Surgical Pathology Cancer Case
Summary
URINARY BLADDER, URETER, RENAL PELVIS:
Report
URINARY BLADDER, URETER, RENAL PELVIS:
MACROSCOPIC (check
all that apply)
SPECIMEN TYPE*
___ Cytology
___ Bladder biopsy
___ Transurethral specimen
MICROSCOPIC (check
all that apply)
HISTOLOGIC
TYPE
___ Cannot be determined
___ Urothelial (transitional cell) papilloma (WHO/ISUP 1998;
WHO 1973)
___ Urothelial (transitional cell) papilloma, inverted type
___ Squamous cell papilloma
___ Papillary urothelial (transitional cell) neoplasm, low malignant potential (WHO/ISUP 1998)/grade I (WHO, 1973)
___ Urothelial (transitional cell) carcinoma in situ
___ Urothelial carcinoma
___ Urothelial (transitional cell) carcinoma with the
following:
___ Squamous
differentiation
___
Glandular differentiation
___ Variant
histology (specify)
___ Squamous
cell carcinoma
___ Typical
___ Variant
histology (specify)
___ Adenocarcinoma
___ Typical
___ Variant histology
(specify)
___ Small cell carcinoma
___ Undifferentiated carcinoma (specify)
___ Other (specify)
___ Mixed cell type (check all that apply)
___ Urothelial
(transitional cell)
___
Squamous cell
___
Adenocarcinoma
___
Small cell carcinoma
___ Other (specify)
HISTOLOGIC
GRADE
___
For urothelial carcinoma (WHO/ISUP, 1998)
___ Low grade
___ High grade
___ For adenocarcinoma and squamous carcinoma
___ GX:
Cannot be assessed
___ G1:
Well differentiated
___ G2: Moderately differentiated
___ G3-4:
Poorly differentiated
EXTENT OF
INVASION
___ TX: Cannot
be assessed
___ T0: No evidence of primary tumor
___ Ta: Noninvasive papillary carcinoma
___ Tis: Carcinoma in situ (“flat tumor”)
___ T1: Tumor invades subepithelial connective tissue
___ T2: Tumor invades
muscularis propria
ADDITIONAL
PATHOLOGIC FINDINGS*
___ Urothelial dysplasia (low grade intraurothelial
neoplasia)
___ Focal
___ Multifocal
___
Inflammation/regenerative changes
___ Therapy related changes
___ Cystitis cystica glandularis
___ Keratinizing squamous metaplasia
___ Intestinal metaplasia
___ Other (specify)
COMMENT
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