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首页> 外文期刊>ANZ journal of surgery >Pathology reporting of resected colorectal cancers in New South Wales in 2000.
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Pathology reporting of resected colorectal cancers in New South Wales in 2000.

机译：2000年在新南威尔士州切除的结直肠癌的病理报告。

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BACKGROUND: The aim of this study was to determine the extent to which pathology reporting of colorectal cancers notified to the New South Wales Central Cancer Registry during 2000 conformed to guidelines promulgated by the National Health and Medical Research Council. METHODS: De-identified reports for 2233 resected specimens of primary invasive colorectal carcinoma were coded according to a standardized system to compile information on 28 clinical and pathology features. An overall score for each report was calculated by computing the number out of 13 essential features specified in the guidelines for which data had been recorded explicitly and unambiguously in the report. RESULTS: The overall score ranged from 3 to 13 features with a mean of 9. No more than 7 features were reported explicitly in just less than one quarter of the reports and no more than 10 in three quarters. There were only 110 reports (4.9%) that included all features. Information on direct spread and nodal metastasis was well reported; resection margins less so. Many reports lacked information on metastases beyond the operative field, the involvement of deep or circumferential resection margins and tumour stage. CONCLUSION: In some respects pathology reports of resected colorectal cancer specimens displayed a high level of completeness. Some important features, however, were poorly described. Reporting could be improved if surgeons were to use a standardized form to convey clinical information to the pathologist and if pathologists were to report in a structured or synoptic format, explicitly recording the presence or absence of each feature in a standard list.
机译：背景：这项研究的目的是确定在2000年通知新南威尔士州中央癌症登记处的大肠癌的病理报告符合国家卫生与医学研究委员会（National Health and Medical Research Council）颁布的指南的程度。方法：根据标准化系统对2233例原发性浸润性大肠癌切除标本的鉴定报告进行编码，以收集有关28种临床和病理特征的信息。通过计算指南中指定的13个基本功能中的数量来计算每个报告的总分，该指南中已明确明确地记录了数据。结果：总体评分在3到13个特征之间，平均为9。在不到四分之一的报告中明确报告的特征不超过7个，在四分之三的报告中不超过10个。只有110个报告（4.9％）包含所有功能。关于直接扩散和淋巴结转移的信息已被充分报道;切除切缘少些。许多报道缺乏有关手术范围之外的转移，深部或周边切除切缘和肿瘤分期的信息。结论：在某些方面，切除大肠癌标本的病理报告显示出很高的完整性。但是，对一些重要功能的描述很少。如果外科医生要使用标准化的形式将临床信息传达给病理学家，并且病理学家要以结构化或概要的形式报告，并在标准列表中明确记录每个功能的存在或不存在，则可以改善报告。

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