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Data set for the reporting of nodal excisions and neck dissection specimens for head and neck tumors explanations and recommendations of the guidelines from the international collaboration on Cancer reporting

Lookup NU author(s): Professor Philip Sloan


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© 2019 College of American Pathologists. All rights reserved. Standardized, synoptic pathologic reporting for tumors greatly improves communication among clinicians, patients, and researchers, supporting prognostication and comparison about patient outcomes across institutions and countries. The International Collaboration on Cancer Reporting is a nonprofit organization whose mission is to develop evidence-based, universally available surgical pathology reporting data sets. Within the head and neck region, lymph node excisions and neck dissections are frequently performed as part of the management of head and neck cancers arising from the mucosal sites (sinonasal tract, nasopharynx, oropharynx, hypopharynx, oral cavity, and larynx) along with bone tumors, skin cancers, melanomas, and other tumor categories. The type of specimen, exact location (lymph node level), laterality, and orientation (by suture or diagram) are essential to accurate classification. There are significant staging differences for each anatomic site within the head and neck when lymph node sampling is considered, most importantly related to human papillomavirus-associated oropharyngeal carcinomas and mucosal melanomas. Number, size, and site of affected lymph nodes, including guidelines on determining the size of tumor deposits and the presence of extranodal extension and soft tissue metastasis, are presented in the context of prognostication. This review elaborates on each of the elements included in the data set for Nodal Excisions and Neck Dissection Specimens for Head & Neck Tumours.

Publication metadata

Author(s): Bullock MJ, Beitler JJ, Carlson DL, Fonseca I, Hunt JL, Katabi N, Sloan P, Mark Taylor S, Williams MD, Thompson LDR

Publication type: Article

Publication status: Published

Journal: Archives of Pathology and Laboratory Medicine

Year: 2019

Volume: 143

Issue: 4

Pages: 452-462

Print publication date: 01/04/2019

Online publication date: 30/11/2018

Acceptance date: 01/10/2018

ISSN (print): 0003-9985

ISSN (electronic): 1543-2165

Publisher: College of American Pathologists


DOI: 10.5858/arpa.2018-0421-SA

PubMed id: 30500291


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