Department of Pathology and Molecular Medicine, Wellington School of Medicine and Health Sciences, University of Otago, Wellington, New Zealand.
Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, ON, Canada.
Histopathology. 2019 Feb;74(3):377-390. doi: 10.1111/his.13754.
The International Collaboration on Cancer Reporting (ICCR) has provided detailed data sets based upon the published reporting protocols of the Royal College of Pathologists, the Royal College of Pathologists of Australasia and the College of American Pathologists.
The data set for carcinomas of renal tubular origin treated by nephrectomy was developed to provide a minimum structured reporting template suitable for international use, and incorporated recommendations from the 2012 Vancouver Consensus Conference of the International Society of Urological Pathology (ISUP) and the fourth edition of the World Health Organisation Bluebook on tumours of the urinary and male genital systems published in 2016. Reporting elements were divided into those, which are required and recommended components of the report. Required elements are: specimen laterality, operative procedure, attached structures, tumour focality, tumour dimension, tumour type, WHO/ISUP grade, sarcomatoid/rhabdoid morphology, tumour necrosis, extent of invasion, lymph node status, surgical margin status, AJCC TNM staging and co-existing pathology. Recommended reporting elements are: pre-operative treatment, details of tissue removed for experimental purposes prior to submission, site of tumour(s) block identification key, extent of sarcomatoid and/or rhabdoid component, extent of necrosis, presence of tumour in renal vein wall, lymphovascular invasion and lymph node status (size of largest focus and extranodal extension).
It is anticipated that the implementation of this data set in routine clinical practice will inform patient treatment as well as provide standardised information relating to outcome prediction. The harmonisation of data reporting should also facilitate international research collaborations.
国际癌症报告协作组织(ICCR)提供了基于皇家病理学院、澳大利亚皇家病理学院和美国病理学家学院发布的报告协议的详细数据集。
为了提供适合国际使用的最小结构化报告模板,开发了用于肾管状癌治疗的肾切除术数据集,该模板纳入了国际泌尿病理学会(ISUP)2012 年温哥华共识会议和 2016 年发布的第四版世界卫生组织泌尿系统和男性生殖系统肿瘤蓝皮书的建议。报告要素分为必需和推荐的报告组成部分。必需要素包括:标本侧别、手术过程、附着结构、肿瘤灶性、肿瘤尺寸、肿瘤类型、世界卫生组织/国际泌尿科病理学会分级、肉瘤样/横纹肌样形态、肿瘤坏死、侵犯程度、淋巴结状态、手术切缘状态、AJCC TNM 分期和共存病理学。推荐报告要素包括:术前治疗、提交前用于实验目的的组织去除细节、肿瘤块识别关键部位、肉瘤样和/或横纹肌样成分的程度、坏死程度、肿瘤在肾静脉壁中的存在、淋巴血管侵犯和淋巴结状态(最大焦点和淋巴结外延伸的大小)。
预计在常规临床实践中实施该数据集将为患者治疗提供信息,并提供与预后预测相关的标准化信息。数据报告的协调也应促进国际研究合作。