Lopez-Beltran Antonio, Bassi PierFrancesco, Pavone-Macaluso Michele, Montironi Rodolfo
Department of Pathology, Unit of Anatomic Pathology, Faculty of medicine, Cordoba University Medical School, Avda. Menendez-Pidal S/N, 14004 Cordoba, Spain.
Eur Urol. 2004 Mar;45(3):257-66. doi: 10.1016/j.eururo.2003.09.018.
Pathologists play a pivotal role in the diagnosis and in the report of the pathological features related to prognosis.
To meet these endpoints, the following issues must be accomplished: adequate information about the patient history, proper handling of the specimens, identification of the reliable histopathological techniques necessary to reach the more detailed diagnostic information and evaluate the prognostic variables, and a standardized pathological report.
Recent efforts to standardize the histopathological evaluation have generated significant confusion among the urological and pathological communities as well. No consensus has been achieved about the optimal pathological grading of urothelial tumors, to date.
A proposal for standardization of sampling and reporting of the urothelial tissues achieved within Uropathology follows. The urologists have a great role in assisting pathologists in the proper examination by providing them with clinical information.
病理学家在诊断以及与预后相关的病理特征报告中发挥着关键作用。
为实现这些目标，必须完成以下事项：获取关于患者病史的充分信息、妥善处理标本、确定获取更详细诊断信息并评估预后变量所需的可靠组织病理学技术，以及生成标准化的病理报告。
近期使组织病理学评估标准化的努力在泌尿外科和病理学界也引发了极大困惑。迄今为止，关于尿路上皮肿瘤的最佳病理分级尚未达成共识。
以下是尿路上皮病理学领域内实现尿路上皮组织采样和报告标准化的提议。泌尿外科医生在通过向病理学家提供临床信息协助其进行恰当检查方面发挥着重要作用。
