University of Khartoum

Adequacy of Colorectal Cancer Reports in Khartoum State, 2012-2014

Adequacy of Colorectal Cancer Reports in Khartoum State, 2012-2014

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Title: Adequacy of Colorectal Cancer Reports in Khartoum State, 2012-2014
Author: Hassan, Ahmed Mukhtar Elkhatim Ahmed
Abstract: Background: Colorectal carcinoma is one of the high frequent tumors and a leading cause of death. Complete accurate Information in the reporting system, is a guide to patient's management and prognosis. The aim of this study is to assess the adequacy of colorectal cancer reports in Khartoum State. Methods: This is a descriptive, retrospective, cross-sectional standard-based study, done at three separate labs in Khartoum State (the National Health Laboratory, Soba University Hospital -laboratory, Fedail Hospital- laboratory) from Jan 2012 to Dec 2014. The data was reviewed using the minimal data set designed by the Royal College of Pathologist in 2014 and analyzed using Statistical Package for Social Science program, (SPSS version 20, 2011). Results: One hundred and fifty six cases of complete surgical resection of colorectal cancer retrieved from the archives, 121 were colonic and 35 were rectal carcinomas. The most common core macroscopic item mentioned in the reports were, the site of specimens (100 %), maximum tumor dimension (97.4%),the nature of the specimen and its type (90.4%), while the most commonly mentioned macroscopic non-core data were specimen dimensions (99.4%) and specimen block index number (92.3%). The most common core microscopic items mentioned were histological tumor type (99.4%), longitudinal resection margins status (98.1%), maximum extend of tumor and extra mural spread (96.7%), total number of lymph nodes (92.3 %) and how many of them involved by tumor (91.6 %). The most common none core microscopic item was pathological staging (71.2%). The least items mentioned in the reported cases were tumor perforation (3.8%), relation of the tumor to the peritoneum reflection (2.9%), circumferential margin status (7.7 %) and the highest lymph node status (1.9%). None of the reports mentioned ancillary techniques. Conclusion: The three years study showed that there were missing data in colorectal cancer reports, which necessitate the need to adopt a national standard protocol for reporting and use of checklist or a prepared preforma, which will increase the standard of our histopathology reports for better patient care and management.
Description: 117 Pages
URI: http://khartoumspace.uofk.edu/123456789/26329


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