An Audit of 204 Histopathology Reports Over Three Years of Carcinoma of Cervix: Experience from a Tertiary Referral Centre

Background: The aim was to see compliance to minimum data set information in carcinoma cervixhistopathology reports from a team of 13 pathologists; and also to analyse the distribution of parameterslike tumor size, grade, depth of cervical stromal invasion, lymph node yield and pTNM stage. Materials and
Methods: All pathology reports of radical hysterectomy for carcinoma cervix operated in house within a threeyear duration (2010-2012), (n=204) were retrieved from medical records and analyzed for the above parameters.
Results: In 2010- 59 cases, in 2011- 67 cases and in 2012- 78 cases of carcinoma cervix underwent operations inour hospital. The median age was 50.5 years and the maximum T diameter was 2.8 cms in the reports of threeyears. Squamous carcinoma was the commonest subtype amongst all the tumors. It was noted that 60.8% of caseshad cervical stromal involvement more than half the thickness of the cervical stroma. Parametrial involvementwas seen in 4.82% of cases. pTNM Staging was not mentioned in 65.06% of the cases. The mean bilateral pelviclymph node yield count in our study was 16.6 inclusive of all the three years.
Conclusions: Compliance withprovision of a minimum dataset in our team of 13 pathologists was generally good. Lymph node yield in ourhands is reasonable, but constant striving for greater numbers should be made. pTNM staging should be moremeticulously documented. Use of proformas /checklists is recommended.