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Year : 2021  |  Volume : 58  |  Issue : 4  |  Page : 493-500

Gross reporting of adult kidney tumor specimens: A comprehensive evidence-based review

1 Department of Pathology, Tata Medical Center, Kolkata, West Bengal, India
2 Department of Pathology, Tata Memorial Hospital, Homi Bhabha National Institute, Mumbai, Maharashtra, India
3 Department of Pathology, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India
4 Department of Pathology, Christian Medical College, Vellore, Tamil Nadu, India
5 Department of Pathology, All India Institute of Medical Sciences, New Delhi, India
6 Department of Pathology, Columbia Asia Referral Hospital, Bangalore, Karnataka, India
7 Department of Pathology, Apollo Hospitals, Navi Mumbai, Maharashtra, India
8 Department of Pathology, Basavatarakam Indo American Cancer Hospital and Research Institute, Hyderabad, Telangana, India
9 Department of Pathology, Amrita Institute of Medical Sciences, Kochi, Kerala, India
10 Department of Pathology, Shri Siddhivinayak Ganapati Cancer Hospital, Miraj, Maharashtra, India
11 Department of Pathology, Muljibhai Patel Urological Hospital, Nadiad, Gujarat, India
12 Department of Pathology, Kokilaben Dhirubhai Ambani Hospital and Research Centre, Mumbai, Maharashtra, India

Correspondence Address:
Sandhya Sundaram
Department of Pathology, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijc.ijc_354_21

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Renal tumors comprise a wide spectrum of benign and malignant tumors. The important prognostic factors in renal cell carcinoma include pathological stage, tumor grade, morphological type, sarcomatoid/rhabdoid differentiation, and tumor necrosis. Therefore, the pathologist needs to be fully aware of how to gross nephrectomy specimens to be able to accurately provide the above prognostic information while reporting adult kidney tumors. With the advent of nephron-sparing surgeries, due diligence should be exercised to assess and sample the parenchymal surgical margin. This article discusses the approach to grossing nephrectomy specimens, elaborates the significance of every step, and also sheds light on the importance of clinical and radiological information in providing a holistic approach to the diagnosis and staging of adult renal tumors.


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