Parra-Herran Carlos, Cesari Matthew, Djordjevic Bojana, Grondin Katherine, Kinloch Mary, Köbel Martin, Pirzada Amrah, Plotkin Anna, Gilks C Blake
Department of Laboratory Medicine and Pathobiology, University of Toronto and Sunnybrook Health Sciences Centre (C.P.-H., M.C., B.D.) Department of Laboratory Medicine and Pathobiology, University of Toronto and Trillium Health Partners (A.P.), Toronto, ON Department of Pathology, University Hospital of Quebec (Centre Hospitalier Universitaire de Quebec), Quebec, QC (K.G.) Department of Pathology and Laboratory Medicine, University of Saskatchewan and Saskatoon City Hospital, Saskatoon, SK (M.K.) Department of Pathology and Laboratory Medicine, University of Calgary and Arnie Charbonneau Cancer Institute, Calgary, AB (M.K.) Department of Laboratory Medicine, Memorial University, St John's, NL (A.P.) Department of Pathology, University of British Columbia and Vancouver General Hospital, Vancouver, BC, Canada (C.B.G.).
Int J Gynecol Pathol. 2019 Mar;38(2):119-127. doi: 10.1097/PGP.0000000000000481.
Standardized terminology has proven benefits in cancer reporting; in contrast, reporting of benign diagnoses in endometrial biopsy currently lacks such standardization. Unification and update on the lexicon can provide the structure and consistency needed for optimal patient care and quality assurance purposes. The Special Interest Group in Gynecologic Pathology of the Canadian Association of Pathologists-Association Canadienne des Pathologistes (CAP-ACP) embarked in an initiative to address the current need for consensus terminology in benign endometrial biopsy pathology reporting. Nine members of the Special Interest Group developed a guideline for structured diagnosis of benign endometrial pathology through critical appraisal of the available peer-reviewed literature and joint discussions. The first version of the document was circulated for feedback to a group of professionals in akin fields, the CAP-ACP Executive Committee and the CAP-ACP general membership. The final 1-page document included 17 diagnostic terms comprising the most common benign endometrial entities, as well as explanatory notes for pathologists. The proposed terminology was implemented in the practice of 5 pathologists from the group, who applied the guideline to all benign endometrial biopsies over a 2-wk period. A total of 212 benign endometrial biopsies were evaluated in this implementation step; the recommended terminology adequately covered the diagnosis in 203 cases (95.8%). A list of terminology for benign endometrial biopsy reporting, based on expert consensus and critical appraisal of the available literature, is presented. On the basis of our results of implementation at multiple centers, the proposed guideline can successfully cover the large majority of diagnostic scenarios. The document has the potential to positively impact patient care, promote quality assurance, and facilitate research initiatives aimed at improving histopathologic assessment of benign endometrium.
标准化术语在癌症报告中已被证明具有益处；相比之下，目前子宫内膜活检中良性诊断的报告缺乏这种标准化。词汇的统一和更新可为优化患者护理和质量保证提供所需的结构和一致性。加拿大病理学家协会 - 加拿大病理学家协会（CAP - ACP）妇科病理学特别兴趣小组发起了一项倡议，以满足当前良性子宫内膜活检病理报告中对共识术语的需求。该特别兴趣小组的九名成员通过对现有同行评审文献的批判性评估和联合讨论，制定了一份良性子宫内膜病理结构诊断指南。该文件的第一版分发给了相关领域的一组专业人员、CAP - ACP执行委员会和CAP - ACP普通会员以征求反馈意见。最终的1页文件包括17个诊断术语，涵盖了最常见的良性子宫内膜实体，以及给病理学家的解释性注释。该提议的术语在该小组的5名病理学家的实践中得到实施，他们在两周内将该指南应用于所有良性子宫内膜活检。在这个实施步骤中，总共评估了212例良性子宫内膜活检；推荐的术语在203例（95.8%）中充分涵盖了诊断。本文基于专家共识和对现有文献的批判性评估，列出了良性子宫内膜活检报告的术语。基于我们在多个中心的实施结果，提议的指南能够成功涵盖绝大多数诊断情况。该文件有可能对患者护理产生积极影响，促进质量保证，并推动旨在改善良性子宫内膜组织病理学评估的研究倡议。
