Questions in Daily Urologic Practice

Updates for Urologists and Diagnostic Pathologists

  • Ryoichi Oyasu
  • Ximing J. Yang
  • Osamu Yoshida

Table of contents

  1. Front Matter
    Pages I-X
  2. Prostate

    1. Front Matter
      Pages 1-1
  3. Kidney

    1. Front Matter
      Pages 87-87

About this book

Introduction

The principal role of the diagnostic surgical pathologist is to serve a patient by assisting the clinician in charge of the patient's care. In that capacity,the pathologist provides the vital informationthat should be directly and indirectly useful in guiding the clinician toward the most appropriate therapy. The material pathologists receive most commonly is a biopsy or a part of an organ removed after a definitive pro- dure. To extract useful information, pathological evaluation proceeds according to a set of guidelines. Simply reporting a diagnosis of cancer is inadequate. Detailed additional information is needed so that the clinician can go on to establish a the- peutic plan as needed. To best serve the patient, close interaction between the cli- cian and the pathologist is vital. In the field of urological pathology, there are problems specific to this system. Typically, in the prostate, because of its location, there is little room for a surgeon to work to obtain adequate resection margins, unlike with many other organs. As a result, questions arise such as "What constitutes an adequate surgical margin?" "What is the significance of extraprostatic extension of neoplasm that is still inside the resection margin?" and "What is the significance of neoplastic glands found on the resection margin marked with the ink?" It has been shown that a prostate needle core biopsy can generate much information that is immediately useful in predicting the extent of cancer in the prostate and, consequently, the outcome for the patient.

Keywords

Grading Staging biopsy cancer carcinoma cell differential diagnosis kidney pathogenesis prostate cancer prostatectomy renal cell carcinoma tissue tumor urology

Authors and affiliations

  • Ryoichi Oyasu
    • 1
  • Ximing J. Yang
    • 2
  • Osamu Yoshida
    • 3
    • 4
  1. 1.Northwestern University Feinberg School of MedicineChicagoUSA
  2. 2.Surgical Pathology, Northwestern Memorial HospitalNorthwestern UniversityChicagoUSA
  3. 3.Nara Medical UniversityJapan
  4. 4.Kyoto University Postgraduate School of MedicineNaraJapan

Bibliographic information

  • DOI https://doi.org/10.1007/978-4-431-72819-1
  • Copyright Information Springer Japan 2008
  • Publisher Name Springer, Tokyo
  • eBook Packages Medicine
  • Print ISBN 978-4-431-72818-4
  • Online ISBN 978-4-431-72819-1
  • About this book
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