Department of Tissue Pathology and Diagnostic Oncology, Royal Prince Alfred Hospital, Missenden Road, Camperdown, NSW, 2050, Australia.
Royal College of Pathologists of Australasia, Sydney, NSW, Australia.
Virchows Arch. 2019 Sep;475(3):263-277. doi: 10.1007/s00428-019-02574-0. Epub 2019 May 16.
The International Collaboration on Cancer Reporting (ICCR) was formed in 2011 to harmonise the datasets, protocols and checklists for pathological reporting of various cancers and develop internationally agreed upon, evidence-based datasets. A dataset for prostate cancer in radical prostatectomy specimens was developed in 2011-2012 as part of a pilot project; however, it required substantial revision following the ISUP Consensus Conference on Gleason Grading in 2014, the publication of the World Health Organisation (WHO) Classification of Tumours of the Urinary System and Male Genital Organs in 2016, and the 8th edition of the Tumour-Node-Metastasis (TNM) staging system in late 2016. This article presents the up-to-date, evidence-based ICCR dataset and associated commentary for reporting prostate cancer in radical prostatectomy specimens. PubMed and Google search engines were used to review the published literature on the subject, and the dataset was developed in line with the previously published ICCR framework for the development of cancer datasets. Substantial changes have been incorporated into the second edition of the ICCR prostate cancer (radical prostatectomy) dataset. These include revisions to prostate cancer grading, reporting of intraductal carcinoma of prostate and surgical margins, among others. Up-to-date cancer datasets underpin structured reporting and facilitate the production of consistent and accurate pathological data for patient care as well as comparisons between different cohorts and populations internationally.
国际癌症报告协作组织(ICCR)成立于 2011 年,旨在协调各种癌症的病理报告数据集、方案和检查表,并制定国际公认的、基于证据的数据集。2011-2012 年,作为试点项目的一部分,开发了用于根治性前列腺切除术标本中前列腺癌的数据集;然而,在 2014 年国际泌尿系统肿瘤组织(ISUP)共识会议上对 Gleason 分级进行了修订、2016 年世界卫生组织(WHO)泌尿系统和男性生殖器官肿瘤分类发布以及 2016 年底第 8 版肿瘤-淋巴结-转移(TNM)分期系统发布后,该数据集需要进行大量修订。本文介绍了最新的、基于证据的 ICCR 数据集和相关评论,用于报告根治性前列腺切除标本中的前列腺癌。使用 PubMed 和谷歌搜索引擎审查了该主题的已发表文献,并根据之前发布的 ICCR 癌症数据集开发框架开发了该数据集。ICCR 前列腺癌(根治性前列腺切除术)数据集的第二版纳入了实质性的更改。这些更改包括对前列腺癌分级、前列腺导管内癌和手术切缘的报告等进行了修订。最新的癌症数据集为结构化报告提供了基础,并有助于为患者护理以及国际间不同队列和人群之间的比较提供一致和准确的病理数据。