David J. Grignon, MD and John N. Eble, MD, MBA, Clarian Health and The Indiana University School of Medicine, Indianapolis, IN.
The handling and reporting of tumor bearing specimens is a critical component of the practice of surgical pathology. It is also an area that is under constant change and revision. This course is suitable for residents, fellows and practicing pathologists. It will provide the participant with the necessary skills and knowledge to issue current, complete and accurate pathology reports for tumors of the major urologic organs – the kidney, urinary bladder, prostate gland and testis. Practical approaches to the gross dissection and sampling of resection specimens will be presented. Current staging criteria with a review of changes in the 2009 edition of the AJCC/TNM system will be emphasized. Recommendations for handling problematic T-categories such as perinephric and renal sinus invasion in renal cell carcinoma, muscle invasion in the urinary bladder, extraprostatic extension in the radical prostatectomy, and vascular space involvement in the testis will be presented. Other critical morphologic features for reporting including grading of common renal cell carcinoma types, recommended reporting of Gleason grade, grading of urothelial tumors and identification of germ cell tumor types will be covered. The course is designed for senior residents, fellows and practicing surgical pathologists.
Pre-registrants will receive a website address where they can review images that will focus the discussion on the key issues being presented for each major organ. All participants will also be provided with a comprehensive syllabus at the time of the meeting and a post course CD-ROM with further gross and histologic images emphasizing key points and pitfalls.
After completion of the course, participants will be able to: 1) effectively handle common tumor bearing specimens of the major urologic organs to provide critical information for patient management and prognostication, 2) accurately assign T-categories to these specimens, 3) apply relevant grading and classification systems to common urologic malignancies and 4) produce complete and accurate surgical pathology reports based on current guidelines and an understanding of the reasons for inclusion of each element.
This course may be used for CME credits or SAM's credits.