Carcinoma of the urinary bladder

Carcinoma of the urinary bladder click to access explanations in the original CAP template

This is additional protocol for biopsy and TURBT specimens.

Gross core data elements:

- Procedure:
- Tumor site:
- Tumor size:

Microscopic descriptions:

- Tumor histology and immunohistochemical studies:

- Histologic type (WHO 5e):
- Histologic grade for urothelial carcinoima:
- Histologic grade for SCC or adenoCA:
+ Tumor configuration:	Papillary Solid/nodule Flat Ulcerated Cannot be determined Other (specify):
- Lymphatic and / or Vascular Invasion:
+ Perineural invasion:

- Tumor extension : Noninvasive papillary carcinoma Urothelial carcinoma in situ, “flat tumor” Tumor invades subepithelial connective tissue Tumor invades muscularis propria Tumor invades muscularis propria, superficial (inner half) Tumor invades muscularis propria, deep (outer half) Tumor invades perivesical tissue Tumor invades perivesical tissue, microscopic Tumor invades perivesical tissue, macroscopic Tumor invades adjacent structures Tumor invades adjacent structures, prostate (transmural invasion from the bladder tumor) Tumor invades adjacent structures, seminal vesicles Tumor invades adjacent structures, uterus Tumor invades adjacent structures, vagina Tumor invades adjacent structures, adnexae Tumor invades adjacent structures, pelvis wall Tumor invades adjacent structures, abdominal wall Tumor invades adjacent structures, rectum Tumor invades adjacent structures, other (specify): Cannot be assessed No evidence of primary tumor

Surgical margins of excision specimen:

- Right ureteral margin:
- Left ureteral margin:
- Urethral margin:
- Soft tissue margin:
- Other margin(s) (specify):

Regional lymph nodes:

- Number of regional lymph nodes examined:
- Number of lymph nodes involved:
- Extranodal extension:
- Size of largest metastatic deposit (mm), specify site:
- Size of largest lymph node involved (mm), specify site:

Distant Metastasis: Not applicable Not identified Non-regional lymph node(s) (specify): Other (specify): Cannot be determined:

Pathologic Stage Classification (AJCC 8e):

- TNM Descriptors:	m (multiple primary tumors) r (recurrent) y (post treatment)
- Primary tumor (pT) :
- Regional lymph nodes (pN):
- Distant metastasis (pM):

+ Additional pathologic findings:

Urothelial dysplasia, low-grade Adenocarcinoma of prostate (use protocol for carcinoma of prostate) Keratinizing squamous metaplasia Inflammation/regenerative changes Metaplasia (specify type): Cystitis cystica et glandularis Intestinal metaplasia Therapy-related changes, specify:

- Other (specify):

+ Associated epithelial lesions:

None identified Urothelial papilloma Urothelial papilloma, inverted type Papillary urothelial neoplasm, low malignant potential (PUNLMP) Urothelial proliferation of uncertain malignant potential Urothelial dysplasia Cannot be assessed (explain):

- Additional notes: