Pathology slide review in vulvar cancer does not change patient management.

ISRN surgery Pub Date : 2014-03-25 eCollection Date: 2014-01-01 DOI:10.1155/2014/385386
Maaike Beugeling, Patricia C Ewing-Graham, Zineb Mzallassi, Helena C van Doorn
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引用次数: 5

Abstract

Hypothesis. Pathology slide review in vulvar cancer is only necessary in a restricted number of cases. Methods. A retrospective chart review of all cases of vulvar cancer treated in a tertiary centre between January 1, 2000, and April 1, 2006. Histopathology reports from the referring and tertiary centre were compared. Results. 121 pathology reports from 112 patients were reviewed. Of the original reports, 56% were deemed adequate, commenting on tumor type and depth of infiltration; of the reviews, 83% were adequate. Conclusion. There were no discrepancies that influenced patient management. We suggest that vulvar cancer biopsies need to be reviewed only when the tumor is less than 10 mm in linear extension, when the infiltration is 1 mm or less, when there is no residual tumor on inspection, and in any nonsquamous cancer.

病理切片回顾外阴癌不改变病人的管理。
假设。病理切片审查外阴癌是只有在有限数量的情况下是必要的。方法。2000年1月1日至2006年4月1日期间在一家三级医疗中心治疗的所有外阴癌病例的回顾性图表回顾。比较转诊中心和三级中心的组织病理学报告。结果:本文回顾了112例患者的121份病理报告。在原始报告中,56%被认为是适当的,对肿瘤类型和浸润深度进行了评论;在这些评论中,83%的评论是适当的。结论。不存在影响患者管理的差异。我们建议,只有当肿瘤线性延伸小于10mm,浸润小于1mm,检查未发现残留肿瘤,以及任何非鳞状癌时,才需要复查外阴癌活检。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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