Radical cystectomy grossing - Revision history

Michael at 12:54, 13 June 2024

2024-06-13T12:54:52Z

← Older revision		Revision as of 12:54, 13 June 2024
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	==See also==		==See also==
	===Related protocols===		===Related protocols===
			*[[Transurethral resection of bladder tumour grossing]].
	*[[Partial cystectomy]].		*[[Partial cystectomy]].
	*[[Cystoprostatectomy]].		*[[Cystoprostatectomy]].

Michael at 03:13, 11 October 2016

2016-10-11T03:13:30Z

← Older revision		Revision as of 03:13, 11 October 2016
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	**Posterior - typically has serosa (shiny).		**Posterior - typically has serosa (shiny).
	**Uterus, uterine tubes and ovaries posterior to bladder.		**Uterus, uterine tubes and ovaries posterior to bladder.
	*Inking:		*[[Inking]]:
	**Urethra margin - green ink.		**Urethra margin - green ink.
	**Anterior urinary bladder site of opening (blue ink):		**Anterior urinary bladder site of opening (blue ink):

Michael: /* Specimen opening */ fix sp

2015-06-08T04:34:37Z

Specimen opening: fix sp

← Older revision		Revision as of 04:34, 8 June 2015
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	*Inking:		*Inking:
	**Urethra margin - green ink.		**Urethra margin - green ink.
	**Anterior urinary bladder site of ~~openning - green~~ ink.		**Anterior urinary bladder site of opening (blue ink):
	***Line 1: anterior bladder base toward upper left.		***Line 1: anterior bladder base toward upper left.
	***Line 2: anterior bladder base toward upper right.		***Line 2: anterior bladder base toward upper right.
	**If total hysterectomy - soft tissue margin - black ink		**If total hysterectomy - soft tissue margin - black ink.
	*Opening:		*Opening:
	**Open anteriorly through the urethra and follow the ink upward to left and upward to right - such that anterior bladder wall can be flipped upward.		**Open anteriorly through the urethra and follow the ink upward to left and upward to right - such that anterior bladder wall can be flipped upward.
	**Open the uterus - if present - with ~~sissors~~ through the external os with cuts on the lateral walls.		**Open the uterus - if present - with scissors through the external os with cuts on the lateral walls.
	*Specimen should be pinned open on a large block of paraffin wax.		*Specimen should be pinned open on a large block of paraffin wax.
	**A paper towel should be placed behind the specimen - between the specimen and ~~paraffinx~~ wax.		**A paper towel should be placed behind the specimen - between the specimen and paraffin wax.
	*Place specimen(s) in [[formalin]].		*Place specimen(s) in [[formalin]].

Michael: /* Introduction */

2015-06-08T04:32:38Z

Introduction

← Older revision		Revision as of 04:32, 8 June 2015
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	The [[ureter]]s in these cases are often are assessed [[frozen section\|intraoperatively]]. The occurrence of [[urothelial carcinoma in situ\|CIS]] is strongly associated with CIS in the [[urinary bladder]].<ref name=pmid25374918>{{Cite journal \| last1 = Zhou \| first1 = H. \| last2 = Ro \| first2 = JY. \| last3 = Truong \| first3 = LD. \| last4 = Ayala \| first4 = AG. \| last5 = Shen \| first5 = SS. \| title = Intraoperative frozen section evaluation of ureteral and urethral margins: studies of 203 consecutive radical cystoprostatectomy for men with bladder urothelial carcinoma. \| journal = Am J Clin Exp Urol \| volume = 2 \| issue = 2 \| pages = 156-60 \| month = \| year = 2014 \| doi = \| PMID = 25374918 }}</ref>		The [[ureter]]s in these cases are often are assessed [[frozen section\|intraoperatively]]. The occurrence of [[urothelial carcinoma in situ\|CIS]] is strongly associated with CIS in the [[urinary bladder]].<ref name=pmid25374918>{{Cite journal \| last1 = Zhou \| first1 = H. \| last2 = Ro \| first2 = JY. \| last3 = Truong \| first3 = LD. \| last4 = Ayala \| first4 = AG. \| last5 = Shen \| first5 = SS. \| title = Intraoperative frozen section evaluation of ureteral and urethral margins: studies of 203 consecutive radical cystoprostatectomy for men with bladder urothelial carcinoma. \| journal = Am J Clin Exp Urol \| volume = 2 \| issue = 2 \| pages = 156-60 \| month = \| year = 2014 \| doi = \| PMID = 25374918 }}</ref>

