Accuracy of histopathology reporting in colorectalcancer (crc): we need a proforma

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Date

2003

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The College of Surgeons of Sri Lanka and SAARC Surgical Care Society

Abstract

INTRODUCTION: The quality of a histopathology report in CRC will determine prognosis and the need for adjuvant therapy. OBJECTIVE: To evaluate the completeness of pathology reports in colorectal cancer.METHODS: In 82 consecutive patients (rectal cancer 47, colon cancer 35) based on the minimum data set by the Royal College of Pathologists, UK. Pathology reports were reviewed by a single person who looked for 17 pathology data sets for colon cancer and 15 for rectal cancer. Completeness of reporting(%) was classified as 40 - 50%, 60 - 70% or 80 - I 00%. RESULTS: 47 of rectal cancer group, 5 (11%) reports were 40-59% complete and 23 (49%) and 19 (40%) were 60-79% and 80-100% complete respectively. In the colon cancer group 04 ( 11.5%), 13.(37%) and 18 (51.5%) were in the categories of 40-59%, 60-79% and 80-100% respectively. The presence or absence of tumour at the resection margin was reported in 91.5%. Information on the distance of tumour to distal resection margin was present in 68% of reports. Apical node involvement was commented in 33%. CONCLUSION: There is a wide variation in the quality of pathology reports in colorectal cancer. We have found a lack of vital data in up to two thirds of the reports.

Description

Free Papers Abstract, The Annual Sessions of the College of Surgeons of Sri Lanka and SAARC Surgical Care Society,13rd -17th August 2003 Kandy, Sri Lanka.

Keywords

Colorectalcancer

Citation

The Annual Sessions of the College of Surgeons of Sri Lanka and SAARC Surgical Care Society.2003, p. 162

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