. \| last5 = Hong \| first5 = B. \| last6 = Hong \| first6 = JH. \| last7 = Ahn \| first7 = H. \| last8 = Kim \| first8 = CS. \| title = Incidence of benign results after laparoscopic radical nephroureterectomy. \| journal = JSLS \| volume = 18 \| issue = 4 \| pages = \| month = Oct \| year = 2014 \| doi = 10.4293/JSLS.2014.00335 \| PMID = 25408605 }}</ref>