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.

Important notice:

To improve the data quality and accuracy of data submitted, a new choice has been added to this section to some tumour groups where applicable. This will allow for only the specific disease data items to be submitted alongside the Core Pathology data items and prevent any accidental addition of other disease specific items in each pathology report submitted.

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

Detrusor Muscle Presence Indicator

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

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?

Perinephric Fat Invasion

Is there evidence of perinephric fat invasion?

Adrenal Invasion

Is there evidence of direct adrenal invasion?

Note:

• ‘3’ has an updated national code definition, previously ‘Not Identified’

Renal Vein Tumour

Is there evidence of tumour thrombus in the renal vein?

Gerota's Fascia Invasion

Is there evidence of invasion into Gerota's fascia?

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 items have been retired in v5:

• Gleason Grade (Primary)
• Gleason Grade (Secondary)
• Gleason Grade (Tertiary)
• Perineural Invasion
  • this data item has been replaced with a generic data item, in the Core Pathology section 'pCR1100'

Additional supporting information:

• 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

Biopsy Gleason Grade (Primary)

This is a new data item in v5. What is the most extensive Gleason grade in the biopsy?

Range ‘3-5’ and ‘8 - Not applicable’ (IN CATEGORIES)

Note:

• both the national code range and national code definition has been updated meet the ‘RCPath Core’ data set, and after consultation with RCPath SMEs

Biopsy Gleason Grade (Secondary)

This is a new data item in v5. If additional grades are present, what is the highest additional grade. If no additional grades are present, primary and secondary grades are the same.

Range ‘3-5’ and ‘8 - Not applicable’ (IN CATEGORIES)

Note:

• both the national code range and national code definition has been updated meet the ‘RCPath Core’ data set, and after consultation with RCPath SMEs

Non-Biopsy Gleason Grade (Primary)

This is a new data item in v5. What is the most extensive Gleason grade in the non-biopsy sample?

Range ‘2-5’ and ‘8 - Not applicable’ (IN CATEGORIES)

Note:

• both the national code range and national code definition has been updated meet the ‘RCPath Core’ data set, and after consultation with RCPath SMEs

Non-Biopsy Gleason Grade (Secondary)

This is a new data item in v5. If additional grades are present, what is the second most extensive grade (TURP and radicals). If no additional grades are present, primary and secondary grades are the same.

Range ‘2-5’ and ‘8 - Not applicable’ (IN CATEGORIES)

Note:

• both the national code range and national code definition has been updated meet the ‘RCPath Core’ data set, and after consultation with RCPath SMEs

Non-Biopsy Gleason Grade (Tertiary)

This is a new data item in v5. Is there a different third grade in addition the primary and secondary grades and what is its value?

Range ‘3-5’ and ‘8 - Not applicable’ (IN CATEGORIES)

Note:

• both the national code range and national code definition has been updated meet the ‘RCPath Core’ data set, and after consultation with RCPath SMEs

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?