Selcuk Guven1, Maurizio Colecchia2, Pembe Oltulu3, Giulia Bonfante4, Dmitry Enikeev5, Hasan Esen3, Thomas Herrmann6, Lukas Lusuardi7, Salvatore Micali4, Bashkar Somani8, Andreas Skolarikos9, Alberto Breda10, Evangelos Liatsikos11, Joan Palou Redorta10, Ali Serdar Gozen12. 1. Urology Department, Meram School of Medicine, Necmettin Erbakan University, Konya, Turkey. 2. Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy. 3. Pathology Department, Meram School of Medicine, Necmettin Erbakan University, Konya, Turkey. 4. Urology Department, University of Modena and Reggio Emilia, Modena, Italy. 5. Institute for Urology and Reproductive Health, Sechenov University, Moscow, Russia. 6. Department of Urology, Spital Thurgau AG, Frauenfeld, Switzerland. 7. Department of Urology, General Hospital Bolzano, Bolzano, Italy. 8. Department of Urology, University Hospital Southampton NHS Trust, Southampton, UK. 9. Department of Urology, National and Kapodistrian University of Athens, Athens, Greece. 10. Department of Urology, Fundacion Puigvert, UniversitatAutonoma de Barcelona, Barcelona, Spain. 11. Department of Urology, University of Patras, Patras, Greece. 12. SLK Kliniken Urology Department, Teaching Hospital of Heidelberg University, Heilbronn, Germany. asgozen@yahoo.com.
Abstract
PURPOSE: We aimed to examine how different endoscopic bladder tumor resection techniques affect pathologists' clinical practice patterns. METHODS: An online survey including 28 questions clustered in four main sections was prepared by the ESUT ERBT Working Group and released to the pathologists working in the institutions of experts of the ESUT Board and the working groups and experts in the uropathology working group. A descriptive analysis was performed using the collected data. RESULTS: Sixty-eight pathologists from 23 countries responded to the survey. 37.3% of the participants stated that they always report the T1 sub-staging. Of those who gave sub-staging, 61.3% used T1a, b. 85.2% think that en bloc samples provide spatial orientation faster than piecemeal samples, and 60% think en bloc samples are timesaving during an inspection. 55.7% stated that whether the tissue sample is en bloc or piecemeal is essential. 57.4% think en bloc sample reduces turnaround time and is cost-effective for 44.1%. A large number of pathologists find that the pathology examination of piecemeal samples has a longer learning curve. CONCLUSION: The survey shows that pathologists think that they can diagnose faster, accurately, and cost-effectively with ERBT samples, but they do not often encounter them in practice. Moreover, en bloc samples may be a better choice in pathology resident training. Evidence from real-life observational pathology practice and clinical research can reveal the current situation more clearly and increase awareness on proper treatment in endoscopic management of bladder tumors.
PURPOSE: We aimed to examine how different endoscopic bladder tumor resection techniques affect pathologists' clinical practice patterns. METHODS: An online survey including 28 questions clustered in four main sections was prepared by the ESUT ERBT Working Group and released to the pathologists working in the institutions of experts of the ESUT Board and the working groups and experts in the uropathology working group. A descriptive analysis was performed using the collected data. RESULTS: Sixty-eight pathologists from 23 countries responded to the survey. 37.3% of the participants stated that they always report the T1 sub-staging. Of those who gave sub-staging, 61.3% used T1a, b. 85.2% think that en bloc samples provide spatial orientation faster than piecemeal samples, and 60% think en bloc samples are timesaving during an inspection. 55.7% stated that whether the tissue sample is en bloc or piecemeal is essential. 57.4% think en bloc sample reduces turnaround time and is cost-effective for 44.1%. A large number of pathologists find that the pathology examination of piecemeal samples has a longer learning curve. CONCLUSION: The survey shows that pathologists think that they can diagnose faster, accurately, and cost-effectively with ERBT samples, but they do not often encounter them in practice. Moreover, en bloc samples may be a better choice in pathology resident training. Evidence from real-life observational pathology practice and clinical research can reveal the current situation more clearly and increase awareness on proper treatment in endoscopic management of bladder tumors.
