Lung carcinoma surgical pathology report adequacy: a College of American Pathologists Q-Probes study of over 8300 cases from 464 institutions.

摘要: . Objective.-To assess the adequacy of reporting gross and microscopic pathologic findings resected lung carcinoma. Design.-Q-Probes study following College American Pathologists format. Setting.-Pathology laboratories, 1991. Participants.-Four hundred sixty-four institutions. Main Outcome Measures.- Rate features. Results.-Information provided in over 8300 surgical pathology reports primary carcinomas from 464 institutions was reviewed. Descriptors included findings. The rate descriptors aggregate sample is listed as follows (the corrected for those which evaluation not applicable are parentheses each descriptor where appropriate) : general findings, standard report or checklist used 20.8%, type procedure stated 89.6%, lobe origin 99.1% (99.5%) ; distance neoplasm nearest visceral pleura 61.1%, involvement lack bronchus 68.7%, presence absence veins 18.3%, parenchyma involved by described 80.1% (81.4%), pleural surface 83.0%, tumor size 97.2%, description regional lymph nodes attached to specimen 74.7% (82.7%) 77.6%, histologic 99.3%, grade carcinoma 80.9% (88.7%), lymphatic vascular invasion 24.3%, status 89.0% (95.9%), venous 22.6%, at bronchial margin 90.8%, 30.9%, 64.6% (66.9%), abnormality nonneoplastic 72.8% (74.1%). Conclusion.-The features varies recommendations made include use a form checklist.