Optimizing the detection of venous invasion in colorectal cancer: The Ontario, Canada, experience and beyond

Venous invasion (VI) is a well-established independent prognostic indicator in colorectal cancer (CRC). Its accurate detection is particularly important in stage II CRC as it may influence the decision to administer adjuvant therapy. The Royal College of Pathologists (RCPath) of the United Kingdom...

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Main Authors: Heather eDawson, Richard eKirsch, David eDriman, David eMessenger, Naziheh eAssarzadegan, Robert eRiddell
Format: Article
Language:English
Published: Frontiers Media S.A. 2015-01-01
Series:Frontiers in Oncology
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fonc.2014.00354/full
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author Heather eDawson
Heather eDawson
Richard eKirsch
David eDriman
David eMessenger
Naziheh eAssarzadegan
Robert eRiddell
author_facet Heather eDawson
Heather eDawson
Richard eKirsch
David eDriman
David eMessenger
Naziheh eAssarzadegan
Robert eRiddell
author_sort Heather eDawson
collection DOAJ
description Venous invasion (VI) is a well-established independent prognostic indicator in colorectal cancer (CRC). Its accurate detection is particularly important in stage II CRC as it may influence the decision to administer adjuvant therapy. The Royal College of Pathologists (RCPath) of the United Kingdom state that VI should be detected in at least 30% of CRC resection specimens. However, our experience in Ontario, Canada suggests that this (conservative) benchmark is rarely met. This article highlights the Ontario experience with respect to VI reporting and the key role that careful morphologic assessment, elastin staining and knowledge transfer has played in improving VI detection provincially and beyond.
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spelling doaj.art-47ea24659ca74d63a63692ae80589cd62022-12-21T17:30:36ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2015-01-01410.3389/fonc.2014.00354121021Optimizing the detection of venous invasion in colorectal cancer: The Ontario, Canada, experience and beyondHeather eDawson0Heather eDawson1Richard eKirsch2David eDriman3David eMessenger4Naziheh eAssarzadegan5Robert eRiddell6Clinical Pathology Division, Institute of Pathology, University of BernMount Sinai HospitalMount Sinai HospitalLondon Health Sciences Centre, Western UniversityTaunton and Somerset NHS FoundationMount Sinai HospitalMount Sinai HospitalVenous invasion (VI) is a well-established independent prognostic indicator in colorectal cancer (CRC). Its accurate detection is particularly important in stage II CRC as it may influence the decision to administer adjuvant therapy. The Royal College of Pathologists (RCPath) of the United Kingdom state that VI should be detected in at least 30% of CRC resection specimens. However, our experience in Ontario, Canada suggests that this (conservative) benchmark is rarely met. This article highlights the Ontario experience with respect to VI reporting and the key role that careful morphologic assessment, elastin staining and knowledge transfer has played in improving VI detection provincially and beyond.http://journal.frontiersin.org/Journal/10.3389/fonc.2014.00354/fullcolorectal cancer (CRC)prognostic markervenous invasionelastin stainstage II colorectal cancer
spellingShingle Heather eDawson
Heather eDawson
Richard eKirsch
David eDriman
David eMessenger
Naziheh eAssarzadegan
Robert eRiddell
Optimizing the detection of venous invasion in colorectal cancer: The Ontario, Canada, experience and beyond
Frontiers in Oncology
colorectal cancer (CRC)
prognostic marker
venous invasion
elastin stain
stage II colorectal cancer
title Optimizing the detection of venous invasion in colorectal cancer: The Ontario, Canada, experience and beyond
title_full Optimizing the detection of venous invasion in colorectal cancer: The Ontario, Canada, experience and beyond
title_fullStr Optimizing the detection of venous invasion in colorectal cancer: The Ontario, Canada, experience and beyond
title_full_unstemmed Optimizing the detection of venous invasion in colorectal cancer: The Ontario, Canada, experience and beyond
title_short Optimizing the detection of venous invasion in colorectal cancer: The Ontario, Canada, experience and beyond
title_sort optimizing the detection of venous invasion in colorectal cancer the ontario canada experience and beyond
topic colorectal cancer (CRC)
prognostic marker
venous invasion
elastin stain
stage II colorectal cancer
url http://journal.frontiersin.org/Journal/10.3389/fonc.2014.00354/full
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