Abstract
The aim was to see compliance to minimum data set information in carcinoma cervix histopathology reports from a team of 13 pathologists; and also to analyse the distribution of parameters like tumor size, grade, depth of cervical stromal invasion, lymph node yield and pTNM stage. All pathology reports of radical hysterectomy for carcinoma cervix operated in house within a three year duration (2010-2012), (n=204) were retrieved from medical records and analyzed for the above parameters. In 2010- 59 cases, in 2011- 67 cases and in 2012- 78 cases of carcinoma cervix underwent operations in our hospital. The median age was 50.5 years and the maximum T diameter was 2.8 cms in the reports of three years. Squamous carcinoma was the commonest subtype amongst all the tumors. It was noted that 60.8% of cases had cervical stromal involvement more than half the thickness of the cervical stroma. Parametrial involvement was seen in 4.82% of cases. pTNM Staging was not mentioned in 65.06% of the cases. The mean bilateral pelvic lymph node yield count in our study was 16.6 inclusive of all the three years. Compliance with provision of a minimum dataset in our team of 13 pathologists was generally good. Lymph node yield in our hands is reasonable, but constant striving for greater numbers should be made. pTNM staging should be more meticulously documented. Use of proformas /checklists is recommended.
Highlights
Histopathological reporting of surgically resected cancer specimens requires specific information in the reports for confirmation, extent and stage of the tumor
The aim was to see compliance to minimum data set information in carcinoma cervix histopathology reports from a team of 13 pathologists; and to analyse the distribution of parameters like tumor size, grade, depth of cervical stromal invasion, lymph node yield and pTNM stage
Materials and Methods: All pathology reports of radical hysterectomy for carcinoma cervix operated in house within a three year duration (2010-2012), (n=204) were retrieved from medical records and analyzed for the above parameters
Summary
Histopathological reporting of surgically resected cancer specimens requires specific information in the reports for confirmation, extent and stage of the tumor. This helps determine the adjuvant therapy and helps in the quality control exercise of other departments (e.g. Surgery, Radiology).The proformas (minimum datasets) are widely and freely available on websites of reputed international organizations (e.g. Royal College of Pathologists-RCPath, College of American PathologistsCAP). The aims and objectives of the study were as follows: 1) To verify whether all the relevant parameters deemed important in deciding further management of a patient are mentioned in the Histopathology reports (compliance to minimum data sets). The aims and objectives of the study were as follows: 1) To verify whether all the relevant parameters deemed important in deciding further management of a patient are mentioned in the Histopathology reports (compliance to minimum data sets). 2) To analyse the distribution of various parameters like tumor type, depth of cervical stromal involvement, mean lymph node yield etc. which measure the completeness of pathology examination
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