Adequacy of histopathology reports for breast cancer in New South Wales

Bilous, Michael; McCredie, Margaret; Porter, Lesley A

doi:10.1080/00313029500169193

Cited by 7 publications

(4 citation statements)

References 23 publications

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“…Reporting of cancer size, margins of excision and vessel invasion all increased significantly with laboratory reporting volume. A similar trend was found in the 1992 audit in NSW in which reporting was more complete from pathologists who issued at least 2-3 reports a month or were based in teaching hospitals (Bilous et al, 1995). Volume of institutional reporting in the UK was also associated with item completeness, although inconsistently since reporting of tumour size fell as volume increased while margins of excision and histological grade were more completely reported as volume increased (Ma et al, 1997).…”

Section: Completeness Of Reports Of Invasive Breast Cancer By Number supporting

confidence: 50%

“…Use of a standard form or checklist is the one practice found to be significantly associated with an increased completeness of reporting of selected items in pathology reports of cancer (Zarbo, 1992;Bilous et al, 1995;Wijetunga et al, 1996;Rippey, 1996;Shepherd and Quirke, 1997;Bull et al 1997). Synoptic reporting was recommended by the ACN's Pathology Working Party and its widespread adoption would be expected to lead to further increases in completeness of reporting.…”

Section: Completeness Of Reports Of Invasive Breast Cancer By Number mentioning

confidence: 99%

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An audit of breast cancer pathology reporting in Australia in 1995

Kricker

Armstrong²,

Smith

et al. 1999

Br J Cancer

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The pathologist's role in breast cancer management is to make a diagnosis and report key items of information essential to treatment planning. To increase national uniformity in procedures and reporting, the Australian Cancer Network's (ACN) Pathology Working Party released specific recommendations about pathology reporting of breast cancer specimens in 1997 (ACN Pathology Working Party, 1997). These recommendations were that all microscopic reports of invasive breast cancer should contain information on tumour type, size, grade, margins of excision, vessel invasion and changes in adjacent breast tissue. For each case of pure ductal carcinoma in situ (DCIS), recommendations were to report tumour size, nuclear grade, necrosis, architecture and calcification and, in addition, a clear statement about the margins of excision.The NHMRC National Breast Cancer Center (NBCC) undertook an audit of pathology reporting of breast cancer cases diagnosed in Australia in 1995, before the release of the recommendations, to measure a baseline for the coverage and completeness of reporting by pathologists in Australia of key items in the ACN Working Party's recommendations (ACN Pathology Working Party, 1997). MATERIALS AND METHODSWe obtained copies of pathology reports, identified by number only, from Australian state and territory cancer registries for cases of invasive breast cancer or DCIS diagnosed in April and May 1995 (and June in the smallest states and territories). In one State, only three of six laboratories agreed to participate, supplying 57% of the cases expected in that State.Completeness of reporting of invasive breast cancer was examined for the key items: tumour size, histological type, histological grade, margins of excision, vessel invasion and changes in the adjacent breast tissue. We examined reporting of changes in adjacent breast tissue in two separate items, the presence or absence of DCIS and changes in adjacent non-neoplastic tissue. In addition, we examined the reporting of nodal status of all breast cancers and the presence or absence of an extensive intraductal component (EIC) associated with infiltrating ductal carcinomas nitric oxide synthase (NOS) (no special type).Reports were classified by the type of diagnostic or therapeutic procedure from which the specimen came. Analyses were based on reports from biopsies and mastectomies which contained information about the breast cancer and excluded fine needle aspirations (FNA), core biopsies and slide reviews.Completeness was defined as the percentage of reports in which a definite statement about an item, either positive or negative, was made. A data dictionary and coding manual and data collection forms were developed for use by three pathology registrars who were the auditors. Typically, the data form sought to classify each Summary To measure the quality of pathology reporting of breast cancer and establish a baseline against which future changes can be measured, we audited item completeness in breast cancer reports in Australia in 1995 before the ...

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Section: Completeness Of Reports Of Invasive Breast Cancer By Number supporting

confidence: 50%

Section: Completeness Of Reports Of Invasive Breast Cancer By Number mentioning

confidence: 99%

An audit of breast cancer pathology reporting in Australia in 1995

Kricker

Armstrong²,

Smith

et al. 1999

Br J Cancer

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“…001, 95%, CI: 89-98%). In other studies, this item was reported in 94 to 100% of all reports (5,8,(14)(15)(16). of cases in teaching hospital, but the difference among three hospitals was significant (P<0.…”

Section: Discussionmentioning

confidence: 74%

“…Lymph node involvement is an important prognostic factor in breast cancer (3,6,17,18). However, (7,13,15,16).…”

Section: Discussionmentioning

confidence: 99%

Adequacy of Surgical Pathology Reporting of Breast Cancer in Different Hospitals

Abbasi

Azari²,

Jafarzadeh³

2022

RABMS

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Background & Aims: To determine how well the standard criteria were utilized in reporting breast cancer pathology and to compare the variability among a public teaching, a public nonteaching, and a private hospital in Urmia, Iran. Materials & Methods:Three hundred and fifty pathology reports of mastectomy samples with diagnosis of primary breast cancer were retrieved from archives of pathology departments of three hospitals; one public teaching (121 reports), one public nonteaching (99 reports), and one private hospital (130 reports). The reports were assessed for tumor laterality, size, color, consistency, type and grade, sample size, description of prior biopsy site, specimen condition (fresh, or in fixative), number of excised and involved lymph nodes, previous frozen section (FS), surgical margins, lymphovascular invasion, and in situ carcinoma.Results: None of the reports had all the suggested items. Specimen condition was the only item recorded in all of the reports. The teaching hospital reports had significantly higher number of reported items than the two other hospitals (P<0.001). Key items (tumor size, type and grade, surgical margin, vascular invasion, and in situ carcinoma) were also indicated more frequently in teaching hospital (P<0.001). Conclusion:We showed evident variations in reporting breast cancer pathology in the studied different hospitals. It seems that the teaching program in the public-teaching hospital can be a reason for the better results in this hospital. So we suggest using standard universal protocols for cancer reporting as well as creating an effective audit system to evaluate complete utilization of the protocols.

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Pathology of Ovarian, Fallopian Tube, and Primary Peritoneal Cancer

Robbie¹

2004

Gynecologic Cancer

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Adequacy of histopathology reports for breast cancer in New South Wales

Cited by 7 publications

References 23 publications

An audit of breast cancer pathology reporting in Australia in 1995

An audit of breast cancer pathology reporting in Australia in 1995

Adequacy of Surgical Pathology Reporting of Breast Cancer in Different Hospitals

Pathology of Ovarian, Fallopian Tube, and Primary Peritoneal Cancer

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