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EAU 2013 - Programme Book - YouMed

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ESU Courses, 17 March<br />

ESU Course 13<br />

12.00 - 14.00 Pathology (prostate, bladder/UUT, kidney, testicles/penis)<br />

Green Hall 1 - Level N-1<br />

Chair: E. Compérat, Paris (FR)<br />

How to get best results for your patient. Challenges in pathology of the prostate and bladder<br />

E. Compérat, Paris (FR)<br />

New insights and changes in pathology of the kidney and testis<br />

F. Algaba, Barcelona (ES)<br />

Aims and objectives<br />

This course for urologists will treat prostate, bladder, kidney and testicular pathology. It is not a course of<br />

pathology, but wants to improve the urologist-pathologist interaction. The attended aim is to get correct<br />

diagnosis, understand as well problems which pathologists may encounter, as the most important details<br />

mentioned in a pathology report.<br />

Several question frequently asked by urologists will be treated:<br />

I.) Clinical practice and optimal handling of pathology specimen.<br />

Is my clinical practice optimal to obtain best pathology report, how can I improve the interaction with the<br />

pathologist?<br />

- The importance of clinical information and well edited, good sampling will be explained, especially limits<br />

of diagnosis in case of artefacts. Solutions how to avoid them will be discussed.<br />

- Which information has to be exchanged between the urologists and the pathologists? The importance of<br />

clinical information and history will be underlined.<br />

- Robustness of pathology reports and when urologists should ask for a second opinion will be discussed.<br />

II.) When ask for frozen sections and biopsies that are possible results.<br />

Evaluation of surgical margins<br />

- The indication of frozen sections and biopsies is a topic of major concern. Indications of frozen sections<br />

have to be precise and useful; otherwise it becomes an expensive and time spending procedure. We point<br />

out the right indications.<br />

- Another important point which overlaps with the above mentioned is the evaluation of the surgical margins,<br />

limits in pathology and how we can improve.<br />

- We also want to discuss the usefulness of biopsies in kidney tumours, prostate, bladder and upper urinary<br />

tract. Where are our limits, what do urologists expect expectations and how to proceed to get optimal<br />

results?<br />

III.) Pathology report. How to read and understand all included information<br />

The aim is to discuss the major items of a pathology report.<br />

- Am I using all the information which is in a pathological report?<br />

- Do I know the latest staging and grading?<br />

- Which information do I have to expect and ask in case of absence?<br />

- Understand why the pathologist does immunohistochemistry.<br />

- The most important antibodies (understanding of which antibody is in favour of which lesion and evokes<br />

which hypothesis).<br />

IV.) Novelties in Uro-Onco Pathology. Applications in daily practice<br />

- Many new acquisitions are regularly made in Uro-Oncological Pathology. The latest news in burning<br />

research topic will briefly be discussed.<br />

<strong>EAU</strong> Milan <strong>2013</strong><br />

335<br />

ESU Courses

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