Fassler Carly, Yalamanchi Pratyusha, Aweeda Marina, Rezk Julie, Murphy Barbara, Lockney Natalie A, Whitaker Ryan, Rigsby Ryan, Aulino Joseph, Hosokawa Emily, Mehrad Mitra, Ely Kim, Lewis James S, Derman Evan, LaHood Ed, Rohde Sarah L, Sinard Robert J, Rosenthal Eben L, Topf Michael C
Department of Otolaryngology - Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Department of Oral & Maxillofacial Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Head Neck. 2025 Feb;47(2):452-462. doi: 10.1002/hed.27926. Epub 2024 Aug 29.
Multidisciplinary tumor boards (TB) are the standard for discussing complex head and neck cancer cases. During TB, imaging and microscopic pathology is reviewed, but there is typically no visualization of the resected cancer.
A pilot study was conducted to investigate the utility of visual pathology reports at weekly TB for 10 consecutive weeks. Faculty-level participants completed a pre-survey and post-survey to assess understanding of resected cancer specimens.
Providers (n = 25) across seven medical specialties completed pre-survey and post-survey. Following intervention, providers reported significant improvement in understanding of anatomic orientation of the specimen and sites of margin sampling (mean 47.4-96.1, p < 0.001), ability to locate the site of a positive margin (mean 69.5-91.1, p < 0.001), and confidence in treatment plans created (mean 69.5-89.2, p < 0.001) with the addition of visual pathology reports.
Visual pathology reports improve provider understanding of resected cancer specimens at multidisciplinary TB.
多学科肿瘤病例讨论会（TB）是讨论复杂头颈癌病例的标准方式。在肿瘤病例讨论会上，会对影像学和微观病理学进行回顾，但通常无法直观看到切除的癌症标本。
开展了一项试点研究，连续10周在每周的肿瘤病例讨论会上调查视觉病理报告的效用。参与的教员级人员完成了一项调查前和调查后的问卷，以评估对切除的癌症标本的理解。
来自七个医学专业的25名医疗服务提供者完成了调查前和调查后的问卷。干预后，医疗服务提供者报告称，通过增加视觉病理报告，对标本解剖方位和切缘取样部位的理解（平均从47.4分提高到96.1分，p<0.001）、确定阳性切缘部位的能力（平均从69.5分提高到91.1分，p<0.001）以及对制定的治疗方案的信心（平均从69.5分提高到89.2分，p<0.001）均有显著改善。
视觉病理报告可提高多学科肿瘤病例讨论会上医疗服务提供者对切除的癌症标本的理解。
