Richtlijn Niercelcarcinoom

Conclusie PA rapport
In de conclusie moeten tenminste de volgende items vermeld worden:
1) Diameter tumor (NB stadiëringsgrenzen liggen bij 4 cm en 7 cm)
2) Histologisch type volgens WHO 2002
3) Fuhrman graad
4) Eventuele secundaire veranderingen die van belang zijn voor prognose en adjuvante
therapie, zoals sarcomatoïde component. Uitgebreidheid necrose en microvaatinvasie
zijn vooralsnog optioneel
5) Bloedvatinvasie in renale vene of intrahilaire segmentale vertakkingen daarvan
6) Extrarenale uitbreiding (kapseldoorgroei, ingroei peripelvaire renale sinus vetweefsel,
bijnieren, fascia van Gerota, eventueel aangrenzende organen)
7) Status resectieranden
8) Regionale lymfklieren
9) Voorstel pathologie stadium volgens TNM 2002 of recentere versie
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