Basal Cell Carcinoma Pathology Requests and Reports Are Lacking Important Information
Introduction. Basal cell carcinoma (BCC) is the most common cancer affecting humans. Luckily it has negligible risk for metastasis; however it can be locally destructive to surrounding tissue. The diagnosis of this tumor relies on clinical and dermoscopic features; however confirmation requires biop...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Journal of Skin Cancer |
| Online Access: | http://dx.doi.org/10.1155/2019/4876309 |
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| author | Firas Al-Qarqaz Khaldon Bodoor Awad Al-Tarawneh Haytham Eloqayli Wisam Al Gargaz Diala Alshiyab Jihan Muhaidat Mohammad Alqudah Rowida Almomani Maha Marji |
| author_facet | Firas Al-Qarqaz Khaldon Bodoor Awad Al-Tarawneh Haytham Eloqayli Wisam Al Gargaz Diala Alshiyab Jihan Muhaidat Mohammad Alqudah Rowida Almomani Maha Marji |
| author_sort | Firas Al-Qarqaz |
| collection | DOAJ |
| description | Introduction. Basal cell carcinoma (BCC) is the most common cancer affecting humans. Luckily it has negligible risk for metastasis; however it can be locally destructive to surrounding tissue. The diagnosis of this tumor relies on clinical and dermoscopic features; however confirmation requires biopsy and histologic examination. Based on clinical and pathologic findings, BCC is classified as low or high risk subtype. The clinician requesting pathology examination for BCC should provide the pathologist with detailed information including patient details, relevant clinical and medical history, site and type of the biopsy, and whether this is a primary or recurrent lesion. The pathologist on the other hand should write an adequate report containing a minimum of core set of parameters including type of BCC, depth of invasion, presence of lymphovascular or perineural invasion, and the excision margins. Objectives. The objective of this study is to evaluate whether requests by clinicians and pathology reports of BCC are adequate. Methods. This is a retrospective analysis done at the dermatology department, faculty of medicine at Jordan University of Science and Technology, Irbid, Jordan. Reports for the period from January 2003 to December 2017 were retrieved and analyzed for data completeness. Results. Most clinical request forms of BCC provided by clinicians are inadequate and lack important relevant information especially in regard to lesion history, patient medical history, and whether BCC is a primary or a recurrent one. Pathology reports for BCC cases also have significant deficiency especially in describing the histologic subtype, depth of invasion, and presence of lymphovascular and perineural invasion. However, the tumor excision margins are adequately described in almost all reports. Conclusions. The study shows that clinicians do not provide adequate clinical information when submitting a request for histopathologic examination of BCC. Similarly, pathologists write incomplete reports that lack important pathologic features. Having pre-set forms (electronic proforma) can help overcome missing information. |
| format | Article |
| id | doaj-art-80fe2c57bc7a42388785d6d9740ee870 |
| institution | OA Journals |
| issn | 2090-2905 2090-2913 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Skin Cancer |
| spelling | doaj-art-80fe2c57bc7a42388785d6d9740ee8702025-08-20T02:08:53ZengWileyJournal of Skin Cancer2090-29052090-29132019-01-01201910.1155/2019/48763094876309Basal Cell Carcinoma Pathology Requests and Reports Are Lacking Important InformationFiras Al-Qarqaz0Khaldon Bodoor1Awad Al-Tarawneh2Haytham Eloqayli3Wisam Al Gargaz4Diala Alshiyab5Jihan Muhaidat6Mohammad Alqudah7Rowida Almomani8Maha Marji9Department of Dermatology, Jordan University of Science and Technology, P.O. Box 3030, Irbid, JordanDepartment of Applied Biology, Jordan University of Science and Technology, Irbid, JordanDepartment of Internal Medicine and Forensic Medicine, Faculty of Medicine, Mutah University, Mu’tah, JordanDepartment of Neurosurgery, Faculty of Medicine, Jordan University of Science and Technology, Irbid, JordanDepartment of Special Surgery, Jordan University of Science and Technology, Irbid, JordanDepartment of Dermatology, Jordan University of Science and Technology, P.O. Box 3030, Irbid, JordanDepartment of Dermatology, Jordan University of Science and Technology, P.O. Box 3030, Irbid, JordanDepartment of Pathology, Jordan University of Science and Technology, Irbid, JordanDepartment of Medical Laboratory Sciences, Jordan University of Science and Technology, Irbid, JordanDepartment of Dermatology, Jordan University of Science and Technology, P.O. Box 3030, Irbid, JordanIntroduction. Basal cell carcinoma (BCC) is the most common cancer affecting humans. Luckily it has negligible risk for metastasis; however it can be locally destructive to surrounding tissue. The diagnosis of this tumor relies on clinical and dermoscopic features; however confirmation requires biopsy and histologic examination. Based on clinical and pathologic findings, BCC is classified as low or high risk subtype. The clinician requesting pathology examination for BCC should provide the pathologist with detailed information including patient details, relevant clinical and medical history, site and type of the biopsy, and whether this is a primary or recurrent lesion. The pathologist on the other hand should write an adequate report containing a minimum of core set of parameters including type of BCC, depth of invasion, presence of lymphovascular or perineural invasion, and the excision margins. Objectives. The objective of this study is to evaluate whether requests by clinicians and pathology reports of BCC are adequate. Methods. This is a retrospective analysis done at the dermatology department, faculty of medicine at Jordan University of Science and Technology, Irbid, Jordan. Reports for the period from January 2003 to December 2017 were retrieved and analyzed for data completeness. Results. Most clinical request forms of BCC provided by clinicians are inadequate and lack important relevant information especially in regard to lesion history, patient medical history, and whether BCC is a primary or a recurrent one. Pathology reports for BCC cases also have significant deficiency especially in describing the histologic subtype, depth of invasion, and presence of lymphovascular and perineural invasion. However, the tumor excision margins are adequately described in almost all reports. Conclusions. The study shows that clinicians do not provide adequate clinical information when submitting a request for histopathologic examination of BCC. Similarly, pathologists write incomplete reports that lack important pathologic features. Having pre-set forms (electronic proforma) can help overcome missing information.http://dx.doi.org/10.1155/2019/4876309 |
| spellingShingle | Firas Al-Qarqaz Khaldon Bodoor Awad Al-Tarawneh Haytham Eloqayli Wisam Al Gargaz Diala Alshiyab Jihan Muhaidat Mohammad Alqudah Rowida Almomani Maha Marji Basal Cell Carcinoma Pathology Requests and Reports Are Lacking Important Information Journal of Skin Cancer |
| title | Basal Cell Carcinoma Pathology Requests and Reports Are Lacking Important Information |
| title_full | Basal Cell Carcinoma Pathology Requests and Reports Are Lacking Important Information |
| title_fullStr | Basal Cell Carcinoma Pathology Requests and Reports Are Lacking Important Information |
| title_full_unstemmed | Basal Cell Carcinoma Pathology Requests and Reports Are Lacking Important Information |
| title_short | Basal Cell Carcinoma Pathology Requests and Reports Are Lacking Important Information |
| title_sort | basal cell carcinoma pathology requests and reports are lacking important information |
| url | http://dx.doi.org/10.1155/2019/4876309 |
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