Adequacy of Surgical Pathology Reporting of Breast Cancer in Different Hospitals
Background & Aims: To determine how well the standard criteria were utilized in reporting breast cancer pathology and to compare the variability among a public teaching, a public nonteaching, and a private hospital in Urmia, Iran. Materials & Methods: Three hundred and fifty pathology report...
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| Format: | Article |
| Language: | English |
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Urmia University of Medical Sciences
2022-03-01
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| Series: | Journal of Research in Applied and Basic Medical Sciences |
| Subjects: | |
| Online Access: | http://ijrabms.umsu.ac.ir/article-1-134-en.pdf |
| _version_ | 1797743350372106240 |
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| author | Fariba Abbasi hushyar Azari Arefeh Jafarzadeh |
| author_facet | Fariba Abbasi hushyar Azari Arefeh Jafarzadeh |
| author_sort | Fariba Abbasi |
| collection | DOAJ |
| description | Background & Aims: To determine how well the standard criteria were utilized in reporting breast cancer pathology and to compare the variability among a public teaching, a public nonteaching, and a private hospital in Urmia, Iran.
Materials & Methods: Three hundred and fifty pathology reports of mastectomy samples with diagnosis of primary breast cancer were retrieved from archives of pathology departments of three hospitals; one public teaching (121 reports), one public nonteaching (99 reports), and one private hospital (130 reports). The reports were assessed for tumor laterality, size, color, consistency, type and grade, sample size, description of prior biopsy site, specimen condition (fresh, or in fixative), number of excised and involved lymph nodes, previous frozen section (FS), surgical margins, lymphovascular invasion, and in situ carcinoma.
Results: None of the reports had all the suggested items. Specimen condition was the only item recorded in all of the reports. The teaching hospital reports had significantly higher number of reported items than the two other hospitals (P<0.001). Key items (tumor size, type and grade, surgical margin, vascular invasion, and in situ carcinoma) were also indicated more frequently in teaching hospital (P<0.001).
Conclusion: We showed evident variations in reporting breast cancer pathology in the studied different hospitals. It seems that the teaching program in the public-teaching hospital can be a reason for the better results in this hospital. So we suggest using standard universal protocols for cancer reporting as well as creating an effective audit system to evaluate complete utilization of the protocols. |
| first_indexed | 2024-03-12T14:54:13Z |
| format | Article |
| id | doaj.art-f7928c3d6bc24c3cb0d858b43179d7e7 |
| institution | Directory Open Access Journal |
| issn | 2717-0098 |
| language | English |
| last_indexed | 2024-03-12T14:54:13Z |
| publishDate | 2022-03-01 |
| publisher | Urmia University of Medical Sciences |
| record_format | Article |
| series | Journal of Research in Applied and Basic Medical Sciences |
| spelling | doaj.art-f7928c3d6bc24c3cb0d858b43179d7e72023-08-15T04:57:11ZengUrmia University of Medical SciencesJournal of Research in Applied and Basic Medical Sciences2717-00982022-03-01812835Adequacy of Surgical Pathology Reporting of Breast Cancer in Different HospitalsFariba Abbasi0hushyar Azari1Arefeh Jafarzadeh2 Solid Tumor Research Center, Cellular and Molecular Medicine Institute, Urmia University of Medical Sciences, Urmia, Iran Urmia University of Medical Sciences Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of medical sciences, Tehran, Iran. Background & Aims: To determine how well the standard criteria were utilized in reporting breast cancer pathology and to compare the variability among a public teaching, a public nonteaching, and a private hospital in Urmia, Iran. Materials & Methods: Three hundred and fifty pathology reports of mastectomy samples with diagnosis of primary breast cancer were retrieved from archives of pathology departments of three hospitals; one public teaching (121 reports), one public nonteaching (99 reports), and one private hospital (130 reports). The reports were assessed for tumor laterality, size, color, consistency, type and grade, sample size, description of prior biopsy site, specimen condition (fresh, or in fixative), number of excised and involved lymph nodes, previous frozen section (FS), surgical margins, lymphovascular invasion, and in situ carcinoma. Results: None of the reports had all the suggested items. Specimen condition was the only item recorded in all of the reports. The teaching hospital reports had significantly higher number of reported items than the two other hospitals (P<0.001). Key items (tumor size, type and grade, surgical margin, vascular invasion, and in situ carcinoma) were also indicated more frequently in teaching hospital (P<0.001). Conclusion: We showed evident variations in reporting breast cancer pathology in the studied different hospitals. It seems that the teaching program in the public-teaching hospital can be a reason for the better results in this hospital. So we suggest using standard universal protocols for cancer reporting as well as creating an effective audit system to evaluate complete utilization of the protocols.http://ijrabms.umsu.ac.ir/article-1-134-en.pdfcancer protocolbreast pathologyreporting |
| spellingShingle | Fariba Abbasi hushyar Azari Arefeh Jafarzadeh Adequacy of Surgical Pathology Reporting of Breast Cancer in Different Hospitals Journal of Research in Applied and Basic Medical Sciences cancer protocol breast pathology reporting |
| title | Adequacy of Surgical Pathology Reporting of Breast Cancer in Different Hospitals |
| title_full | Adequacy of Surgical Pathology Reporting of Breast Cancer in Different Hospitals |
| title_fullStr | Adequacy of Surgical Pathology Reporting of Breast Cancer in Different Hospitals |
| title_full_unstemmed | Adequacy of Surgical Pathology Reporting of Breast Cancer in Different Hospitals |
| title_short | Adequacy of Surgical Pathology Reporting of Breast Cancer in Different Hospitals |
| title_sort | adequacy of surgical pathology reporting of breast cancer in different hospitals |
| topic | cancer protocol breast pathology reporting |
| url | http://ijrabms.umsu.ac.ir/article-1-134-en.pdf |
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