Intraoperative Consultation and Macroscopic Handling

Clare Verrill, Joanna Perry-Keene, John R. Srigley, Ming Zhou, Peter A. Humphrey, Antonio Lopez-Beltran, Lars Egevad, Thomas Ulbright, Satish K. Tickoo, Jonathan I. Epstein, Eva Compérat, Daniel M. Berney

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

The International Society of Urological Pathology held a conference on issues in testicular and penile pathology in Boston in March 2015, which included a presentation by the testis macroscopic features working group. The presentation focused on current published guidance for macroscopic handling of testicular tumors and retroperitoneal lymph node dissections with a summary of results from an online survey of members preceding the conference. The survey results were used to initiate discussions, but decisions on practice were made by expert consensus rather than voting. The importance of comprehensive assessment at the time of gross dissection with confirmation of findings by microscopic assessment was underscored. For example, the anatomic landmarks denoting the distinction of hilar soft tissue invasion (pT2) from spermatic cord invasion (pT3 category) can only be determined by careful macroscopic assessment in many cases. Other recommendations were to routinely sample epididymis, rete testis, hilar soft tissue, and tunica vaginalis in order to confirm macroscopic invasion of these structures or if not macroscopically evident, to exclude subtle microscopic invasion. Tumors 2 cm or less in greatest dimension should be completely embedded. If the tumor is >2 cm in greatest dimension, 10 blocks or a minimum of 1 to 2 additional blocks per centimeter should be taken (whichever is greater).

Original languageEnglish (US)
Pages (from-to)e33-e43
JournalAmerican Journal of Surgical Pathology
Volume42
Issue number6
DOIs
StatePublished - Jan 1 2018
Externally publishedYes

Fingerprint

Referral and Consultation
Rete Testis
Anatomic Landmarks
Pathology
Spermatic Cord
Epididymis
Testicular Neoplasms
Politics
Lymph Node Excision
Testis
Dissection
Neoplasms
Surveys and Questionnaires

Keywords

  • germ cell tumor
  • guidelines
  • Testis

ASJC Scopus subject areas

  • Anatomy
  • Surgery
  • Pathology and Forensic Medicine

Cite this

Verrill, C., Perry-Keene, J., Srigley, J. R., Zhou, M., Humphrey, P. A., Lopez-Beltran, A., ... Berney, D. M. (2018). Intraoperative Consultation and Macroscopic Handling. American Journal of Surgical Pathology, 42(6), e33-e43. https://doi.org/10.1097/PAS.0000000000001049

Intraoperative Consultation and Macroscopic Handling. / Verrill, Clare; Perry-Keene, Joanna; Srigley, John R.; Zhou, Ming; Humphrey, Peter A.; Lopez-Beltran, Antonio; Egevad, Lars; Ulbright, Thomas; Tickoo, Satish K.; Epstein, Jonathan I.; Compérat, Eva; Berney, Daniel M.

In: American Journal of Surgical Pathology, Vol. 42, No. 6, 01.01.2018, p. e33-e43.

Research output: Contribution to journalArticle

Verrill, C, Perry-Keene, J, Srigley, JR, Zhou, M, Humphrey, PA, Lopez-Beltran, A, Egevad, L, Ulbright, T, Tickoo, SK, Epstein, JI, Compérat, E & Berney, DM 2018, 'Intraoperative Consultation and Macroscopic Handling', American Journal of Surgical Pathology, vol. 42, no. 6, pp. e33-e43. https://doi.org/10.1097/PAS.0000000000001049
Verrill C, Perry-Keene J, Srigley JR, Zhou M, Humphrey PA, Lopez-Beltran A et al. Intraoperative Consultation and Macroscopic Handling. American Journal of Surgical Pathology. 2018 Jan 1;42(6):e33-e43. https://doi.org/10.1097/PAS.0000000000001049
Verrill, Clare ; Perry-Keene, Joanna ; Srigley, John R. ; Zhou, Ming ; Humphrey, Peter A. ; Lopez-Beltran, Antonio ; Egevad, Lars ; Ulbright, Thomas ; Tickoo, Satish K. ; Epstein, Jonathan I. ; Compérat, Eva ; Berney, Daniel M. / Intraoperative Consultation and Macroscopic Handling. In: American Journal of Surgical Pathology. 2018 ; Vol. 42, No. 6. pp. e33-e43.
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