We aimed to examine how different endoscopic bladder tumor resection techniques affect pathologists' clinical practice patterns.
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.
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.
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.
World journal of urology. 2022 May 14 [Epub ahead of print]
Selcuk Guven, Maurizio Colecchia, Pembe Oltulu, Giulia Bonfante, Dmitry Enikeev, Hasan Esen, Thomas Herrmann, Lukas Lusuardi, Salvatore Micali, Bashkar Somani, Andreas Skolarikos, Alberto Breda, Evangelos Liatsikos, Joan Palou Redorta, Ali Serdar Gozen
Urology Department, Meram School of Medicine, Necmettin Erbakan University, Konya, Turkey., Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy., Pathology Department, Meram School of Medicine, Necmettin Erbakan University, Konya, Turkey., Urology Department, University of Modena and Reggio Emilia, Modena, Italy., Institute for Urology and Reproductive Health, Sechenov University, Moscow, Russia., Department of Urology, Spital Thurgau AG, Frauenfeld, Switzerland., Department of Urology, General Hospital Bolzano, Bolzano, Italy., Department of Urology, University Hospital Southampton NHS Trust, Southampton, UK., Department of Urology, National and Kapodistrian University of Athens, Athens, Greece., Department of Urology, Fundacion Puigvert, UniversitatAutonoma de Barcelona, Barcelona, Spain., Department of Urology, University of Patras, Patras, Greece., SLK Kliniken Urology Department, Teaching Hospital of Heidelberg University, Heilbronn, Germany. .