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Variation in cystectomy pathology reporting practice—results from an international survey of 212 pathologists

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Title: Variation in cystectomy pathology reporting practice—results from an international survey of 212 pathologists
Authors: Jon Griffin, Arndt Hartmann, Eva Comperat
Source: Virchows Arch
Publisher Information: Springer Science and Business Media LLC, 2024.
Publication Year: 2024
Subject Terms: Pathologists, Bladder cancer, Surveys and Questionnaires [MeSH], Humans [MeSH], Tissue Fixation/methods [MeSH], Urinary Bladder Neoplasms/pathology [MeSH], Cystectomy [MeSH], Neoplasm, Residual/pathology [MeSH], Pathological response score, Cystectomy, Health Care Surveys [MeSH], Pathologists [MeSH], Original Article, Urinary Bladder Neoplasms/surgery [MeSH], Grossing, Practice Patterns, Physicians'/statistics, Dissection, Neoadjuvant chemotherapy, Pathology, Surgical/methods [MeSH], Neoplasm, Residual, Tissue Fixation, Urinary Bladder Neoplasms, Pathology, Surgical, Health Care Surveys, Surveys and Questionnaires, Humans, Practice Patterns, Physicians'
Description: The pathological assessment of cystectomy specimens is important for accurate prognostic information and to inform adjuvant therapy decisions. However, there is limited evidence regarding the best approach to fixation, dissection, block selection and microscopic assessment of cystectomies. We report the results of an international survey of 212 pathologists and their approach to cystectomy pathology. There is variation at all stages of the specimen journey including in fixation and dissection techniques, and in the approach to evaluating residual tumour. This is particularly evident in the post-neoadjuvant chemotherapy setting where there is variable use of response scoring systems and differing approaches to sampling. We also find variation in the use of digital and molecular pathology in cystectomy specimens. Finally, we have suggested areas for future research in cystectomy pathological assessment.
Document Type: Article
Other literature type
Language: English
ISSN: 1432-2307
0945-6317
DOI: 10.1007/s00428-024-03924-3
Access URL: https://pubmed.ncbi.nlm.nih.gov/39243298
https://repository.publisso.de/resource/frl:6503095
Rights: CC BY
Accession Number: edsair.doi.dedup.....19327c62876fce9076b645024edcb1dd
Database: OpenAIRE
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  – Url: https://dx.doi.org/doi:10.1007/s00428-024-03924-3
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  Data: Variation in cystectomy pathology reporting practice—results from an international survey of 212 pathologists
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  Data: <searchLink fieldCode="AR" term="%22Jon+Griffin%22">Jon Griffin</searchLink><br /><searchLink fieldCode="AR" term="%22Arndt+Hartmann%22">Arndt Hartmann</searchLink><br /><searchLink fieldCode="AR" term="%22Eva+Comperat%22">Eva Comperat</searchLink>
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  Data: Virchows Arch
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  Data: Springer Science and Business Media LLC, 2024.
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  Data: 2024
– Name: Subject
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  Data: <searchLink fieldCode="DE" term="%22Pathologists%22">Pathologists</searchLink><br /><searchLink fieldCode="DE" term="%22Bladder+cancer%22">Bladder cancer</searchLink><br /><searchLink fieldCode="DE" term="%22Surveys+and+Questionnaires+[MeSH]%22">Surveys and Questionnaires [MeSH]</searchLink><br /><searchLink fieldCode="DE" term="%22Humans+[MeSH]%22">Humans [MeSH]</searchLink><br /><searchLink fieldCode="DE" term="%22Tissue+Fixation%2Fmethods+[MeSH]%22">Tissue Fixation/methods [MeSH]</searchLink><br /><searchLink fieldCode="DE" term="%22Urinary+Bladder+Neoplasms%2Fpathology+[MeSH]%22">Urinary Bladder Neoplasms/pathology [MeSH]</searchLink><br /><searchLink fieldCode="DE" term="%22Cystectomy+[MeSH]%22">Cystectomy [MeSH]</searchLink><br /><searchLink fieldCode="DE" term="%22Neoplasm%2C+Residual%2Fpathology+[MeSH]%22">Neoplasm, Residual/pathology [MeSH]</searchLink><br /><searchLink fieldCode="DE" term="%22Pathological+response+score%22">Pathological response score</searchLink><br /><searchLink fieldCode="DE" term="%22Cystectomy%22">Cystectomy</searchLink><br /><searchLink fieldCode="DE" term="%22Health+Care+Surveys+[MeSH]%22">Health Care Surveys [MeSH]</searchLink><br /><searchLink fieldCode="DE" term="%22Pathologists+[MeSH]%22">Pathologists [MeSH]</searchLink><br /><searchLink fieldCode="DE" term="%22Original+Article%22">Original Article</searchLink><br /><searchLink fieldCode="DE" term="%22Urinary+Bladder+Neoplasms%2Fsurgery+[MeSH]%22">Urinary Bladder Neoplasms/surgery [MeSH]</searchLink><br /><searchLink fieldCode="DE" term="%22Grossing%22">Grossing</searchLink><br /><searchLink