TURBT

TURBT (transurethral resection of bladder tumor)

 

As the name implies, TURBT is a method to either biopsy or completely resect a bladder lesion.  The procedure is accomplished by inserting a resectoscope (a small operating telescope) into the bladder through the urethra.  The surgeon will then use the resectoscope to resect any lesion (most commonly transitional cell carcinoma) and seal the open areas by way of cauterization.  Most tissue received is unrecognizable; however some lesions such as papillary tumors can be identified grossly by their characteristic finger-like projections.

 

Procedure

 

• Measure the aggregate of tissue in three dimensions

 

• Describe the tissue if possible (i.e. mucosa, muscularis or tumor)

 

• Submit tissue into as many cassettes as needed, using mesh biopsy bags.

 

 

NOTE: Do not overstuff cassettes with tissue!  The tissue within the bag should not touch more than one side of the cassette, not should it touch the lid after being closed.

 

Sample Dictation

Labeled “bladder biopsy”, received in formalin in a small container are multiple portions of tan, friable, papillary tissue aggregating to 3.0 X 2.0 X 2.0 cm.  Specimen entirely submitted in two cassettes.  (ns)

 

 

Modified February 2009