The University of Sydney, Sydney, NSW, Australia.
Histopathology. 2010 May;56(6):768-74. doi: 10.1111/j.1365-2559.2010.03546.x.
To evaluate the quality of histopathological reporting for melanoma in a whole population, to assess the influence on quality of the use of a synoptic template and thus to provide an evidence base to guide improvement in reporting melanoma pathology.
Histopathology reports of all primary invasive melanomas notified to the New South Wales Central Cancer Registry between October 2006 and October 2007 (n = 3784) were reviewed. A detailed audit of histopathology reports for consecutively diagnosed primary invasive melanoma over 6 months (n = 2082) was performed to assess the quality of each report based on compliance with the 2008 Clinical Practice Guidelines for the Management of Melanoma in Australia and New Zealand. Only half of the initial excision specimen reports included the essential components necessary to stage a melanoma patient according to the 2002 American Joint Committee on Cancer/International Union Against Cancer melanoma staging system. Report format was strongly correlated with completeness and validity of reporting: reports in a synoptic format, with or without a descriptive component, achieved the highest quality levels.
Even in a population with a high incidence of melanoma, concordance of pathology reports with current guidelines was comparatively low. Wider adoption of synoptic reporting is likely to increase report quality.
评估全人群黑色素瘤组织病理学报告的质量，评估使用摘要模板对质量的影响，从而为改善黑色素瘤病理学报告提供循证依据。
回顾了 2006 年 10 月至 2007 年 10 月期间新南威尔士中央癌症登记处报告的所有原发性侵袭性黑色素瘤的组织病理学报告。对连续诊断的原发性侵袭性黑色素瘤的组织病理学报告进行了为期 6 个月的详细审核（n = 2082），以评估每个报告的质量，依据是其是否符合 2008 年澳大利亚和新西兰黑色素瘤临床实践指南。只有一半的初始切除标本报告包含了根据 2002 年美国癌症联合委员会/国际抗癌联盟黑色素瘤分期系统分期黑色素瘤患者所需的基本组成部分。报告格式与报告的完整性和有效性密切相关：采用摘要格式，无论是否有描述性内容，都能达到最高质量水平。
即使在黑色素瘤发病率较高的人群中，病理报告与现行指南的一致性也相对较低。广泛采用摘要报告可能会提高报告质量。
