In practice, the pathologist is part of a multidisciplinary group of clinicians that manages the patient.
In a patient with a malignant kidney tumour that is amenable to resection, once the tumour is resected, the pathologist will examine the tumour both grossly and microscopically to record the important prognostic factors. These are based on internationally accepted criteria and guidelines.
Here is a glimpse into how the pathologist examines a resected kidney specimen in order to help the multidisciplinary team decide on the next course of management.
I. Renal cell carcinoma: Gross evaluation
How much can we tell by gross evaluation? What should we focus on?
II. Renal cell carcinoma: Tumour type and grade
How does the pathologist decide on the tumour type and then grade the tumour?
III. Renal cell carcinoma: Microscopy and final report
How does the pathologist prepare a final histology report?