Prostate chips grossing
This article deals with prostate chips.
Introduction
Prostate chips are generated from transurethral resection of the prostate (TURP) procedures. These are generally for relieving urinary obstruction due to nodular hyperplasia of the prostate (benign prostatic hyperplasia); however, urinary obstruction may be secondary to prostate cancer. Thus, the job of the pathologist here, usually, is excluding an incidental cancer.
Protocol
Specimen:
- Weight ___ grams.
- Dimensions (in aggregate): ___ x ___ x ___ cm.
- Number of fragments: [1-6 / multiple (>6)].
- Appearance: [tan-gray / yellow / orange].
- Consistency: [rubbery / firm].
- Other: [none / hemorrhagic appearance / necrotic appearing].
[Submitted in total/Representative sections submitted] in block(s) ___.
Protocol notes
Number of cassettes:[1]
- <= 12 grams: EIT.
- >12 grams: embed 12 grams and 1 cassette for every additional 5 grams.
- If the prostate chips have a mass of:
- 16 grams: 6-8 cassettes for 12 grams + 1 cassette = 7-9 cassettes.
- 21 grams: 6-8 cassettes for 12 grams + 2 cassettes = 7-9 cassettes.
- If the prostate chips have a mass of:
What to look for/feel for:[1]
| Entity | Colour | Firmness |
|---|---|---|
| Prostate cancer | yellow/orange | firm |
| Benign prostate | tan/gray | rubbery |
Alternate approaches
See also
Related protocols
References
- ↑ 1.0 1.1 Lester, Susan Carole (2005). Manual of Surgical Pathology (2nd ed.). Saunders. pp. 398. ISBN 978-0443066450.