Quality and completeness of histopathology reports of rectal cancer resections

Eon, Yannick; Douy, Jean-Yves Le; Lamer, Bernard; Battini, Jean; Bretagne, Jean–François

doi:10.1016/s0399-8320(06)73159-1

Cited by 10 publications

(8 citation statements)

References 9 publications

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“…There was often a failure to summarize relevant information in the conclusion. Some studies have already revealed deficiencies in pathology laboratory reporting, notably on colorectal or breast cancers [23][24][25]. Other authors have already emphasized the value of synoptic or proforma pathology reports in colon cancer, breast cancer and melanoma [26][27][28][29].…”

Section: Discussionmentioning

confidence: 99%

“…Pertinent clinical and radiological data provided by the surgeons 38 (14) Nature of the liver resection not provided by the surgeons 24 (9) Surgical specimen marked with threads by the surgeon 62 (24) margins studied as frozen sections). There were 15 false negative diagnoses, with apparently benign lesions (according to the frozen sections) reclassified as malignant in the final diagnosis.…”

Section: Number Of Cases (%)mentioning

confidence: 99%

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Assessment of pathology reports on hilar cholangiocarcinoma: The results of a nationwide, multicenter survey performed by the AFC-HC-2009 study group

Chatelain

Farges

Fuks

et al. 2012

Journal of Hepatology

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Section: Discussionmentioning

confidence: 99%

Section: Number Of Cases (%)mentioning

confidence: 99%

Assessment of pathology reports on hilar cholangiocarcinoma: The results of a nationwide, multicenter survey performed by the AFC-HC-2009 study group

Chatelain

Farges

Fuks

et al. 2012

Journal of Hepatology

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“…11 The frequent failure of reports to contain this information was also seen in audits done in France and United Kingdom. 10,13 In the United Kingdom study it was mentioned in 57.6% of reports and in France in 61% of the reports. This factor needs urgent remedial measures.…”

Section: Discussionmentioning

confidence: 98%

“…9 In a French study the mean value was 11 nodes per case. 10 It is apparent that this variable seems to be poorly reported in other parts of the world as well. The use of Carnoy's fixative to dissolve fat may have resulted in a higher yield of lymph nodes in other countries.…”

Section: Discussionmentioning

confidence: 99%

An audit of colorectal cancer reports in a Sri Lankan tertiary care setting

Gunaratne

Samarasinghe

2011

J Diagnostic Path

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Introduction: Histopathology reports of colorectal cancer describe essential histopathological factors that influence the treatment and prognosis of colorectal cancer. Incomplete reports can convey misleading information resulting in improper or inadequate management. Objective: To audit the content of histopathology reports of colorectal cancer in a single tertiary care centre and compare findings with a similar audit done in 2000. Method: Histopathology reports of 134 patients with colorectal cancer, from January 2002 to October 2006, from the department histopathology of the Sri Jayewardenepura University, were evaluated using the minimum dataset for colorectal cancer reporting required for proper patient management of the Royal College of Pathologists of UK and the College of Pathologists of Sri Lanka. Results were compared with a previous audit done in Sri Lanka (Hewavisenthi et al, 2000). Results: The majority of data items were mentioned in more than 75% of the reports in the current and previous (2000) audit. The minimum data items were mentioned more frequently in this audit than in the 2000 study. Three items namely TNM stage, involvement of circumferential margin and relationship of tumour to the peritoneal reflection were poorly mentioned in both audits. Total number of lymph nodes and lymphovascular invasion were mentioned more often in the current audit. Conclusion: The quality and completeness of histopathology reports has improved with time. Data Items that were mentioned in more than 75% reports in the 2000 audit were mentioned in more than 90% in the current audit. However data items such as TNM staging, circumferential margin involvement and relationship to the peritoneal reflection are frequently omitted in both. It is recommended that a proforma containing minimum data variables be used for reporting colorectal cancer to rectify these omissions and the results evaluated.

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“…This is evidently because tumor spread by the blood stream is a consequence of venous invasion [19][20][21][22]. Liver metastases developed over twice as frequently in patients with venous invasion as in those in whom it was not demonstrated.…”

Section: Discussionmentioning

confidence: 99%

Rectal Cancer and Invasion of Veins: Importance in TNM Staging 2

Lorant¹,

Kiss²

2016

J Blood Lymph

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Summary: Accurate information about infiltration of the tumor to the various layers of the rectal wall is important. Material and methods:A histopathological study of surgical specimens from 351 surgical specimens from patients with adenocarcinoma of the rectum revealed invasion of veins by primary growth in almost 52%. Results:Follow-up studies showed that the corrected 5-year survival rate was significantly worse and liver metastases developed more frequently when venous invasion was present.Invasion of extramural veins was particularly significant whereas spread confined to intramural veins was less important. Invasion of large (thick-walled) veins was of greater consequence than invasion of small (thin-walled) veins and spread into thick-walled extramural veins, had greatest adverse influence of all.Venous spread of tumor takes place in parallel with local spread as measured by the Dukes' stage but exerts an influence on prognosis independent of the Dukes' stage.Similarly, veins invasion parallels the number of lymph nodes metastases but appears to exert an independent influence on prognosis. Conclusion:The venous spread provides a precise assessment of the likely behavior of rectal cancer, but does not replace indices such as the Dukes' stage, or the number of lymph nodes metastases in use.

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Quality and completeness of histopathology reports of rectal cancer resections

Cited by 10 publications

References 9 publications

Assessment of pathology reports on hilar cholangiocarcinoma: The results of a nationwide, multicenter survey performed by the AFC-HC-2009 study group

Assessment of pathology reports on hilar cholangiocarcinoma: The results of a nationwide, multicenter survey performed by the AFC-HC-2009 study group

An audit of colorectal cancer reports in a Sri Lankan tertiary care setting

Rectal Cancer and Invasion of Veins: Importance in TNM Staging 2

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