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<p>SPECIMEN</p><ul><li>Procedure: Radical cystectomy.</li><li>Specimen integrity: Intact.</li></ul><p>TUMOR</p><ul><li>Tumor site: Trigone</li><li>Histologic type: Papillary urothelial (transitional cell) carcinoma.</li></ul><p>Histologic grade: Intermediate grade</p><ul><li>Tumor size: 7 cm (7 × 6.5 × 1.5 cm).</li><li>Tumor extension: Tumor invades the muscularis propria (detrusor muscle).</li></ul><p>MARGINS</p><ul><li>Right and left proximal ureteral margins: Negative for invasive carcinoma and carcinoma in situ (CIS).</li><li>Distal urethral margin: Negative for invasive carcinoma and CIS.</li><li>Soft tissue (perivesical) margin: Negative for invasive carcinoma</li></ul><p>LYMPHOVASCULAR / PERINEURAL INVASION.</p><ul><li>Lymphovascular invasion: Not identified.</li><li>Perineural invasion: Not identified.</li></ul><p>OTHER ORGANS</p><ul><li>Prostate gland: Unremarkable; negative for tumor.</li><li>Right and left seminal vesicles: Unremarkable; negative for tumor.</li><li>Right and left vasa deferentia: Unremarkable; negative for tumor</li></ul><p>PATHOLOGIC STAGE (AJCC 8th Edition)</p><ul><li>Primary tumor: pT2 (Tumor invades muscularis propria).</li><li>Regional lymph nodes: pNX (Regional lymph nodes cannot be assessed; not submitted).</li></ul><p><br></p><p><br></p><p><br></p><p><br></p>
<p>Urinary bladder mass.</p>
<p class="ql-align-justify">Received was a radical cystectomy specimen consisting of a urinary bladder measuring 9 × 7.5 × 4.8 cm, surrounded by fat 1 cm in thickness and attached by a perivesical fat peritoneal covering measuring 5 × 3.5 × 1 cm, along with the stumps of both ureters. Opening revealed an ulcerating, solid, firm, creamy mass measuring 7 × 6.5 × 1.5 cm located at the trigone.</p><p class="ql-align-justify">Prostate gland measured 7 × 1.5 cm, right seminal vesicle measured 4 × 0.8 cm, right vas deferens measured 1.3 cm in length × 0.5 cm in diameter, left seminal vesicle measured 4.5 × 0.8 cm, and left vas deferens measured 1 cm in length × 0.5 cm in diameter; all were unremarkable.</p>
<p><strong><em><u>RADICAL CYSTECTOMY:</u></em></strong></p><ul><li><strong>Papillary transitional cell carcinoma.</strong></li><li><strong>Tumor infiltrates the muscularis propria (detrusor muscle).</strong></li><li><strong>Lymphovascular invasion: Not identified.</strong></li><li><strong>Perineural invasion: Not identified.</strong></li><li><strong>Surgical margins: Negative for malignancy.</strong></li><li><strong>Prostate gland, seminal vesicles, and vasa deferentia: Unremarkable (negative for malignancy).</strong></li><li><strong>Pathologic stage: pT2Nx.</strong></li></ul>
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