Histopathology report

• tumour type - urothelial/squamous/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.

- pTis flat carcinoma in situ.

- pTa papillary non-invasive.

- pT1 invasion of subepithelial connective tissue.

- pT2a invasion of superficial muscle (inner half).

- pT2b invasion of deep muscle (outer half).

- pT3 invasion of perivesical fat.

a. microscopically.

b. macroscopically.

- pT4 invasion of:

a. prostate, uterus, vagina.

b. pelvic wall, abdominal wall.

• lymphovascular invasion - present/not present.

• regional lymph nodes.

- pelvic nodes below the bifurcation of the common iliac arteries.

- pN0 no regional lymph node metastasis.

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

- pN2 metastasis in a single regional node > 2cm but < 5cm or multiple regional nodes each < 5cm.

- pN3 metastasis in a regional node > 5cm.

• excision margins:

- distances (mm) to the ureteric, urethral and nearest perivesical soft tissue margins.

- presence/absence of dysplasia/carcinoma in situ at ureteric/urethral limits.

• other pathology:

- urothelial carcinoma in situ, diverticulum, inflammation, squamous/glandular metaplasia, urachus, prostate pathology.

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