fieldCode="DE" term="%22Practice+Patterns%2C+Physicians'%2Fstatistics%22">Practice Patterns, Physicians'/statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Dissection%22">Dissection</searchLink><br /><searchLink fieldCode="DE" term="%22Neoadjuvant+chemotherapy%22">Neoadjuvant chemotherapy</searchLink><br /><searchLink fieldCode="DE" term="%22Pathology%2C+Surgical%2Fmethods+[MeSH]%22">Pathology, Surgical/methods [MeSH]</searchLink><br /><searchLink fieldCode="DE" term="%22Neoplasm%2C+Residual%22">Neoplasm, Residual</searchLink><br /><searchLink fieldCode="DE" term="%22Tissue+Fixation%22">Tissue Fixation</searchLink><br /><searchLink fieldCode="DE" term="%22Urinary+Bladder+Neoplasms%22">Urinary Bladder Neoplasms</searchLink><br /><searchLink fieldCode="DE" term="%22Pathology%2C+Surgical%22">Pathology, Surgical</searchLink><br /><searchLink fieldCode="DE" term="%22Health+Care+Surveys%22">Health Care Surveys</searchLink><br /><searchLink fieldCode="DE" term="%22Surveys+and+Questionnaires%22">Surveys and Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Humans%22">Humans</searchLink><br /><searchLink fieldCode="DE" term="%22Practice+Patterns%2C+Physicians'%22">Practice Patterns, Physicians'</searchLink>
– Name: Abstract
  Label: Description
  Group: Ab
  Data: The pathological assessment of cystectomy specimens is important for accurate prognostic information and to inform adjuvant therapy decisions. However, there is limited evidence regarding the best approach to fixation, dissection, block selection and microscopic assessment of cystectomies. We report the results of an international survey of 212 pathologists and their approach to cystectomy pathology. There is variation at all stages of the specimen journey including in fixation and dissection techniques, and in the approach to evaluating residual tumour. This is particularly evident in the post-neoadjuvant chemotherapy setting where there is variable use of response scoring systems and differing approaches to sampling. We also find variation in the use of digital and molecular pathology in cystectomy specimens. Finally, we have suggested areas for future research in cystectomy pathological assessment.
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  Data: 10.1007/s00428-024-03924-3
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        Value: 10.1007/s00428-024-03924-3
    Languages:
      – Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 10
        StartPage: 879
    Subjects:
      – SubjectFull: Pathologists
        Type: general
      – SubjectFull: Bladder cancer
        Type: general
      – SubjectFull: Surveys and Questionnaires [MeSH]
        Type: general
      – SubjectFull: Humans [MeSH]
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      – SubjectFull: Tissue Fixation/methods [MeSH]
        Type: general
      – SubjectFull: Urinary Bladder Neoplasms/pathology [MeSH]
        Type: general
      – SubjectFull: Cystectomy [MeSH]
        Type: general
      – SubjectFull: Neoplasm, Residual/pathology [MeSH]
        Type: general
      – SubjectFull: Pathological response score
        Type: general
      – SubjectFull: Cystectomy
        Type: general
      – SubjectFull: Health Care Surveys [MeSH]
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      – SubjectFull: Pathologists [MeSH]
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        Type: general
      – SubjectFull: Urinary Bladder Neoplasms/surgery [MeSH]
        Type: general
      – SubjectFull: Grossing
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      – SubjectFull: Practice Patterns, Physicians'/statistics
        Type: general
      – SubjectFull: Dissection
        Type: general
      – SubjectFull: Neoadjuvant chemotherapy
        Type: general
      – SubjectFull: Pathology, Surgical/methods [MeSH]
        Type: general
      – SubjectFull: Neoplasm, Residual
        Type: general
      – SubjectFull: Tissue Fixation
        Type: general
      – SubjectFull: Urinary Bladder Neoplasms
        Type: general
      – SubjectFull: Pathology, Surgical
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      – SubjectFull: Surveys and Questionnaires
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      – SubjectFull: Humans
        Type: general
      – SubjectFull: Practice Patterns, Physicians'
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      – TitleFull: Variation in cystectomy pathology reporting practice—results from an international survey of 212 pathologists
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            NameFull: Jon Griffin
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            NameFull: Arndt Hartmann
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            NameFull: Eva Comperat
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            – D: 07
              M: 09
              Type: published
              Y: 2024
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