Keating John, Lolohea Simi, Kenwright Diane
Wellington School of Medicine, Wellington, New Zealand.
N Z Med J. 2003 Jul 25;116(1178):U514.
To audit the quality and completeness of histopathology reports of rectal cancer resections submitted to the National Cancer Registry in 2000.
All 388 mid- and low-rectal-cancer specimen reports submitted to the Registry were reviewed. Reports were scored according to a pre-defined 'proforma' as to the completeness of the pathological examination and the submitted report.
Scores from teaching hospitals, public non-teaching hospitals and private laboratories did not differ significantly. Multiple staging systems were used in 40% of reports and no stage was allocated in 31% of reports. Circumferential margin involvement was recorded in 63% of reports.
No significant differences exist in the quality of pathology reporting of rectal cancer between different laboratory types, either public or private. There is a lack of uniform reporting of rectal cancer stage, with multiple staging systems in use. Circumferential margin involvement is frequently omitted in spite of its documented value as an indicator of quality of rectal cancer surgery, as an important predictor of local recurrence, and its more-recently established value as a marker for distant metastasis and survival.
审核2000年提交至国家癌症登记处的直肠癌切除术组织病理学报告的质量和完整性。
对提交至登记处的所有388份中低位直肠癌标本报告进行了审查。根据预先定义的“格式”对报告的病理检查完整性和提交的报告进行评分。
教学医院、公立非教学医院和私立实验室的评分无显著差异。40%的报告使用了多种分期系统，31%的报告未进行分期。63%的报告记录了环周切缘受累情况。
不同类型实验室（公立或私立）在直肠癌病理报告质量方面无显著差异。直肠癌分期报告缺乏统一性，存在多种分期系统在使用。尽管环周切缘受累作为直肠癌手术质量指标、局部复发的重要预测因素以及其作为远处转移和生存标志物的最新确立价值已得到证实，但仍经常被遗漏。
