University of Khartoum

Adequacy of Breast Cancer Histopathology Reports in Khartoum, 2013 - 2014

Adequacy of Breast Cancer Histopathology Reports in Khartoum, 2013 - 2014

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Title: Adequacy of Breast Cancer Histopathology Reports in Khartoum, 2013 - 2014
Author: Babiker, Nusaiba Hamid Alamin
Abstract: Background: The usefulness of histopathology reports is a function of the quality of information contained therein. Thus there is a need to establish minimum criteria to be met in reporting cases as a quality control mechanism. The aim of this study was to evaluate the quality of histopathology reports of mastectomy specimens received in the pathology laboratory of RICK and NHL. Methods: The study was a descriptive retrospective and prospective standard-based study. It included 254 consecutive mastectomy carcinoma reports which were received at RICK (from different laboratories) and NHL. The data was evaluated in comparison to the Royal College of Pathologist Minimum dataset, and it was analyzed by using Statistical Package for Social Science. Results: Two hundred and fifty-four mastectomy reports were retrieved. The most complete items in the macroscopy report were specimen type (98.7%) and lesion measurement (94.3%). Side of the breast (72.6%), ellipse of skin measurement (69.4%) and fibro-fatty tissue measurement (79%) were less complete and macroscopic distance to nearest margin (44.6%) and nipple assessment (33.1%) were the least complete. Three parameters were under reported: radiological abnormality (0.00%), specimen weight (7.6%) and site of the lesion (6.4%). The most complete items in the microscopy report were tumor type (96.2%), tumor grade (84.7%) and lymph nodes (total number & number positive) (99.2%). Vascular invasion (66.9%) was less complete and associated DCIS (40.8%), Paget’s disease (46.5%) and steroid receptors status (48.5%) were the least complete. Ten parameters were under reported: invasive tumor size (7.6%), whole tumor size (0.00%), tumor extent (3.2%), DCIS grade (1.9%). In situ lobular neoplasia (1.3%), distance of closest relevant margin(s) to invasive tumor (10.1%), stage (8.3%), single node positivity (0.00%), Nottingham prognostic index (0.6%) and ( final diagnosis, grading and pTNM staging) (9.6%). Conclusion: This 2-years evaluation showed the lapses in our histopathology reports and the need for establishment of standard report formats as tools for quality assurance.
Description: 87 Pages
URI: http://khartoumspace.uofk.edu/123456789/22087


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