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Title: Pathology reporting in head and neck cancer - snapshot of current status.
Authors: King, Bronwyn
Other Authors: Corry, J.
Keywords: Head & Neck Clinical Institute, Epworth HealthCare, Victoria, Australia
Cancer Services Clinical Institute, Epworth HealthCare, Victoria, Australia
Squamous Cell Carcinoma of the Head and Neck
Head and Neck Neoplasms
Forms and Records Control
Medical Audit
Medical Records
Pathology Department, Hospital
Practice Guidelines as Topic
Practice Patterns, Physicians
Issue Date: Feb-2009
Publisher: Wiley
Citation: Head Neck. 2009 Feb;31(2):227-31; discussion 232-3.
Abstract: BACKGROUND: Currently there is no standardised head and neck pathology reporting system in Victoria, Australia. The aim of this study was to document deficiencies in head and neck pathology reports at our institution. METHODS: The pathology reports of all patients with head and neck squamous cell carcinoma (HNSCC) who presented to Peter MacCallum Cancer Centre for postoperative radiotherapy (PORT) between January 1, 2004, and March 31, 2006, were critically assessed for 16 key pathological items. RESULTS: Only 37% reports contained all the 16 items. The most commonly missing items were "diameter of the largest involved lymph node" (38%), "presence/absence of lymphovascular space invasion" (30%), "presence/absence of peri-neural invasion" (28%), "clearance of margins in millimeters" (27%), and "presence/absence of extracapsular extension" (27%). The most variable item was the clearance in millimeters used to determine "clear margins". CONCLUSIONS: Several of the most important pathological factors predicting locoregional relapse in HNSCC are currently the least reliably reported items in head and neck pathology reports.
DOI: 10.1002/hed.20957
PubMed URL:
ISSN: 1097-0347
Journal Title: Head and Neck
Type: Journal Article
Affiliated Organisations: Division of Radiation Oncology, Peter MacCallum Cancer Centre (PMCC) St Andrews Place, Melbourne, Victoria, Australia.
Type of Clinical Study or Trial: Review
Appears in Collections:Cancer Services
Head & Neck
Health Administration

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