原标题：术中会诊和大体标本处理 世界泌尿病理学会（ISUP）睾丸癌会议专家一致

——本文经《美国外科病理学杂志》授权发布，其他媒体转载或引证须经《美国外科病理学杂志》赞同，不然追查法律责任。

• 来历：The American Journal of Surgical Pathology中文版

摘要：2015年3月，世界泌尿病理学会（International Society of Urological Pathology，ISUP）在波士顿召开了关于睾丸和阴茎病理相关问题的会议，内容包含来自睾丸大体标本巨检工作组的陈述。陈述要点介绍了近期宣布的有关睾丸肿瘤和腹膜后淋巴结打扫的大体标本处理攻略，以及会前对会员进行的在线问卷调查结果总结。调查结果用于发动相关评论，终究主张由专家评论决定而非投票发生。会议强调了在大体巨检时对病变评价然后经过显微镜承认的重要性。例如，在许多情况下，只要经过解剖标志指示才干够区别睾丸门部软组织侵略（pT2）与精索侵略（pT3），因而需求细心的大体标本评价才干确保确诊。其他主张是附睾、睾丸网、门部软组织和鞘膜的选材需惯例进行，然后承认这些结构是否被侵略，假如巨检侵略不确定，则需求镜下进一步扫除。最大直径≤2cm的肿瘤有必要悉数选材包埋。假如肿瘤最大直径>2cm，应选材10块或再依照每厘米额定选材1至2块（以选材块数较多者为准）。

关键词：睾丸，生殖细胞肿瘤，攻略

Am J Surg Pathol 2018；42：e33-e43

美国外科病理学杂志中文版2019年第1期全文No.3

陈真伟 翻译 滕晓东 审校

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