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Basal Cell Carcinoma Pathology Requests and Reports Are Lacking Important Information
Firas Al-Qarqaz1, Khaldon Bodoor2, Awad Al-Tarawneh3
1Department of Dermatology, Jordan University of Science and Technology, P.O. Box 3030, Irbid, Jordan.
Journal of Skin Cancer
|February 6, 2019
Summary
Clinicians often submit inadequate requests for basal cell carcinoma (BCC) diagnosis. Pathology reports for BCC also lack crucial details, highlighting a need for improved communication and standardized forms.
Area of Science:
- Dermatology
- Oncology
- Pathology
Background:
- Basal cell carcinoma (BCC) is the most common human cancer, locally destructive despite low metastatic risk.
- Diagnosis relies on clinical, dermoscopic, and histologic examination, with BCC classified into low or high-risk subtypes.
- Adequate information exchange between clinicians and pathologists is crucial for accurate BCC assessment.
Purpose of the Study:
- To evaluate the adequacy of clinician requests and pathology reports for basal cell carcinoma (BCC).
Main Methods:
- Retrospective analysis of BCC cases from January 2003 to December 2017.
- Data completeness of clinician request forms and pathology reports was analyzed.
Main Results:
- Most clinician request forms for BCC lacked essential information, including lesion and patient history.
- Pathology reports frequently omitted key details like BCC subtype, invasion depth, and lymphovascular/perineural invasion.
- Tumor excision margins were adequately described in nearly all reports.
Conclusions:
- Clinicians provide insufficient clinical data for BCC histopathologic examination.
- Pathologists' reports for BCC are often incomplete, missing critical pathologic features.
- Implementing standardized electronic proforma forms can improve information completeness.
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