{"id":11361,"date":"2021-12-13T11:20:41","date_gmt":"2021-12-13T10:20:41","guid":{"rendered":"https:\/\/www.endoscopy-campus.com\/?post_type=ec-news&#038;p=11361"},"modified":"2021-12-13T11:20:42","modified_gmt":"2021-12-13T10:20:42","slug":"key-to-optimal-pathology-reporting-for-endoscopic-gastric-cancer-resection-specimens","status":"publish","type":"ec-news","link":"https:\/\/www.endoscopy-campus.com\/en\/ec-news\/key-to-optimal-pathology-reporting-for-endoscopic-gastric-cancer-resection-specimens\/","title":{"rendered":"Key to Optimal Pathology Reporting for Endoscopic Gastric Cancer Resection Specimens"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Endoscopic resection (ER) of early gastric neoplasia is being performed with increasing frequency by endoscopists. Complete and accurate reporting of pathology is imperative to provide optimal follow-up care. This involves thorough reporting on the part of both the endoscopist as well as the pathologist. The International Collaboration on Cancer Reporting recently published an evidence-based international pathology reporting dataset for ER of early gastric cancers. The elements are categorized as core (required) or noncore (recommended).&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Core elements to include in pathology reporting:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Communication of clinically relevant information, including the endoscopic procedure performed (endoscopic mucosal resection vs endoscopic submucosal dissection vs etc) and tumor site.<\/li><li>Specimen description, including tumor dimensions, presence of different tissue layers, as well as tumor focality.<\/li><li>Tumor type, based on the World Health Organization classification, and tumor grade, according to the Union for International Cancer Control (UICC)\/American Joint Committee on Cancer (AJCC) staging systems.<\/li><li>Depth of invasion, if applicable, and tumor stage, determined using the UICC\/AJCC staging systems.<\/li><li>Lymphovascular invasion for invasive cancers.<\/li><li>Margin status.<\/li><li>Neuroendocrine marker expression and Ki-67 proliferation index for carcinomas with neuroendocrine differentiation.<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Noncore elements recommended to include in pathology reporting:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Additional relevant clinical information.<\/li><li>Macroscopic tumor type (ie, superficial, excavated, etc).<\/li><li>Coexistent pathology (ie, presence of <em>Helicobacter pylori<\/em>, atrophic gastritis, etc).<\/li><li>Epstein-Barr virus, particularly for proximal cancers, and microsatellite instability status when Lynch syndrome-associated gastric cancer is suspected.<\/li><\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Endoscopic resection (ER) of early gastric neoplasia is being performed with increasing frequency by endoscopists. Complete and accurate reporting of pathology is imperative to provide optimal follow-up care. This involves thorough reporting on the part of both the endoscopist as well as the pathologist. The International Collaboration on Cancer Reporting recently published an evidence-based international &#8230; <a title=\"Key to Optimal Pathology Reporting for Endoscopic Gastric Cancer Resection Specimens\" class=\"read-more\" href=\"https:\/\/www.endoscopy-campus.com\/en\/ec-news\/key-to-optimal-pathology-reporting-for-endoscopic-gastric-cancer-resection-specimens\/\" aria-label=\"Read more about Key to Optimal Pathology Reporting for Endoscopic Gastric Cancer Resection Specimens\">Read more<\/a><\/p>\n","protected":false},"template":"","categories":[1768,1789],"tags":[3091,3090,3085,3086,3087,2103,3089,3088],"class_list":["post-11361","ec-news","type-ec-news","status-publish","hentry","category-asge-journal-scan","category-stomach-and-small-bowel","tag-ajcc","tag-american-joint-committee-on-cancer","tag-endoscopic-resection-2","tag-er","tag-gastric-cancers","tag-stomach-2","tag-uicc","tag-union-for-international-cancer-control"],"_links":{"self":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news\/11361","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news"}],"about":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/types\/ec-news"}],"wp:attachment":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/media?parent=11361"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/categories?post=11361"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/tags?post=11361"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}