An audit of histopathology reports of carcinoma endometrium

Abstract

Background:The aim was to see, compliance to minimum data information in carcinoma endometrium reports, in a team of 13 pathologists, and also to analyze these parameters e.g. tumor size, type, grade, depth of myometrial invasion, lymph node yield, pTNM stage etc.Materials and Methods:Reports of 114 cases of carcinoma endometrium, that were operated in-house during the years 2008 to 2010 were analyzed from the files of the Pathology department of our hospital.Results:The median age was 58.04 years and median tumor size was 4 cm. Endometrioid adenocarcinoma was the most common type (82.5%), followed by malignant mixed Mullerian tumor (MMMT) (6.1%) and Serous carcinoma (3.5%). Grade 2 was the commonest tumor grade (42.1%). Less than half of myometrial invasion was seen in 50% of the cases and more than half of the myometrial invasion was seen in 46.5% of cases. (Information was not available in four cases). Parametrial involvement was seen in 5.3% cases. The pTNM stage was not mentioned in 71.9% reports. The median lymph node yield was 15.Conclusion:The compliance to adhere to and to provide minimum data information in carcinoma endometrium reports is generally good. Lymph node yield is reasonable. Mentioning of pTNM staging is to be done more meticulously. Use of proformas/checklists is recommended.

Histopathological study of endometrial lesions in tertiary care hospital

“…Out of total 542 cases, 12 (2.21%) cases of endometrial malignancies were observed, similar observation was found in other studies by Pessoa et al [12] & Zill-E-Huma et al [10] In present study, most common type of endometrial malignancy was endometrioid adenocarcinoma comprised of 7 out of 12 (58.34%) cases, which was comparable with studies done by Himel B et al [19] and Deodhar KK et al [18].…”

Performing audit in histopathology

“…Further, a report published in J Clin Pathology[ 3 ] has also reflected on audit reports[ 4 5 ] which have been based more on descriptive reporting, as has been used by the authors of this study. [ 1 ] This report concluded that a pure descriptive procedure was inefficient and of limited educational value. This is also evident from the conclusion drawn by the authors.…”