Authors: Jeremy Yuen-Chun Teoh; Junjie Huang; Wendy Yuet-Kiu Ko; Veeleah Lok; Peter Choi; Chi-Fai Ng; Shomik Sengupta; Hugh Mostafid; Ashish M Kamat; Peter C Black; Shahrokh Shariat; Marek Babjuk; Martin Chi-Sang Wong Journal: Eur Urol Date: 2020-09-21 Impact factor: 20.096
Authors: Rodrigo Suarez-Ibarrola; Simon Hein; Erik Farin; Frank Waldbillig; Maximilian C Kriegmair; Manuel Ritter; Hans C Klingler; Thomas R W Herrmann; Christian Gratzke; Arkadiusz Miernik Journal: Urol Int Date: 2020-03-25 Impact factor: 2.089
Authors: J Alfred Witjes; Marek Babjuk; Joaquim Bellmunt; H Maxim Bruins; Theo M De Reijke; Maria De Santis; Silke Gillessen; Nicholas James; Steven Maclennan; Juan Palou; Tom Powles; Maria J Ribal; Shahrokh F Shariat; Theo Van Der Kwast; Evanguelos Xylinas; Neeraj Agarwal; Tom Arends; Aristotle Bamias; Alison Birtle; Peter C Black; Bernard H Bochner; Michel Bolla; Joost L Boormans; Alberto Bossi; Alberto Briganti; Iris Brummelhuis; Max Burger; Daniel Castellano; Richard Cathomas; Arturo Chiti; Ananya Choudhury; Eva Compérat; Simon Crabb; Stephane Culine; Berardino De Bari; Willem De Blok; Pieter J L De Visschere; Karel Decaestecker; Konstantinos Dimitropoulos; Jose L Dominguez-Escrig; Stefano Fanti; Valerie Fonteyne; Mark Frydenberg; Jurgen J Futterer; Georgios Gakis; Bogdan Geavlete; Paolo Gontero; Bernhard Grubmüller; Shaista Hafeez; Donna E Hansel; Arndt Hartmann; Dickon Hayne; Ann M Henry; Virginia Hernandez; Harry Herr; Ken Herrmann; Peter Hoskin; Jorge Huguet; Barbara A Jereczek-Fossa; Rob Jones; Ashish M Kamat; Vincent Khoo; Anne E Kiltie; Susanne Krege; Sylvain Ladoire; Pedro C Lara; Annemarie Leliveld; Estefania Linares-Espinós; Vibeke Løgager; Anja Lorch; Yohann Loriot; Richard Meijer; M Carmen Mir; Marco Moschini; Hugh Mostafid; Arndt-Christian Müller; Christoph R Müller; James N'Dow; Andrea Necchi; Yann Neuzillet; Jorg R Oddens; Jan Oldenburg; Susanne Osanto; Wim J G Oyen; Luís Pacheco-Figueiredo; Helle Pappot; Manish I Patel; Bradley R Pieters; Karin Plass; Mesut Remzi; Margitta Retz; Jonathan Richenberg; Michael Rink; Florian Roghmann; Jonathan E Rosenberg; Morgan Rouprêt; Olivier Rouvière; Carl Salembier; Antti Salminen; Paul Sargos; Shomik Sengupta; Amir Sherif; Robert J Smeenk; Anita Smits; Arnulf Stenzl; George N Thalmann; Bertrand Tombal; Baris Turkbey; Susanne Vahr Lauridsen; Riccardo Valdagni; Antoine G Van Der Heijden; Hein Van Poppel; Mihai D Vartolomei; Erik Veskimäe; Antoni Vilaseca; Franklin A Vives Rivera; Thomas Wiegel; Peter Wiklund; Andrew Williams; Richard Zigeuner; Alan Horwich Journal: Eur Urol Date: 2019-11-19 Impact factor: 20.096
Authors: Donna E Hansel; Mahul B Amin; Eva Comperat; Richard J Cote; Ruth Knüchel; Rodolfo Montironi; Victor E Reuter; Mark S Soloway; Saleem A Umar; Theodorus H Van der Kwast Journal: Eur Urol Date: 2012-10-12 Impact factor: 20.096