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Part of COSD pathology user guide v5.1.2

Colorectal - Pathology

Pathology chapter on colorectal data as part of the pathology user guide version 5.1.1

Colorectal - Pathology table

This is the site specific section for additional colorectal cancer specific data items to be recorded. These will be aligned within the schema to form a single report.

May be up to one occurrence per pathology report (0..1) 

Colorectal - Pathology table

Data Item No

Data Item Name

Format

Schema Specification (M/R/O/P)

pCO5190

Longitudinal Margin Involved

an1

R

pCO5210

Distance to Circumferential Margin

max n2.max n2

R

pCO5260

Plane of Surgical Excision

an1

R

pCO5270

Distance From Dentate Line

max n3.max n2

R

pCO5280

Distance Beyond Muscularis Propria

max n3.max n2

R

pCO5290

Response to Preoperative Therapy

an2

R

Note the following data item has been retired from v5.0:

  • Status Of Circumferential Excision Margin

    • this data item is now centralised in CORE [pCR1150], as this is relevant to many tumours


Colorectal - Pathology data items

Longitudinal Margin Involved

Record whether the proximal or distal resection margins were involved. If the minimal distance from the cut margin is less than or equal to 1 mm the margin is considered ‘involved’.

Longitudinal Margin Involved table

National Code

National code definition

0

Margin not involved

1

Margin involved

8

N/A - Not submitted by pathologist

9

Not known

Notes:

  • this data item has a new name, previously ‘Positive Proximal or Distal Resection Margin’

  • ‘8 – N/A - Not submitted by pathologist’ has been updated to match the RCPath Core data set

Distance to Circumferential Margin

Record the distance from the outer margin of the tumour to the closest non-peritonealised circumferential resection margin in mm.

Plane of Surgical Excision

This is the quality of the surgical excision as seen by the pathologist. This grades the resection on its worst plane.

Plane of Surgical Excision table

National Code

National code definition

1

Mesorectal fascia

2

Intramesorectal

3

Muscularis propria

Distance From Dentate Line

For abdominoperineal excision specimens only. Record the distance of the tumour from the dentate line in mm measured on the gross specimen.

Distance Beyond Muscularis Propria

Maximum distance of spread beyond muscularis propria in mm. If there is doubt about the sites of the muscularis propria estimate the distance as accurately as possible.

Response to Preoperative Therapy

If preoperative therapy was given what was the response.

Response to Preoperative Therapy table

National Code

National code definition

08

No viable cancer cells (TRS 0)

09

Single cells or rare small groups of cancer cells (TRS 1)

10

Residual cancer with evident tumour regression (TRS 2)

11

No evident tumour regression (TRS 3)

97

Not Applicable

Last edited: 20 November 2024 10:43 am