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Books > Medicine > Clinical & internal medicine > Urology & urogenital medicine
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Questions in Daily Urologic Practice - Updates for Urologists and Diagnostic Pathologists (Hardcover, 2008 ed.)
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Questions in Daily Urologic Practice - Updates for Urologists and Diagnostic Pathologists (Hardcover, 2008 ed.)
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The principal role of the diagnostic surgical pathologist is to
serve a patient by assisting the clinician in charge of the
patient's care. In that capacity,the pathologist provides the vital
informationthat should be directly and indirectly useful in guiding
the clinician toward the most appropriate therapy. The material
pathologists receive most commonly is a biopsy or a part of an
organ removed after a definitive pro- dure. To extract useful
information, pathological evaluation proceeds according to a set of
guidelines. Simply reporting a diagnosis of cancer is inadequate.
Detailed additional information is needed so that the clinician can
go on to establish a the- peutic plan as needed. To best serve the
patient, close interaction between the cli- cian and the
pathologist is vital. In the field of urological pathology, there
are problems specific to this system. Typically, in the prostate,
because of its location, there is little room for a surgeon to work
to obtain adequate resection margins, unlike with many other
organs. As a result, questions arise such as "What constitutes an
adequate surgical margin?" "What is the significance of
extraprostatic extension of neoplasm that is still inside the
resection margin?" and "What is the significance of neoplastic
glands found on the resection margin marked with the ink?" It has
been shown that a prostate needle core biopsy can generate much
information that is immediately useful in predicting the extent of
cancer in the prostate and, consequently, the outcome for the
patient.
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