Renal tumor
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
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- ↑ 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.