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The Genitourinary Pathology Society Update on Classification and Grading of Flat and Papillary Urothelial Neoplasia With New Reporting Recommendations and Approach to Lesions With Mixed and Early Patterns of Neoplasia
MB. Amin, E. Comperat, JI. Epstein, LD. True, D. Hansel, GP. Paner, H. Al-Ahmadie, D. Baydar, T. Bivalacqua, F. Brimo, L. Cheng, J. Cheville, G. Dalbagni, S. Falzarano, J. Gordetsky, CC. Guo, S. Gupta, O. Hes, G. Iyer, S. Kaushal, L. Kunju, C....
Language English Country United States
Document type Journal Article, Practice Guideline, Review
- MeSH
- Carcinoma, Transitional Cell pathology MeSH
- Humans MeSH
- Carcinoma, Papillary pathology MeSH
- Neoplasm Grading MeSH
- Urologic Neoplasms pathology MeSH
- Urothelium pathology MeSH
- Check Tag
- Humans MeSH
- Publication type
- Journal Article MeSH
- Review MeSH
- Practice Guideline MeSH
The Genitourinary Pathology Society (GUPS) undertook a critical review of the recent advances in bladder neoplasia with a focus on issues relevant to the practicing surgical pathologist for the understanding and effective reporting of bladder cancer, emphasizing particularly on the newly accumulated evidence post-2016 World Health Organization (WHO) classification. The work is presented in 2 manuscripts. Here, in the first, we revisit the nomenclature and classification system used for grading flat and papillary urothelial lesions centering on clinical relevance, and on dilemmas related to application in routine reporting. As patients of noninvasive bladder cancer frequently undergo cystoscopy and biopsy in their typically prolonged clinical course and for surveillance of disease, we discuss morphologies presented in these scenarios which may not have readily applicable diagnostic terms in the WHO classification. The topic of inverted patterns in urothelial neoplasia, particularly when prominent or exclusive, and beyond inverted papilloma has not been addressed formally in the WHO classification. Herein we provide a through review and suggest guidelines for when and how to report such lesions. In promulgating these GUPS recommendations, we aim to provide clarity on the clinical application of these not so uncommon diagnostically challenging situations encountered in routine practice, while also importantly advocating consistent terminology which would inform future work.
Department of Histopathology and Molecular Diagnostics University Hospital Careggi Florence Italy
Department of Pathology All India Institute of Medical Sciences New Delhi Delhi India
Department of Pathology and Laboratory Medicine University of Tennessee Health Science Memphis
Department of Pathology Immunology and Laboratory
Department of Pathology Koc University School of Medicine Istanbul Turkey
Department of Pathology Mayo Clinic Rochester MN
Department of Pathology Michigan Medicine University of Michigan Ann Arbor MI
Department of Pathology Montreal QC
Department of Pathology Oregon Health Science University OR
Department of Pathology Taipei Veterans General Hospital Taipei Taiwan
Department of Pathology The University of Alabama at Birmingham Birmingham AL
Department of Pathology The University of Texas MD Anderson Cancer Center
Department of Pathology Tufts Medical Center Boston MA
Department of Pathology University of Chicago Chicago IL
Department of Pathology University of Erlangen Nuremberg Erlangen Germany
Department of Pathology University of Washington School of Medicine Seattle WA
Department of Pathology Vienna General Hospital
Department of Urology Keck School of Medicine of University of Southern California Los Angeles CA
Departments of Pathology and Laboratory Medicine
GRC 5 Predictive ONCO URO AP HP Urology Pitie Salpetriere Hospital Sorbonne University Paris France
Institute of Pathology University Medicine Essen University of Duisburg Essen Essen
Medical University Department of Pathology Hôpital Tenon Sorbonne University
Oncology The Johns Hopkins Medical Institutions Baltimore MD
Robert J Tomsich Pathology and Laboratory Medicine Institute Cleveland Clinic Cleveland OH
Urology Emory University School of Medicine Atlanta GA
Urology Service Department of Surgery Memorial Sloan Kettering Cancer Center New York NY
References provided by Crossref.org
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