			==Specimen opening==
			*Orientation:
			**Posterior - typically has serosa (shiny).
			**Uterus, uterine tubes and ovaries posterior to bladder.
			*Inking:
			**Urethra margin - green ink.
			**Anterior urinary bladder site of openning - green ink.
			***Line 1: anterior bladder base toward upper left.
			***Line 2: anterior bladder base toward upper right.
			**If total hysterectomy - soft tissue margin - black ink
			*Opening:
			**Open anteriorly through the urethra and follow the ink upward to left and upward to right - such that anterior bladder wall can be flipped upward.
			**Open the uterus - if present - with sissors through the external os with cuts on the lateral walls.
			*Specimen should be pinned open on a large block of paraffin wax.
			**A paper towel should be placed behind the specimen - between the specimen and paraffinx wax.
			*Place specimen(s) in [[formalin]].

	==Protocol==		==Protocol==

Michael: /* Protocol */

2015-02-10T17:40:58Z

Protocol

← Older revision		Revision as of 17:40, 10 February 2015
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	*Appearance: [tan/brown / white], [firm / friable].		*Appearance: [tan/brown / white], [firm / friable].
	*Extension into perivescicular adipose tissue: [not identified, present].		*Extension into perivescicular adipose tissue: [not identified, present].

			Other:
			*[None / granular areas / hemorraghic areas / polypoid areas / polyps].

	Representative sections:		Representative sections:
Line 31:		Line 34:
	*Section with deepest invasion.		*Section with deepest invasion.
	*One section if fat invasion obvious, three sections if it is suspicious.		*One section if fat invasion obvious, three sections if it is suspicious.
	*Suspicious granular areas.		*Suspicious granular areas and polyps.
	*Left bladder wall at site of ureteric oriface.		*Left bladder wall at site of ureteric oriface.
	*Right bladder wall at site of ureteric oriface.		*Right bladder wall at site of ureteric oriface.

Michael: /* Introduction */

2014-12-18T06:12:41Z

Introduction

← Older revision		Revision as of 06:12, 18 December 2014
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	In men, the [[urinary bladder]] is usually removed along with the [[prostate gland]] (see [[cystoprostatectomy]]).		In men, the [[urinary bladder]] is usually removed along with the [[prostate gland]] (see [[cystoprostatectomy]]).

	The ~~ureters~~ in these ~~specimens~~ often are assessed [[frozen section\|intraoperatively]]. The ~~occurance~~ of [[urothelial carcinoma in situ\|CIS]] is strongly associated with CIS in the [[urinary bladder]].<ref name=pmid25374918>{{Cite journal \| last1 = Zhou \| first1 = H. \| last2 = Ro \| first2 = JY. \| last3 = Truong \| first3 = LD. \| last4 = Ayala \| first4 = AG. \| last5 = Shen \| first5 = SS. \| title = Intraoperative frozen section evaluation of ureteral and urethral margins: studies of 203 consecutive radical cystoprostatectomy for men with bladder urothelial carcinoma. \| journal = Am J Clin Exp Urol \| volume = 2 \| issue = 2 \| pages = 156-60 \| month = \| year = 2014 \| doi = \| PMID = 25374918 }}</ref>		The [[ureter]]s in these cases are often are assessed [[frozen section\|intraoperatively]]. The occurrence of [[urothelial carcinoma in situ\|CIS]] is strongly associated with CIS in the [[urinary bladder]].<ref name=pmid25374918>{{Cite journal \| last1 = Zhou \| first1 = H. \| last2 = Ro \| first2 = JY. \| last3 = Truong \| first3 = LD. \| last4 = Ayala \| first4 = AG. \| last5 = Shen \| first5 = SS. \| title = Intraoperative frozen section evaluation of ureteral and urethral margins: studies of 203 consecutive radical cystoprostatectomy for men with bladder urothelial carcinoma. \| journal = Am J Clin Exp Urol \| volume = 2 \| issue = 2 \| pages = 156-60 \| month = \| year = 2014 \| doi = \| PMID = 25374918 }}</ref>

