Int J Gynecol Pathol. 2022 Nov 1;41(Suppl 1):S23-S33. doi: 10.1097/PGP.0000000000000883. Epub 2022 May 20.
Primary carcinomas of the vagina are uncommon and currently detailed recommendations for the reporting of resection specimens of these neoplasms are not widely available. The International Collaboration on Cancer Reporting (ICCR) is developing standardized, evidence-based reporting data sets for multiple cancer sites. We describe the development of a cancer data set by the ICCR expert panel for the reporting of primary vaginal carcinomas and present the core and noncore data elements with explanatory commentaries. This data set has incorporated the updates in the 2020 World Health Organization Classification of Female Genital Tumours, 5th edition. The data set addresses controversial issues such as tumor grading, margin assessment, and the role of ancillary studies. The adoption of this data set into clinical practice will help ensure standardized data collection across different countries, facilitate future research on vaginal carcinomas, and ultimately lead to improvements in patient care.
原发性阴道癌较为少见,目前详细的阴道肿瘤切除标本报告建议尚未广泛普及。国际癌症报告协作组织(ICCR)正在为多个癌症部位制定标准化、基于证据的报告数据集。我们描述了 ICCR 专家小组为原发性阴道癌报告而开发的癌症数据集,并提出了核心和非核心数据元素及其解释性评论。该数据集纳入了 2020 年世界卫生组织女性生殖器官肿瘤分类第 5 版的更新内容。该数据集解决了肿瘤分级、边缘评估和辅助研究作用等有争议的问题。该数据集在临床实践中的应用将有助于确保不同国家标准化的数据收集,促进未来对阴道癌的研究,并最终改善患者的护理。