• Orient the specimen, if sutures/clips/ink provided by surgeon.  Measure the length and diameter of the ureter, noting any areas of dilatation and any serosal abnormalities.  Submit the resection margins.
• Try to determine whether there is an intraluminal mass.  If none, serially section.  If you are uncertain or believe that there is a mass, open the ureter with scissors.  Try to cut through the part of the wall which is not attached to the mass.  Measure and describe the mass or other abnormalities.  Determine whether the mass infiltrates the wall.
• Describe the mucosa without lesions.
• Measure and describe stones.  Submit for chemical analysis, if requested.
• Photograph, if a mass is present.

• Resection margins.
• If tumor is present, submit the entire specimen if six blocks or fewer; otherwise, minimum of 5 sections of tumor with attached full thickness ureter wall, plus 2 sections of adjacent uninvolved mucosa.
• If no abnormalities, submit 1-3 representative cross-sections.

Internal use only

Received in formalin, labeled _____ and “_____”, is a __ cm length x __ cm average diameter segment of ureter which is oriented by a long suture = distal.  The serosa is (color, smooth).  There is an area of luminal dilatation proximal to a _____ (color, papillary vs. flat) mucosal mass which obstructs __% of the lumen and is __ cm from the proximal margin/__ cm from the distal margin.  There is no invasion of the underlying ureter wall.  Entirely submitted in #__ - #__ .

__ blocks, __ H&E