Histopathology report

• tumour type - squamous/urothelial/adenocarcinoma/other.

• tumour growth pattern - papillary/invasive/flat in situ.

• tumour differentiation - use WHO grades I-III (based on cytological atypia).

• tumour edge - pushing/infiltrative.

• extent of local tumour spread

Urethra (male and female)

- pTa non-invasive papillary, polypoid or verrucous carcinoma.

- pTis carcinoma in situ.

- pT1 invasion of subepithelial connective tissue.

- pT2 invasion of any of: corpus spongiosum, prostate, periurethral muscle.

- pT3 invasion of any of: corpus cavernosum, beyond prostatic capsule, anterior vagina, bladder neck.

- pT4 invasion into other adjacent organs.

Urothelial carcinoma of prostatic urethra

- pTis pu carcinoma in situ, involvement of prostatic urethra.

- pTis pd carcinoma in situ, involvement of prostatic ducts.

- pT1 invasion of subepithelial connective tissue.

- pT2 invasion of any of: prostatic stroma, corpus spongiosum, periurethral muscle.

- pT3 invasion of any of: corpus cavernosum, beyond prostatic capsule, bladder neck

(extraprostatic extension).

- pT4 invasion into other adjacent organs (invasion of the bladder).

• lymphovascular invasion - present/not present.

• regional lymph nodes

- inguinal/pelvic

- pN0 no regional lymph node metastasis.

- pN1 metastasis in a single regional node < 2cm.

- pN2 metastasis in a single regional node > 2cm or multiple regional nodes

• excision margins

- distances (in mm) to the nearest longitudinal and circumferential periurethral resection limits.

- presence/absence of carcinoma in situ at longitudinal limits.

• other pathology

- urothelial carcinoma in situ, diverticulum.

0 0

Post a comment