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An Audit of Narrative Reports Compared to Structured Pathology Reporting for Cutaneous Squamous Cell Carcinoma
Australasian Journal of Dermatology, Vol.66(4), pp.204-209
2025
PMID: 40213877
Appears in Cancer Research Cluster Research Collection
Abstract
Background
Australia introduced structured pathology reporting guidelines for non-melanoma skin cancer (NMSC) including cutaneous squamous cell carcinoma (cSCC) in 2023 to encourage accurate histological assessment and recording of well recognised adverse prognostic factors that inform prognosis and the need for additional treatment. Deaths from cutaneous squamous cell carcinoma (cSCC) are increasing. Identifying high-risk cSCC (HRcSCC) cases early is critical, and the pathologist has a central role to play.
Objectives
To establish the completeness of cSCC pathology reports under existing practice before 2023.
Materials and Methods
Pathology reports for a consecutive series of cSCC referred to a University Hospital multidisciplinary team (MDT) during 2022 were audited against the new guidelines.
Results
Of 156 cSCC cases referred to MDT, 87 met inclusion criteria. All macroscopic criteria were consistently reported (95%–100%). Most microscopic criteria (margin status, histological subtype, histological grade, perineural invasion [PNI] and anatomic extent of invasion) were consistently included (94%–100%); however, lymphovascular invasion (LVI) (80%), depth of invasion (DOI) (33%) and satellitosis/in transit metastasis (SITM) (0%) were notable omissions.
Discussion
Critical prognostic factors were frequently omitted from narrative reports. While most narrative-style reports for cSCC contain most of the main prognostic criteria, the use of structured reports may improve the completeness of cSCC pathology reporting.
Details
- Title
- An Audit of Narrative Reports Compared to Structured Pathology Reporting for Cutaneous Squamous Cell Carcinoma
- Authors
- Andrew Dettrick (Corresponding Author) - University of the Sunshine Coast, Queensland, School of HealthAymaan Tayyab - University of the Sunshine Coast, Queensland, School of HealthAnna Kuballa - University of the Sunshine Coast, Queensland, School of Health - BiomedicineRebecca Donkin - University of the Sunshine Coast, Queensland, School of Health - BiomedicineDuncan Lambie - The University of Queensland
- Publication details
- Australasian Journal of Dermatology, Vol.66(4), pp.204-209
- Publisher
- John Wiley & Sons, Inc.
- Date published
- 2025
- DOI
- 10.1111/ajd.14486
- ISSN
- 1440-0960
- PMID
- 40213877
- Data Availability
- The data that support the findings of this study are available from the corresponding author upon reasonable request.
- Organisation Unit
- School of Health - Biomedicine; School of Health; Cancer Research Cluster; Centre for Bioinnovation
- Language
- English
- Record Identifier
- 991119444502621
- Output Type
- Journal article
Metrics
92 Record Views
InCites Highlights
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- Collaboration types
- Domestic collaboration
- Web Of Science research areas
- Dermatology
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Source: SDGs from InCites