Some of the pathology reports issued by our hospital are unqualified. For gastric cancer** specimens, the number of lymph nodes detected should be 16;For colorectal cancer** specimens, the number of lymph nodes detected should be 12. Otherwise, PTNM staging will be affected. The author has encountered colon cancer** after surgery, and there are only 4 lymph nodes. What are you talking about??When my peers looked at it, they absolutely doubted that it was a ** operation?
So what should a qualified pathology report contain?See the figure below for details.
In the Level I recommendation, 9 items should be included in the gross examination of the ** specimen, 12 items should be included in the microscopic examination (11 items should be included in the last TRG except for the last TRG), and the immunohistochemistry molecular pathology test should include the detection of MMR protein MSI.
In the I-level recommendation,Metastatic colorectal cancer specimensorBiopsy specimens, in addition to the above,Testing for RAS and BRAF mutations should be added. (Note: Genetic testing is only mentioned here).
Take a look at a pathology report from our hospital::
Let's take a look at the pathology report of a second-class hospital in other places:
The pathology report is really important, it involves postoperative staging, affects the postoperative strategy, and ultimately affects the prognosis!
Remarks
1) This article refers to the CSCO Colorectal Cancer Diagnosis and Treatment Guidelines 2023. If there is any clerical error, please criticize and correct!This article is a popular science article, if it is infringing, contact me to delete the article!
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