Current topicsRecommendations for the reporting of surgically resected specimens of renal cell carcinoma: The Association of Directors of Anatomic and Surgical Pathology
Section snippets
Scope of the guidelines
The reporting of renal cell carcinoma is facilitated by the provision of a checklist to insure that pathologists provide all of the essential information to enable clinicians to optimize patient care. Classification of renal tumors is complicated by the wide range of morphological types of renal cell carcinoma, some of which have recognized subtypes. Cytogenetic data have clarified the morphologic features of some of these tumors, but such data are not routinely available to assist most
Gross description
- A.
How the specimen was received: fresh, in formalin, intact, fragmented, morcellated, etc.
- B.
How the specimen was identified: labeled (name, medical record number) and designated (eg, right radical nephrectomy).
- C.
If the specimen is a radical nephrectomy, inspect the external aspect of the specimen (Gerota fascia) for evidence of tumor. Locate the ureteral and vascular margins in the renal hilus. These may be sampled before inking the specimen when they are most easily identified. Hemostatic forceps
Diagnostic information
- 1.
Laterality of tumor and type of resection.
- 2.
Histologic type: the World Health Organization 2004 classification of renal cell carcinoma is recommended [26].
- a.
Clear cell carcinoma
- b.
Multilocular cystic carcinoma
- c.
Papillary carcinoma
- d.
Chromophobe carcinoma
- e.
Mucinous tubular and spindle carcinoma
- f.
Collecting duct carcinoma
- g.
Medullary carcinoma
- h.
Translocation carcinomas (includes Xp11 and 6:11)
- i.
Tubulocystic carcinoma
- j.
Acquired cystic disease-associated carcinoma
- k.
Renal cell carcinoma, unclassified
- l.
Others (specify)
- a.
Outcome
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