Urological - Pathology

This is the site specific section for additional urological cancer specific data items to be recorded. These will be aligned within the schema to form a single report.

May be one occurrence per pathology report (0..1)

Detrusor Muscle Presence Indicator

Bladder only. Presence or absence of detrusor muscle in the specimen.

Notes:

• ‘1’ and ‘2’ national code definition has been updated meet the ‘RCPath Core’ data set
• ‘I’ and ‘X’ are new attributes in v4

Tumour Grade (Urology)

Bladder only. Specify whether LOW, HIGH Grade or PUNLMP (Papillary Urothelial Neoplasm of Low Malignant Potential).

May be one occurrence per pathology report (0..1)

Tumour Necrosis Indicator

 Is there evidence of coagulative tumour necrosis?

Note:

• ‘1’, ‘2’, ‘3’ and ‘8’ are new attributes in v4

Perinephric Fat Invasion

Is there evidence of perinephric fat invasion?

Notes:

• ‘Y’ and ‘N’ national code definition has been updated meet the ‘RCPath Core’ data set
• ‘9’ is a new attribute in v4

Adrenal Invasion

Is there evidence of direct adrenal invasion?

Note:

• ‘1’, ‘2’, ‘3’ and ‘8’ are new attributes in v4

Renal Vein Tumour

Is there evidence of tumour thrombus in the renal vein?

Note:

• ‘1’, ‘2’, ‘3’ and ‘8’ are new attributes in v4

Gerota's Fascia Invasion

Is there evidence of invasion into Gerota's fascia?

Notes:

• ‘Y’ and ‘N’ national code definition has been updated meet the ‘RCPath Core’ data set
• ‘9’ is a new attribute in v4

May be one occurrence per pathology report (0..1)

Corpus Spongiosum Invasion

Is there evidence of invasion into corpus spongiosum?

Corpus Cavernosum Invasion

Is there evidence of invasion into corpus cavernosum?

Urethra or Prostate Invasion

Is there evidence of invasion into the urethra or prostate?

May be one occurrence per Pathology Report (0..1)

Note the following data item has been retired from v4.0:

• Organ Confined
• Seminal Vesicles Invasion

The following applies to the next 3 data items:

• format an1 used to align with ‘Data Dictionary’ rules
• the Gleason Grading System is used to help evaluate the prognosis of men with prostate cancer
• a pathologist assigns a Gleason grade to the most common tumour pattern in a biopsy specimen (Primary Grade) then the second most common (Secondary Grade)
• the grades are added together to give the Gleason Score. Sometimes pathologists will also give a grade to a third component of the specimen (Tertiary Grade) although this recorded separately and is not added to the score

Gleason Grade (Primary)

What is the most extensive Gleason grade?

Note:

• ‘both the national code range and national code definition has been updated meet the ‘RCPath Core’ data set

Gleason Grade (Secondary)

If additional grades are present, what is the highest grade (biopsy) or the second most extensive grade (TURP and radicals)? If no additional grades are present, primary and secondary grades are the same.

Note:

• ‘both the national code range and national code definition has been updated meet the ‘RCPath Core’ data set

Gleason Grade (Tertiary)

Is there a different third grade in addition the primary and secondary grades and what is its value? Note that this is only applicable to about 5% of prostate cases. It is important to note that the Tertiary Grade is not the added value of the Primary and Secondary Gleason.

Note:

• ‘both the national code range and national code definition has been updated meet the ‘RCPath Core’ data set

Perineural Invasion

Is there perineural invasion (invasion into perineurium of nerve bundles- PNI).

Note:

• ‘Y’ and ‘N’ national code definition has been updated meet the ‘RCPath Core’ data set

TURP Tumour Percentage

For TURP only, what percentage of tumour if clinically unsuspected tumour. Range 0 to 100.

May be one occurrence per pathology report (0..1)

Rete Testes Invasion

For Seminoma only, does the tumour invade the rete testis?

Note:

• ‘Y’, ‘N’ and ‘X’ national code definition has been updated meet the ‘RCPath Core’ data set