	==Protocol==		==Protocol==

Michael at 06:11, 18 December 2014

2014-12-18T06:11:46Z

← Older revision		Revision as of 06:11, 18 December 2014
Line 7:		Line 7:

	In men, the [[urinary bladder]] is usually removed along with the [[prostate gland]] (see [[cystoprostatectomy]]).		In men, the [[urinary bladder]] is usually removed along with the [[prostate gland]] (see [[cystoprostatectomy]]).

			The ureters in these specimens often are assessed [[frozen section\|intraoperatively]]. The occurance of [[urothelial carcinoma in situ\|CIS]] is strongly associated with CIS in the [[urinary bladder]].<ref name=pmid25374918>{{Cite journal \| last1 = Zhou \| first1 = H. \| last2 = Ro \| first2 = JY. \| last3 = Truong \| first3 = LD. \| last4 = Ayala \| first4 = AG. \| last5 = Shen \| first5 = SS. \| title = Intraoperative frozen section evaluation of ureteral and urethral margins: studies of 203 consecutive radical cystoprostatectomy for men with bladder urothelial carcinoma. \| journal = Am J Clin Exp Urol \| volume = 2 \| issue = 2 \| pages = 156-60 \| month = \| year = 2014 \| doi = \| PMID = 25374918 }}</ref>

	==Protocol==		==Protocol==

Michael at 16:51, 28 November 2014

2014-11-28T16:51:11Z

← Older revision		Revision as of 16:51, 28 November 2014
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	'''~~Radical~~ cystectomy''', ~~may be referred to as~~ '''[[cystectomy]]''', is removal of the [[urinary bladder]].		This article deals with '''radical cystectomy grossing''', also '''radical cystectomy''' [[cut-up]].

			A '''[[cystectomy]]''' is removal of the [[urinary bladder]]; however, it may refer to the removal of a cyst, e.g. ''ovarian cystectomy''.

	==Introduction==		==Introduction==

Michael: Michael moved page Radical cystectomy to Radical cystectomy grossing: to mat

2014-11-28T16:49:06Z

Michael moved page Radical cystectomy to Radical cystectomy grossing: to mat

← Older revision	Revision as of 16:49, 28 November 2014
(No difference)

Michael: /* Protocol */

2014-09-12T16:47:16Z

Protocol

← Older revision		Revision as of 16:47, 12 September 2014
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	Representative sections:		Representative sections:
	*Urethral resection margin on edge.		*Urethral resection margin on edge.
			*Ureteral surgical (or specimen) margins (left and right).
	*Bladder tumour - 1 section/cm.		*Bladder tumour - 1 section/cm.
	*Section with deepest invasion.		*Section with deepest invasion.
	*One section if fat invasion obvious, three sections if it is suspicious.		*One section if fat invasion obvious, three sections if it is suspicious.
	*Suspicious granular areas.		*Suspicious granular areas.
	*Left bladder wall.		*Left bladder wall at site of ureteric oriface.
	*Right bladder wall.		*Right bladder wall at site of ureteric oriface.
	*Anterior bladder wall.		*Anterior bladder wall.
	*Posterior bladder wall.		*Posterior bladder wall.