TY - JOUR
T1 - Data set for the reporting of nodal excisions and neck dissection specimens for head and neck tumors explanations and recommendations of the guidelines from the international collaboration on Cancer reporting
AU - Bullock, Martin J.
AU - Beitler, Jonathan J.
AU - Carlson, Diane L.
AU - Fonseca, Isabel
AU - Hunt, Jennifer L.
AU - Katabi, Nora
AU - Sloan, Philip
AU - Mark Taylor, S.
AU - Williams, Michelle D.
AU - Thompson, Lester D.R.
N1 - Publisher Copyright:
© 2019 College of American Pathologists. All rights reserved.
PY - 2019/4
Y1 - 2019/4
N2 - Standardized, synoptic pathologic reporting for tumors greatly improves communication among clinicians, patients, and researchers, supporting prognostication and comparison about patient outcomes across institutions and countries. The International Collaboration on Cancer Reporting is a nonprofit organization whose mission is to develop evidence-based, universally available surgical pathology reporting data sets. Within the head and neck region, lymph node excisions and neck dissections are frequently performed as part of the management of head and neck cancers arising from the mucosal sites (sinonasal tract, nasopharynx, oropharynx, hypopharynx, oral cavity, and larynx) along with bone tumors, skin cancers, melanomas, and other tumor categories. The type of specimen, exact location (lymph node level), laterality, and orientation (by suture or diagram) are essential to accurate classification. There are significant staging differences for each anatomic site within the head and neck when lymph node sampling is considered, most importantly related to human papillomavirus-associated oropharyngeal carcinomas and mucosal melanomas. Number, size, and site of affected lymph nodes, including guidelines on determining the size of tumor deposits and the presence of extranodal extension and soft tissue metastasis, are presented in the context of prognostication. This review elaborates on each of the elements included in the data set for Nodal Excisions and Neck Dissection Specimens for Head & Neck Tumours.
AB - Standardized, synoptic pathologic reporting for tumors greatly improves communication among clinicians, patients, and researchers, supporting prognostication and comparison about patient outcomes across institutions and countries. The International Collaboration on Cancer Reporting is a nonprofit organization whose mission is to develop evidence-based, universally available surgical pathology reporting data sets. Within the head and neck region, lymph node excisions and neck dissections are frequently performed as part of the management of head and neck cancers arising from the mucosal sites (sinonasal tract, nasopharynx, oropharynx, hypopharynx, oral cavity, and larynx) along with bone tumors, skin cancers, melanomas, and other tumor categories. The type of specimen, exact location (lymph node level), laterality, and orientation (by suture or diagram) are essential to accurate classification. There are significant staging differences for each anatomic site within the head and neck when lymph node sampling is considered, most importantly related to human papillomavirus-associated oropharyngeal carcinomas and mucosal melanomas. Number, size, and site of affected lymph nodes, including guidelines on determining the size of tumor deposits and the presence of extranodal extension and soft tissue metastasis, are presented in the context of prognostication. This review elaborates on each of the elements included in the data set for Nodal Excisions and Neck Dissection Specimens for Head & Neck Tumours.
UR - http://www.scopus.com/inward/record.url?scp=85063904865&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85063904865&partnerID=8YFLogxK
U2 - 10.5858/arpa.2018-0421-SA
DO - 10.5858/arpa.2018-0421-SA
M3 - Article
C2 - 30500291
AN - SCOPUS:85063904865
SN - 0003-9985
VL - 143
SP - 452
EP - 462
JO - Archives of Pathology and Laboratory Medicine
JF - Archives of Pathology and Laboratory Medicine
IS - 4
ER -