Penis

• No
  • Non-routine fixation (not formalin), describe.

• Yes
  • Special studies required, describe.
  • Ensure samples are taken prior to fixation.

• Not performed
• Performed, describe type and result
  • Frozen section
  • Imprints
  • Other, describe

Record additional orientation or designation provided by operating clinician:

• Absent
• Present
  • Method of designation (e.g. suture, incision)
  • Featured denoted

• Biopsy; punch, incisional or excisional biopsy⁴ see GU small biopsy instructions
  • Site(s)
• Foreskin/circumcision
• Glans, wedge resection
• Glansectomy
• Penectomy
  • Partial
  • Total

Paint all relevant surgical margin(s) with ink and record the colours applied.

Section longitudinally along the skin surface.

One cassette of representative with representative sections will suffice if no lesions have been identified.

If suspicious lesions are present or clinical history indicates, submission of the entire specimen may be appropriate.

Paint all relevant surgical margins with ink and record the colours applied.

Serially section in the transverse plane at 3mm intervals. Often submission of the entire specimen may be appropriate.

These specimens usually include the corona, skin margins, urethral meatus and occasionally the tunica.

Paint all relevant surgical margin(s) with ink. Serially section parallel to the urethra (parasagitally) to demonstrate the relationship of tumour to urethra and skin ventrally and dorsally.

Take coronal sections of left and right sides to demonstrate the lateral skin limits.

Submit all sections of entire specimen.

Paint all relevant surgical margin(s), including the proximal urethra, with ink and record the colours applied.

Open the specimen longitudinally along the centre of the ventral surface bisecting the urethra and dividing the specimen into right and left sections.

Section parasagitally along the entire specimen. The urethra should be closely examined for evidence of tumour involvement as this will upstage the tumour.

After opening the specimen may require longer fixation in larger quantity of formalin.

Take longitudinal section(s) to demonstrate urethral, spongiosus, cavernosal and skin margins.

Retrieved from resection specimen

• Describe site(s)
• Number retrieved

Separately submitted

• For each specimen container, record specimen number and designation
• Collective size of tissue in three dimensions (mm)
• Number of grossly identified lymph nodes submitted
• Maximum diameter of each (mm)

• Submit representative sections if no suspicious lesions are present.
• If suspicious lesions are present, submit all sections in sequential order.
• If orientated, submit shave sections from margins in separately designated cassettes.

• Submit all sections in sequential order.
• If orientated, submit shave sections from the margin(s) in separately designated cassettes.

• Submit all sections in sequential order.
• If orientated, submit shave sections from the margin(s) in separately designated cassettes.

Submit representative sections of:

• Surgical margins, at least two cassettes of proximal margin including skin, corpora and urethra (more if tumour is close, in which case longitudinal sections may be used)
• Tumour and adjacent tissue demonstrating deepest level of invasion, 3-4 blocks
• Longitudinal section through glans and urethra to demonstrate any urethral involvement
• Uninvolved skin

Submit all lymph nodes