Renal tumor

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Author: Mikael Häggström [note 1]

Presentations

Usually total nephrectomy.[1]

Gross processing

Gross examination

For orientation, the ureter stump points to the inferior pole.[1]

Components:[1]

  • Note the appearance of the renal surface
  • Inspect the capsule and pericapsular soft tissue, and possibly an accompanying adrenal gland
  • Measure dimensions (and optionally the weight)
  • Identify the surgical margin of the ureteral stump, renal vein and renal artery
  • In cases of a bulging tumor, apply ink to the surface of pericapsular fatty tissue by the tumor.
  • Dissect the ureteral stump
  • Split the kidney in the middle, in the coronal plane. Release the fibrous capsule. Dissect the renal pelvis and calyces. Inspect the parenchyma on cut surfaces.
  • Note and possibly measure the medullary thickness and the width of the renal pelvis


https://www.dovepress.com/unclassified-renal-cell-carcinoma-diagnostic-difficulties-and-treatmen-peer-reviewed-fulltext-article-RRU

https://www.dovepress.com/cr_data/article_fulltext/s154000/154932/img/rru_154932_T001.jpg


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  1. 1.0 1.1 1.2 Monica Dahlgren, Janne Malina, Anna Måsbäck, Otto Ljungberg. Stora utskärningen. KVAST (Swedish Society of Pathology). Retrieved on 2019-09-26.