Compton C C, Henson D E, Hutter R V, Sobin L H, Bowman H E
Department of Pathology, Massachusetts General Hospital, Boston, MA, USA.
Arch Pathol Lab Med. 1997 Dec;121(12):1247-54.
The Cancer Committee of the College of American Pathologists has updated and expanded their protocol for the pathologic examination and reporting of specimens from patients with colorectal carcinoma, which was originally developed in 1989. The updated protocol incorporates all basic pathology data of diagnostic and prognostic significance appropriate for the treatment of patients with colorectal carcinoma. The purpose of the protocol is to serve as a basis for the development of checklists, as an outline for full narrative reporting, as a basis for research protocols, or as a guide for other types of synoptic or reporting formats. The protocol is stratified to accommodate the surgical procedures usually employed for colorectal carcinomas, including incisional endoscopic biopsy, polypectomy, local excision (transanal disc excision), and colon/colorectal resection (eg, segmental resection, total colectomy, abdominoperoneal resection). Explanatory notes detailing specific procedures and rationales for documentation of specific pathologic data are included in the protocol. The protocol uses the recently revised TNM staging system for colorectal carcinoma defined by the American Joint Committee on Cancer and the International Union Against Cancer.
美国病理学家学会癌症委员会已更新并扩充了其针对结直肠癌患者标本病理检查及报告的方案，该方案最初制定于1989年。更新后的方案纳入了对结直肠癌患者治疗具有诊断和预后意义的所有基本病理数据。该方案的目的是作为制定检查表的基础、完整叙述性报告的大纲、研究方案的基础，或作为其他类型概要或报告格式的指南。该方案进行了分层，以适应结直肠癌通常采用的手术程序，包括切开式内镜活检、息肉切除术、局部切除术（经肛门盘状切除术）以及结肠/结直肠切除术（如节段性切除术、全结肠切除术、腹会阴联合切除术）。该方案中包含了详细说明特定程序以及特定病理数据记录基本原理的解释性注释。该方案采用了美国癌症联合委员会和国际抗癌联盟最近修订的结直肠癌TNM分期系统。
