Orah Nnamdi O, Anunobi Charles C, Ojewola Rufus W
Department of Anatomic & Molecular Pathology, Lagos University Teaching Hospital, Yaba, Lagos, Nigeria.
Nucleus Diagnostic Center, Iganmu, Lagos, Nigeria.
Sultan Qaboos Univ Med J. 2017 Aug;17(3):e319-e323. doi: 10.18295/squmj.2017.17.03.010. Epub 2017 Oct 10.
Cancer pathology reports are expected to contain all information required for patient management and disease surveillance. Moreover, reports for patients with prostate cancer have become increasingly complex with the addition of more pathological details. This study aimed to compare narrative and synoptic prostate cancer reports for core needle biopsies received at a tertiary hospital in Nigeria in order to determine which form was most complete according to international standards.
This study was conducted from January 2010 to December 2015 at the Lagos University Teaching Hospital, Lagos, Nigeria. All malignant prostate cancer histopathology reports received during this period were analysed for the presence of important clinicopathological parameters, including the numbers of cores taken and those involved by the tumour, percentage of tumour involvement, Gleason score and the presence of high-grade prostatic intraepithelial neoplasms (HGPINs) and perineural and lymphovascular invasion.
A total of 83 reports were reviewed, of which 27 were in narrative and 56 in synoptic format. The documentation of clinicopathological characteristics in narrative reports was significantly incomplete compared to synoptic reports in recording the number of cores (33.3% versus 96.4%), number of cores involved by the tumour (11.1% versus 94.6%), percentage of cores involved by the tumour (3.7% versus 100.0%) and the presence of HGPINs (7.4% versus 100.0%) and perineural (59.3% versus 98.2%) and lymphovascular (48.1% versus 100.0%) invasion ( <0.001 each).
Synoptic reports of malignant prostate cancer biopsies received at the Lagos University Teaching Hospital were found to contain more complete information than narrative reports.
癌症病理报告应包含患者管理和疾病监测所需的所有信息。此外，随着更多病理细节的增加，前列腺癌患者的报告变得越来越复杂。本研究旨在比较尼日利亚一家三级医院收到的前列腺癌芯针活检的叙述性报告和概要性报告，以确定根据国际标准哪种形式最完整。
本研究于2010年1月至2015年12月在尼日利亚拉各斯大学教学医院进行。分析在此期间收到的所有恶性前列腺癌组织病理学报告中重要临床病理参数的存在情况，包括取材的芯针数量、肿瘤累及的芯针数量、肿瘤累及百分比、Gleason评分以及高级别前列腺上皮内瘤变（HGPIN）、神经周围浸润和脉管浸润的存在情况。
共审查了83份报告，其中27份为叙述性报告，56份为概要性报告。与概要性报告相比，叙述性报告在记录芯针数量（33.3%对96.4%）、肿瘤累及的芯针数量（11.1%对94.6%）、肿瘤累及的芯针百分比（3.7%对100.0%）以及HGPIN的存在情况（7.4%对100.0%）、神经周围浸润（59.3%对98.2%）和脉管浸润（48.1%对100.0%）方面，临床病理特征的记录明显不完整（每项<0.001）。
拉各斯大学教学医院收到的恶性前列腺癌活检的概要性报告比叙述性报告包含更完整的信息。
