Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, Australia.
Department of Pathology, University of São Paulo School of Medicine, São Paulo, Brazil.
Histopathology. 2018 Sep;73(3):369-385. doi: 10.1111/his.13520. Epub 2018 May 30.
Optimal patient management benefits from comprehensive and accurate pathology reports that contribute to cancer staging and prognostication. Proforma reports are used in many countries, but these vary in their structure and implementation. The International Collaboration on Cancer Reporting (ICCR) is an alliance formed by the Royal College of Pathologists of Australasia, the Royal College of Pathologists of the United Kingdom, the College of American Pathologists, the Canadian Partnership Against Cancer the European Society of Pathology and the American Society of Clinical Pathology (ASCP), with the aim of developing an evidence-based reporting data set for each cancer site. It is argued that this should reduce the global burden of cancer data set development and reduplication of effort by different international institutions that commission, publish and maintain standardised cancer reporting data sets. The resultant standardisation of cancer reporting will benefit not only those countries directly involved in the collaboration but also others not in a position to develop their own data sets. We describe the development of a cancer data set by the ICCR expert panel for the reporting of the main malignant liver tumours: intrahepatic cholangiocarcinoma, perihilar cholangiocarcinoma and hepatocellular carcinoma and present the 'required' and 'recommended' elements to be included in the report with an explanatory commentary. This data set incorporates definitions and classifications in the most recent World Health Organisation (WHO) publication on hepatic malignancies (4th edition) and the recently published tumour-node-metastasis (TNM)8 staging system. Widespread adoption and implementation of this data set will enable consistent and accurate data collection, comparison of epidemiological and pathological parameters between different populations, facilitate research and ultimately result in better patient outcomes.
优化的患者管理得益于全面准确的病理学报告,这些报告有助于癌症分期和预后判断。许多国家都使用格式报告,但这些报告在结构和实施方面存在差异。国际癌症报告协作组织(ICCR)是由澳大利亚皇家病理学家学院、英国皇家病理学家学院、美国病理学家学院、加拿大癌症伙伴关系、欧洲病理学会和美国临床病理学会(ASCP)组成的联盟,旨在为每个癌症部位开发基于证据的报告数据集。有人认为,这将减少全球癌症数据集开发的负担,并减少不同委托、发布和维护标准化癌症报告数据集的国际机构的重复工作。癌症报告的标准化不仅将使直接参与合作的国家受益,也将使那些没有能力制定自己数据集的国家受益。我们描述了 ICCR 专家小组为报告主要恶性肝肿瘤(肝内胆管癌、肝门部胆管癌和肝细胞癌)而开发的癌症数据集,并提出了报告中应包含的“必需”和“推荐”元素,并附有解释性评论。该数据集纳入了最近世界卫生组织(WHO)关于肝脏恶性肿瘤(第 4 版)出版物和最近发布的肿瘤-淋巴结-转移(TNM)8 分期系统中的定义和分类。广泛采用和实施该数据集将能够实现一致和准确的数据收集,在不同人群之间比较流行病学和病理参数,促进研究,并最终改善患者的治疗效果。