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Dataset for Penile and Distal Urethral Cancer Histopathology Reports

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Dataset for Penile and Distal Urethral Cancer Histopathology Reports Standards and datasets for reporting cancers Dataset for penile and distal urethral cancer histopathology reports July 2015 Authors: Dr Catherine Corbishley (lead author), St George’s Healthcare NHS Trust, London Dr Jon Oxley, Southmead Hospital Bristol Dr Jonathan H Shanks, The Christie NHS Foundation Trust, Manchester Dr Brendan Tinwell, St George’s Healthcare NHS Trust, London Unique document number G038 Document name Dataset for penile and distal urethral cancer histopathology reports Version number 3 Produced by Dr Catherine Corbishley (honorary consultant urological histopathologist, member of Penile Subgroup of National Cancer Intelligence Network, Urology Clinical Reference Group, founder member British Association of Urological Pathologists [BAUP]); Dr Jon Oxley (consultant histopathologist; lead penile pathologist South West England supranetwork, Urology National EQA co- organiser); Dr Jonathan Shanks (lead penile pathologist North West England supranetwork) and Dr Brendan Tinwell (consultant urological pathologist and illustrator) on behalf of the RCPath Working Group on Cancer Services. All authors work in supraregional penile cancer centres and are members of the UK National Penile Pathology Group and the BAUP. Date active July 2015 Date for full review July 2018 Comments In accordance with the College’s pre-publications policy, this document was on The Royal College of Pathologists’ website for consultation from 6 May to 3 June 2015. Nineteen items of feedback were received. The authors considered them and amended the document as appropriate. Please email [email protected] if you wish to see the responses and comments. This document replaces early editions of Dataset for penile cancer histopathology reports, published in 2006 and June 2015 (which mistakenly contained a short duplicated section in Appendix A). Dr David Bailey Vice-President for Communications The Royal College of Pathologists Fourth Floor, 21 Prescot Street, London, E1 8BB Tel: 020 7451 6700 Fax: 020 7451 6701 Web: www.rcpath.org Registered charity in England and Wales, no. 261035 © 2015, The Royal College of Pathologists This work is copyright. You may download, display, print and reproduce this document for your personal, non-commercial use. Apart from any use as permitted under the Copyright Act 1968 or as set out above, all other rights are reserved. Requests and inquiries concerning reproduction and rights should be addressed to The Royal College of Pathologists at the above address. First published: 2015 CEff 100715 1 V1 Final Contents Foreword ........................................................................................................................................ 3 1 Introduction ............................................................................................................................ 4 2 Specimen request form .......................................................................................................... 6 3 Preparation of specimens before dissection ........................................................................... 7 4 Specimen handling and blocking............................................................................................ 7 5 Core data items to be included in the report ........................................................................ 10 6 Core data items (summary) .................................................................................................. 15 7 Non-core data items ............................................................................................................. 15 8 Diagnostic coding and staging ............................................................................................. 16 9 Special techniques including sentinel nodes ....................................................................... 16 10 Frozen section diagnosis .................................................................................................... 16 11 Criteria for audit of the dataset ............................................................................................. 17 12 Acknowledgements .............................................................................................................. 17 13 References .......................................................................................................................... 18 Appendices A TNM pathological staging of penile and distal urethral tumours (7th edition, UICC) ............. 22 B SNOMED coding of penile and distal urethral tumours ........................................................ 25 C Reporting proforma for penile tumours ................................................................................. 27 D Reporting proforma for distal urethral tumours ..................................................................... 30 E Reporting proforma for lymph node specimens from patients with penile or urethral carcinoma ........................................................................................................... 33 F Reporting proforma for penile tumours in list format ......................................................... 35 G Reporting proforma for distal urethral tumours in list format ............................................ 39 H Reporting proforma for lymph node specimens from patients with penile or urethral carcinoma in list format .................................................................................... 43 I Diagrammatic representations of penile anatomy and specimen types ............................... 46 J Summary table – Explanation of levels of evidence ............................................................. 49 K AGREE compliance monitoring sheet .................................................................................. 50 NICE has accredited the process used by The Royal College of Pathologists to produce its Cancer Datasets and Tissue Pathways guidance. Accreditation is valid for 5 years from July 2012. More information on accreditation can be viewed at www.nice.org.uk/accreditation. For full details on our accreditation visit: www.nice.org.uk/accreditation. CEff 100715 2 V1 Final Foreword The cancer datasets published by The Royal College of Pathologists (RCPath) are a combination of textual guidance, educational information and reporting proformas. The datasets enable pathologists to grade and stage cancers in an accurate, consistent manner in compliance with international standards and provide prognostic information, thereby allowing clinicians to provide a high standard of care for patients and appropriate management for specific clinical circumstances. It may rarely be necessary or even desirable to depart from the guidelines in the interests of specific patients and special circumstances. The clinical risk of departing from the guidelines should be assessed by the relevant multidisciplinary team (MDT); just as adherence to the guidelines may not constitute defence against a claim of negligence, so deviation from them should not necessarily be deemed negligent. Each dataset contains core data items that are mandated for inclusion in the Cancer Outcomes and Services Dataset (COSD – previously the National Cancer Data Set) in England. Core data items are items that are supported by robust published evidence and are required for cancer staging, optimal patient management and prognosis. Core data items meet the requirements of professional standards (as defined by the Information Standards Board for Health and Social Care [ISB]) and it is recommended that at least 90% of reports on cancer resections should record a full set of core data items. Other, non-core, data items are described. These may be included to provide a comprehensive report or to meet local clinical or research requirements. All data items should be clearly defined to allow the unambiguous recording of data. The following organisations have been consulted in the writing of this dataset: The UK National Penile Pathology Group (‘the Hobnobs’) British Association of Urological Pathologists (BAUP) British Association of Urological Surgeons (BAUS), including sections of oncology and andrology British Uro-oncology Group (BUG) European Association of Urology (EAU) Penile Guidelines Subgroup UK Association of Cancer Registries (UKACR) Penile Subgroup of National Cancer Intelligence Network (NCIN) Urology Clinical Reference Group British Association of Dermatopathologists. Evidence for the data items in the dataset is derived from consensus of recognised experts together with review of current literature. Evidence has been graded using modified SIGN guidance (see Appendix G). The following is a list of supporting evidence and guidelines used in the dataset: Pubmed searches on penile and distal urethral tumours (up to December 2014) WHO classification of tumours of the urinary system and male genital organs, 20041 TNM (7th edition), 20092 NICE Improving outcomes in urological cancers, 2002 www.nice.org.uk/guidance/csguc Evidence guide for urology supraregional penile MDT NHS National Cancer Peer Review Programme, 2010 www.cquins.nhs.uk/?menu=resources CEff 100715 3 V1 Final EAU penile cancer guidelines, 20154 EAU Guidelines on Primary Urethral Carcinoma, 2013. Gakis G, Witjes, JA, Comperat E, Cowan NC, De Santis M, Lebret T, Ribal MJ, Sherif AM www.guideline.gov/content.aspx?id=45318 College of American Pathologists (CAP) Protocol for the Examination of Specimens from Patients with Carcinoma of the Penis,
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