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国际癌症报告合作组织(ICCR)关于肾盂和输尿管肾输尿管切除术及输尿管切除术标本中癌报告的数据集:建议。

Data Set for the Reporting of Carcinoma of the Renal Pelvis and Ureter-Nephroureterectomy and Ureterectomy Specimens: Recommendations From the International Collaboration on Cancer Reporting (ICCR).

机构信息

Aquesta Uropathology.

University of Queensland School of Medicine, Brisbane, Qld.

出版信息

Am J Surg Pathol. 2019 Oct;43(10):e1-e12. doi: 10.1097/PAS.0000000000001305.

Abstract

Cancer reporting guidelines have been developed and utilized in many countries throughout the world. The International Collaboration on Cancer Reporting (ICCR), through an alliance of colleges and other pathology organizations in Australasia, United Kingdom, Ireland, Europe, USA, and Canada, has developed comprehensive standardized data sets to provide for global usage and promote uniformity in cancer reporting. Structured reporting facilitates provision of all necessary information, which ensures accurate and comprehensive data collection, with the ultimate aim of improving cancer diagnostics and treatment. The data set for primary carcinoma of the renal pelvis and ureter treated with nephroureterectomy or ureterectomy had input from an expert panel of international uropathologists. This data set was based on current evidence-based practice and incorporated information from the 2016 fourth edition of the World Health Organization (WHO) Bluebook on tumors of the urinary and male genital systems and the 2017 American Joint Committee on Cancer (AJCC) TNM staging eighth edition. This protocol applies to both noninvasive and invasive carcinomas in these locations. Reporting elements are considered to be essential (required) or nonessential (recommended). Required elements include operative procedure, specimens submitted, tumor location, focality and size, histologic tumor type, subtype/variant of urothelial carcinoma, WHO grade, extent of invasion, presence or absence of vascular invasion, status of the resection margins and lymph nodes and pathologic stage. The data set provides a detailed template for the collection of data and it is anticipated that this will facilitate appropriate patient management with the potential to foster collaborative research internationally.

摘要

癌症报告指南已在世界上许多国家制定和使用。国际癌症报告协作组织(ICCR)通过澳大拉西亚、英国、爱尔兰、欧洲、美国和加拿大的学院和其他病理学组织联盟,开发了全面的标准化数据集,以实现全球使用,并促进癌症报告的一致性。结构化报告有助于提供所有必要的信息,这确保了准确和全面的数据收集,最终目的是改善癌症诊断和治疗。肾盂和输尿管原发性癌的数据集是在国际泌尿病理学家专家组的输入下制定的。该数据集基于当前循证实践,并纳入了 2016 年第四版世界卫生组织(WHO)泌尿系统和男性生殖系统肿瘤蓝皮书以及 2017 年美国癌症联合委员会(AJCC)TNM 分期第八版的信息。本方案适用于这些部位的非浸润性和浸润性癌。报告要素被认为是必需的(必需的)或非必需的(推荐的)。必需的要素包括手术程序、提交的标本、肿瘤位置、局灶性和大小、组织学肿瘤类型、尿路上皮癌的亚型/变体、WHO 分级、浸润程度、是否存在血管浸润、切除边缘和淋巴结的状态以及病理分期。该数据集提供了一个详细的模板,用于收集数据,预计这将有助于对患者进行适当的管理,并有可能促进国际合作研究。

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