Journal of Gastrointestinal & Digestive System
Open Access

Abstract

Total mesorectal excision (TME) has become the contemporary standard of treatment for patients with rectal cancer. The multidisciplinary approach to colorectal cancer ensures appropriate treatment for each patient with rectal cancer. Pathologists play an important role in the evaluation of these specimens, including the quality assurance of surgical performance and evaluation of the circumferential radial margin (CRM). The most significant predictor of local recurrence and quality of the excised mesorectum is another important factor in assessing the risk of local recurrence in patients with a negative CRM. Proper pathological assessment of the TME specimen provides important prognostic information, as well as critical feedback to surgeons regarding technical performance. So, high quality histopathological reporting is necessary in the management of rectal cancer. In 2014, we began to perform pathological reports of rectal cancer according to guidelines of Royal College of Pathologists. Our reports conclude points such as site of the tumor, diameter of the tumor, distance of tumor to resection margin, histological type, degree of differentiation, TNM staging, total number of lymph nodes, isolated apical lymph node metastasis, presence/absence of lymph node metastasis, depth of invasion, neural invasion within tumor, vascular or lymphatic invasion within tumor, resection margin, presence/absence of perforation, involvement of circumferential margin, relationship of tumor to peritoneal reflection and effects of neoadjuvant therapy. Routine pathological report should be adequate and it remains the main arbiter of management, prognosis, surgical quality assessment and gives us an opportunity to compare the results.

Biography

Email: oinochoya@gmail.com