From Atlanta Oral Pathology, Decatur, Georgia (Dr Müller); Lancet Laboratories, Pretoria, South Africa (Dr Boy); the Departments of Otolaryngology-Head and Neck Surgery (Dr Day) and Pathology and Laboratory Medicine (Dr Richardson), Medical University of South Carolina, Charleston; the Department of Pathology and Laboratory Medicine, Emory University School of Medicine, Atlanta, Georgia (Dr Magliocca); the Department of Cellular Pathology, Newcastle University, Newcastle upon Tyne, United Kingdom (Dr Sloan); the Department of Oral Pathology, University of Peradeniya, Sri Lanka (Dr Tilakaratne); the Department of Oral Pathology, Faculty of Dentistry, MAHSA University, Selangor, Jalan, Malaysia (Dr Zain); and the Department of Pathology, Southern California Permanente Medical Group, Woodland Hills Medical Center, Woodland Hills, California (Dr Thompson).
Arch Pathol Lab Med. 2019 Apr;143(4):439-446. doi: 10.5858/arpa.2018-0411-SA. Epub 2018 Nov 30.
The International Collaboration on Cancer Reporting is a nonprofit organization whose goal is to develop evidence-based, internationally agreed-upon standardized data sets for each cancer site for use throughout the world. Providing global standardization of pathology tumor classification, staging, and other reporting elements will lead to the objective of improved patient management and enhanced epidemiologic research. Carcinomas of the oral cavity continue to represent a significant oncologic management burden, especially as changes in alcohol and tobacco use on a global scale contribute to tumor development. Separation of oral cavity carcinomas from oropharyngeal tumors is also important, as management and outcome are quite different when human papillomavirus association is taken into consideration. Topics such as tumor thickness versus depth of invasion, pattern of invasive front, extent and size of perineural invasion, and margin assessment all contribute to accurate classification and staging of tumors. This review focuses on the data set developed for Carcinomas of the Oral Cavity Histopathology Reporting Guide, with discussion of the key elements developed for inclusion.
国际癌症报告协作组织是一个非营利组织,其目标是为每个癌症部位制定基于证据、国际认可的标准化数据集,以便在全球范围内使用。提供病理学肿瘤分类、分期和其他报告要素的全球标准化将有助于实现改善患者管理和加强流行病学研究的目标。口腔癌仍然是一个重要的肿瘤管理负担,尤其是在全球范围内酒精和烟草使用的变化导致肿瘤发展的情况下。将口腔癌与口咽肿瘤分开也很重要,因为当考虑到人类乳头瘤病毒的相关性时,管理和结果有很大的不同。肿瘤厚度与浸润深度、浸润前缘模式、神经周围侵犯的程度和大小以及边缘评估等问题都有助于肿瘤的准确分类和分期。这篇综述重点介绍了为口腔癌组织病理学报告指南制定的数据组,并讨论了纳入的关键要素。