Synoptic Versus Narrative Reporting of Prostate Biopsies at a Tertiary Healthcare Institution Challenges, successes and expectations
Journal Title: Sultan Qaboos University Medical Journal - Year 2017, Vol 17, Issue 3
Abstract
Objectives: Cancer pathology reports are expected to contain all information required for patient management and disease surveillance. Moreover, reports for patients with prostate cancer have become increasingly complex with the addition of more pathological details. Tis study aimed to compare narrative and synoptic prostate cancer reports for core needle biopsies received at a tertiary hospital in Nigeria in order to determine which form was most complete according to international standards. Methods: Tis study was conducted from January 2010 to December 2015 at the Lagos University Teaching Hospital, Lagos, Nigeria. All malignant prostate cancer histopathology reports received during this period were analysed for the presence of important clinicopathological parameters, including the numbers of cores taken and those involved by the tumour, percentage of tumour involvement, Gleason score and the presence of high-grade prostatic intraepithelial neoplasms (HGPINs) and perineural and lymphovascular invasion. Results: A total of 83 reports were reviewed, of which 27 were in narrative and 56 in synoptic format. Te documentation of clinicopathological characteristics in narrative reports was signifcantly incomplete compared to synoptic reports in recording the number of cores (33.3% versus 96.4%), number of cores involved by the tumour (11.1% versus 94.6%), percentage of cores involved by the tumour (3.7% versus 100.0%) and the presence of HGPINs (7.4% versus 100.0%) and perineural (59.3% versus 98.2%) and lymphovascular (48.1% versus 100.0%) invasion (P <0.001 each). Conclusion: Synoptic reports of malignant prostate cancer biopsies received at the Lagos University Teaching Hospital were found to contain more complete information than narrative reports.
Authors and Affiliations
Nnamdi O. Orah| Department of Anatomic & Molecular Pathology, Lagos University Teaching Hospital, Yaba, Lagos, Nigeria, Nucleus Diagnostic Center, Iganmu, Lagos, Nigeria, Charles C. Anunobi| Departments of Anatomic & Molecular Pathology, College of Medicine, University of Lagos, Yaba, Lagos, Nigeria, Rufus W. Ojewola| Departments of Surgery, College of Medicine, University of Lagos, Yaba, Lagos, Nigeria
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- EP ID EP14796
- DOI 10.18295/squmj.2017.17.03.010
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