Endocrine Department, Complejo Hospitalario Universitario A Coruña, A Coruña, Spain.
Endocr Pathol. 2012 Dec;23(4):215-20. doi: 10.1007/s12022-012-9226-7.
This study aims to investigate the adequacy of pathology reports of specimens from patients with differentiated thyroid cancer (DTC) operated in our institution. Retrospective analysis of the pathology reports of all patients diagnosed with DTC in our area, from 1 January 2006 through 30 June 2011, was done. Sixty-eight patients were diagnosed with DTC. All reports were descriptive. In all the reports, but one, one or more core data items (according to the Royal College of Pathologists) were missing. Information about 1 and 2 items was lacking in 7.4 and 42.6 % of the reports, respectively. The rest were missing three or more data. Lymphovascular invasion, histology subtype, and completeness of excision were, in this order, the three most frequently omitted data. Sometimes, the information in question was not explicitly expressed but could be extrapolated from the data available. The pathology reports of DTC specimens frequently miss some of the information considered necessary to provide a comprehensive patient care.
本研究旨在探讨我院行手术治疗的分化型甲状腺癌(DTC)患者的病理报告是否充分。对 2006 年 1 月 1 日至 2011 年 6 月 30 日在我院确诊为 DTC 的所有患者的病理报告进行回顾性分析。共诊断出 68 例 DTC 患者。所有报告均为描述性报告。但除了一份报告外,所有报告都缺少一个或多个核心数据项(根据皇家病理学院的要求)。分别有 7.4%和 42.6%的报告缺少 1 项和 2 项数据。其余报告缺少 3 项或更多数据。淋巴管浸润、组织学亚型和切除的完整性是最常遗漏的三项数据。有时,所讨论的信息并未明确表达,但可从现有数据中推断出来。DTC 标本的病理报告经常遗漏一些被认为是为患者提供全面治疗所必需的信息。