Should the Urologist Demarcate the Surgical Specimen after Radical ProstatectomyCorrespondence Address :
Dr. Ana P Drummond-Lage,
Alameda Ezequiel Dias 275, Belo Horizonte, Minas Gerais, Brazil.
Introduction: Although the literature about prostate cancer is vast in tracking discussion about diagnosis and treatment of prostate cancer, there are few publications about the best form of surgical specimen processing of radical prostatectomy. After the surgery, the urologist limits his responsibility to forward surgical specimen for analysis.
Aim: To evaluate if the urologist manipulation trying to locate and demarcate suspicious areas of a tumour can improve the microscopic examination.
Materials and Methods: Twenty surgical specimens of radical prostatectomy performed in patients with localised prostate cancer were macroscopically analysed by a single urologist and suspicious areas for cancer were marked with surgical thread. Later these areas were correlated with the findings in the microscopic study.
Results: It was observed that in 75.8% of cases, there was a positive correlation between the pit and the clinical pathology report on the cancer presence, and in 50% of cases, the demarcated areas corresponded to the area of most considerable extent of cancer throughout the prostate.
Conclusion: The demarcation of cancer suspected areas by Urologist, in surgical specimens from radical prostatectomy may provide additional information to the pathologist, directing the histopathological analysis of the prostate to the areas with more significant tumour extension compared to the other sections.
Cancer, Pathology, Prostatic cancer
Rodrigo B Abdo, Ana P Drummond-Lage, Daniela Savi, Adilson Savi, Albertorto J A Wainstein. SHOULD THE UROLOGIST DEMARCATE THE SURGICAL SPECIMEN AFTER RADICAL PROSTATECTOMY. Journal of Clinical and Diagnostic Research [serial online] 2019 January [cited: 2019 Jan 22 ]; 13:XG01-XG04. Available from
Date of Submission: Aug 08, 2018
Date of Peer Review: Sep 28, 2018
Date of Acceptance: Oct 10, 2018
Date of Publishing: Jan 01, 2019
FINANCIAL OR OTHER COMPETING INTERESTS: None.
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