[OA-07] Completeness of the pathological reporting on colorectal cancer specimens: current practice among Thai pathologists

Chanitti Tivitmahaisoon and Somruetai Shuangshoti

Institute of Pathology, Department of Medical Services, Ministry of Public Health, Bangkok, Thailand

Pathological reports play an important role in the treatment of cancer, and the College of American Pathologists (CAP) cancer protocol template is widely used. This study has the purpose to evaluate the completeness of the pathological report and factors that might contribute to it. The aim of this study was to evaluate the completion of pathological reports on colorectal cancer (CRC), according to the CAP guideline, and determine factors that might contribute to it. CRC pathological reports, submitted from various laboratories for molecolar testing at the Institute of Pathology, Department of Medical Service, Ministry of Public Health during 2019 – 2020, were reviewed. Factors that might contribute to the practice (pathologist's workplace, expertise and service years) were analysed using Fisher's exact test and Chi-square test. Of the 87 reports, only 3 were complete. The lacking data included treatment effect (84), pathological staging (72), tumour deposit (69), macroscopic tumour perforation (58), perineural invasion (32), lymphovascolar invasion (10), tumour site (9), tumour size (5), margin (3), procedure (2), lymph node (1) and tumour extension (1). No correlation was found between the completeness of reports and previously mentioned pathologist's factors. In conclusion, increasing awareness of pathologists is needed.

Keywords: College of American Pathologists; colorectal cancer; pathological report