Dataset for Pathology Reporting of Colorectal Cancer: Recommendations From the International Collaboration on Cancer Reporting (ICCR)

被引:41
作者
Loughrey, Maurice B. [1 ,2 ]
Webster, Fleur [3 ]
Arends, Mark J. [4 ]
Brown, Ian [5 ]
Burgart, Lawrence J. [6 ]
Cunningham, Chris [7 ]
Flejou, Jean-Francois [8 ]
Kakar, Sanjay [9 ]
Kirsch, Richard [10 ]
Kojima, Motohiro [11 ]
Lugli, Alessandro [12 ]
Rosty, Christophe [13 ,14 ,15 ]
Sheahan, Kieran [16 ,17 ]
West, Nicholas P. [18 ]
Wilson, Richard H. [19 ]
Nagtegaal, Iris D. [20 ]
机构
[1] Queens Univ Belfast, Ctr Publ Hlth, Ctr Canc Res & Cell Biol, Belfast, Antrim, North Ireland
[2] Belfast Hlth & Social Care Trust, Dept Cellular Pathol, Belfast, Antrim, North Ireland
[3] Int Collaborat Canc Reporting, Sydney, NSW, Australia
[4] Inst Genet Mol Med Univ Edinburgh, Div Pathol, Edinburgh, Midlothian, Scotland
[5] Envoi Pathol, Kelvin Grove, Qld, Australia
[6] Abbott NW Hosp, Virginia Piper Canc Inst, Dept Pathol, Minneapolis, MN USA
[7] Churchill Hosp, Oxford Univ Hosp NHSFT, Dept Colorectal Surg, Oxford, England
[8] Sorbonne Univ, St Antoine Hosp, Dept Pathol, Paris, France
[9] Univ Calif San Francisco, Dept Pathol, San Francisco, CA 94143 USA
[10] Mt Sinai Hosp, Dept Pathol & Lab Med, Toronto, ON, Canada
[11] Natl Canc Ctr, Div Pathol, Res Ctr Innovat Oncol, Chiba, Japan
[12] Univ Bern, Inst Pathol, Bern, Switzerland
[13] Univ Queensland, Fac Med, Brisbane, Qld, Australia
[14] Envoi Specialist Pathologists, Brisbane, Qld, Australia
[15] Univ Melbourne, Dept Pathol, Melbourne, Vic, Australia
[16] St Vincents Univ Hosp, Dept Pathol, Dublin, Ireland
[17] Univ Coll Dublin, Dublin, Ireland
[18] St Jamess Univ Leeds, Leeds Inst Med Res, Pathol & Data Analyt, Leeds, W Yorkshire, England
[19] Univ Glasgow, Inst Canc Sci, Glasgow, Lanark, Scotland
[20] Radboud Univ Nijmegen, Med Ctr, Dept Pathol, Nijmegen, Netherlands
关键词
colorectal cancer; dataset; guidelines; ICCR; protocol; structured report; synoptic report; TOTAL MESORECTAL EXCISION; LYMPH-NODE METASTASIS; RECTAL-CANCER; COLON-CANCER; PROGNOSTIC-SIGNIFICANCE; PREDICTING SURVIVAL; ABDOMINOPERINEAL EXCISION; INTEROBSERVER-AGREEMENT; PERINEURAL INVASION; MARGIN INVOLVEMENT;
D O I
10.1097/SLA.0000000000005051
中图分类号
R61 [外科手术学];
学科分类号
摘要
Objective:The aim of this study to describe a new international dataset for pathology reporting of colorectal cancer surgical specimens, produced under the auspices of the International Collaboration on Cancer Reporting (ICCR).Background:Quality of pathology reporting and mutual understanding between colorectal surgeon, pathologist and oncologist are vital to patient management. Some pathology parameters are prone to variable interpretation, resulting in differing positions adopted by existing national datasets.Methods:The ICCR, a global alliance of major pathology institutions with links to international cancer organizations, has developed and ratified a rigorous and efficient process for the development of evidence-based, structured datasets for pathology reporting of common cancers. Here we describe the production of a dataset for colorectal cancer resection specimens by a multidisciplinary panel of internationally recognized experts.Results:The agreed dataset comprises eighteen core (essential) and seven non-core (recommended) elements identified from a review of current evidence. Areas of contention are addressed, some highly relevant to surgical practice, with the aim of standardizing multidisciplinary discussion. The summation of all core elements is considered to be the minimum reporting standard for individual cases. Commentary is provided, explaining each element's clinical relevance, definitions to be applied where appropriate for the agreed list of value options and the rationale for considering the element as core or non-core.Conclusions:This first internationally agreed dataset for colorectal cancer pathology reporting promotes standardization of pathology reporting and enhanced clinicopathological communication. Widespread adoption will facilitate international comparisons, multinational clinical trials and help to improve the management of colorectal cancer globally.
引用
收藏
页码:E549 / E561
页数:13
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