Key issues in reporting common cancer specimens: problems in pathologic staging of colon cancer.
Key issues in reporting common cancer specimens: problems in pathologic staging of colon cancer.
复制标题
报告常见癌症标本的关键问题：结肠癌病理分期问题。
DOI：
--
复制
发表时间：
2006
影响因子：
4.6
通讯作者：
C. Compton
中科院分区：
文献类型：
--
作者：
C. Compton
上下文
标准化病理评估是癌症护理的质量衡量标准。
目的
病理分期参数和临床上重要的阶段独立的病理因素，病理学家发现最有问题的结直肠癌切除标本进行审查。本综述的目的是为临床外科病理学家提供实践指导。
数据源
已发表的文献中涉及的结直肠癌的TNM分期系统的美国癌症联合委员会和国际抗癌联盟和分期无关的组织为基础的预后因素的评估被纳入审查。研究选择、数据提取和综合：纳入权威来源的已发表指南和已发表的与结直肠癌分期和病理预后因素评估相关的同行评议数据。美国癌症联合委员会和国际抗癌联盟的结直肠TNM分期系统的一般和特定部位的应用规则以及美国病理学家学院癌症委员会的结直肠癌切除标本评价方案作为讨论的基础，并在具体应用中提出了实用建议。
结论
结直肠癌切除标本的病理学评价标准化对于优化患者护理至关重要，并通过使用易于理解和一致应用的数据驱动指南来辅助。
CONTEXT
Standardized pathologic assessment is a quality measure for cancer care.
OBJECTIVE
Pathologic staging parameters and the clinically important stage-independent pathologic factors that pathologists find most problematic to evaluate in colorectal cancer resection specimens are reviewed. The objective of this review is to provide practical guidance for the practicing surgical pathologist.
DATA SOURCES
Published literature related to the TNM staging system for colorectal cancer of the American Joint Committee on Cancer and the International Union Against Cancer and to stage-independent tissue-based prognostic factor evaluation was included in the review. STUDY SELECTION, DATA EXTRACTION, AND SYNTHESIS: Published guidelines from authoritative sources and published peer-reviewed data related to colorectal cancer staging and pathologic prognostic factor assessment were included for consideration. The general and site-specific rules of application of the American Joint Committee on Cancer and International Union Against Cancer TNM staging system for the colorectum and the protocol for evaluation of colorectal cancer resection specimens of the Cancer Committee of the College of American Pathologists served as the basis for discussion and amplified with practical advice on specific application.
CONCLUSIONS
Standardization of pathologic evaluation of colorectal cancer resection specimens is essential for optimal patient care and is aided by the use of data-driven guidelines that are easily understood and consistently applied.