Erschienen in:
01.01.2007 | Recommendation
Recommendations for the reporting of surgically resected specimens of colorectal carcinoma
verfasst von:
Jeremy R. Jass, Michael J. O’Brien, Robert H. Riddell, Dale C. Snover
Erschienen in:
Virchows Archiv
|
Ausgabe 1/2007
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Excerpt
The reporting of colorectal cancer is facilitated by the provision of a checklist giving the features required for good patient care. However, the practicalities of applying such a checklist may not be straightforward. Familiar examples include finding the prescribed number of lymph nodes, distinguishing mesenteric tumor deposits from replaced lymph nodes, and deciding if a cluster of malignant cells in a lymph node sinus counts as a metastasis. Checklists have traditionally focused on prognostic factors and particularly tumor stage. It is becoming increasingly clear that additional factors, whether morphological or molecular, will be needed for future clinical management. It is also evident that prognosis is strongly influenced by surgical technique, most notably by the introduction of total mesorectal excision in the case of rectal cancer. …