. . . "RIV/00843989:_____/13:E0103442!RIV14-MZ0-00843989" . . "Improving the quality of histopathological examination of colorectal cancer specimens through standard protocol implementation"@en . "\u00DAvod: Nezbytnou sou\u010D\u00E1st\u00ED p\u0159esn\u00E9ho stagingu kolorekt\u00E1ln\u00EDho karcinomu je detailn\u00ED a kvalitn\u00ED histopatologick\u00E9 vy\u0161et\u0159en\u00ED. C\u00EDlem t\u00E9to chirurgicko-patologick\u00E9 studie je vyhodnocen\u00ED vlivu zaveden\u00ED standardn\u00EDho protokolu na kvalitu hodnocen\u00ED prepar\u00E1t\u016F resekovan\u00E9ho kolorekt\u00E1ln\u00EDho karcinomu. Materi\u00E1l a metodika: Standardn\u00ED protokol na hodnocen\u00ED prepar\u00E1t\u016F resekovan\u00E9ho kolorekt\u00E1ln\u00EDho karcinomu byl vytvo\u0159en v souladu s NCCN guidelines pro karcinom kolorekta a dle doporu\u010Den\u00ED American Joint Commitee on Cancer (AJCC). Protokol byl zaveden do praxe ve FNO od 1.1.2013. Do studie byli za\u0159azen\u00ED v\u0161ichni pacienti, kte\u0159\u00ED podstoupili resekci pro kolorekt\u00E1ln\u00ED karcinom ve FNO v obdob\u00ED od 1.1.2011 do 30.6.2013. Histopatologick\u00E9 zpr\u00E1vy pacient\u016F (p\u0159ed a po zaveden\u00ED protokolu) byly analyzov\u00E1ny se zam\u011B\u0159en\u00EDm na p\u0159\u00EDtomnost sledovan\u00FDch parametr\u016F a rozd\u00EDly byly statisticky testov\u00E1ny. V\u00FDsledky: Do studie bylo za\u0159azeno celkem 235 pacient\u016F, kte\u0159\u00ED podstoupili resekci kolorekta pro karcinom (p\u0159ed zaveden\u00EDm protokolu 184 pacient\u016F, po zaveden\u00ED protokolu 51 pacient\u016F). V resek\u00E1tech kolorekta p\u0159ed zaveden\u00EDm protokolu byl pr\u016Fm\u011Brn\u00FD po\u010Det nalezen\u00FDch lymfatick\u00FDch uzlin (LU) 12,5\u00B16,3 (kolon) a 12,6\u00B16,2 (rektum). Po zaveden\u00ED protokolu byl pr\u016Fm\u011Brn\u00FD po\u010Det nalezen\u00FDch LU 15,0\u00B14,6 (kolon) a 16,8\u00B16,7 (rektum); rozd\u00EDly jsou statisticky signifikantn\u00ED. P\u0159ed zaveden\u00EDm protokolu nebyl dosa\u017Een po\u017Eadovan\u00FD limit 12 LU u 49 pacient\u016F s karcinomem kolon (43,8 %) a u 32 pacient\u016F s karcinomem rekta (44,4 %). Po zaveden\u00ED standardn\u00EDho protokolu limit 12 LU nebyl dosa\u017Een u 5 pacient\u016F s karcinomem kolon (18.5 %) a u 4 pacient\u016F s karcinomem rekta (16,7 %); rozd\u00EDly jsou statisticky signifikantn\u00ED. Byly prok\u00E1zany rovn\u011B\u017E rozd\u00EDly v \u010Detnosti hodnocen\u00ED makroskopick\u00E9 celistvosti mezorekta, cirkumferen\u010Dn\u00EDho resek\u010Dn\u00EDho okraje a zn\u00E1mek mikroskopick\u00E9 agresivity tumoru ve prosp\u011Bch histopatologick\u00FDch zpr\u00E1v po zaveden\u00ED standardn\u00EDho protokolu. Z\u00E1v\u011Br: Vykonan\u00E1 retrospektivn\u00ED studie prok\u00E1zala, \u017Ee zaveden\u00ED standardn\u00EDho patologick\u00E9ho protokolu do praxe p..." . "12" . "colorectal carcinoma; standard protocol; lymph node number; quality of pathology report; circumferential resection margin"@en . . "5"^^ . "Mart\u00EDnek, Lubom\u00EDr" . . "Improving the quality of histopathological examination of colorectal cancer specimens through standard protocol implementation"@en . . . . . "9"^^ . . "92" . "Zon\u010Da, Pavel" . "9"^^ . "119511" . . . "Rozhledy v chirurgii" . . . . "Ihn\u00E1t, Peter" . "RIV/00843989:_____/13:E0103442" . "Zv\u00FD\u0161en\u00ED kvality histopatologick\u00E9ho hodnocen\u00ED prepar\u00E1t\u016F kolorekt\u00E1ln\u00EDho karcinomu prost\u0159ednictv\u00EDm zaveden\u00ED standardn\u00EDho protokolu" . . "V" . "Hor\u00E1\u010Dek, Jaroslav" . . "0035-9351" . "Zv\u00FD\u0161en\u00ED kvality histopatologick\u00E9ho hodnocen\u00ED prepar\u00E1t\u016F kolorekt\u00E1ln\u00EDho karcinomu prost\u0159ednictv\u00EDm zaveden\u00ED standardn\u00EDho protokolu"@cs . . "[0596D0827115]" . . "CZ - \u010Cesk\u00E1 republika" . "Delongov\u00E1, Patricie" . "Zv\u00FD\u0161en\u00ED kvality histopatologick\u00E9ho hodnocen\u00ED prepar\u00E1t\u016F kolorekt\u00E1ln\u00EDho karcinomu prost\u0159ednictv\u00EDm zaveden\u00ED standardn\u00EDho protokolu" . . "\u00DAvod: Nezbytnou sou\u010D\u00E1st\u00ED p\u0159esn\u00E9ho stagingu kolorekt\u00E1ln\u00EDho karcinomu je detailn\u00ED a kvalitn\u00ED histopatologick\u00E9 vy\u0161et\u0159en\u00ED. C\u00EDlem t\u00E9to chirurgicko-patologick\u00E9 studie je vyhodnocen\u00ED vlivu zaveden\u00ED standardn\u00EDho protokolu na kvalitu hodnocen\u00ED prepar\u00E1t\u016F resekovan\u00E9ho kolorekt\u00E1ln\u00EDho karcinomu. Materi\u00E1l a metodika: Standardn\u00ED protokol na hodnocen\u00ED prepar\u00E1t\u016F resekovan\u00E9ho kolorekt\u00E1ln\u00EDho karcinomu byl vytvo\u0159en v souladu s NCCN guidelines pro karcinom kolorekta a dle doporu\u010Den\u00ED American Joint Commitee on Cancer (AJCC). Protokol byl zaveden do praxe ve FNO od 1.1.2013. Do studie byli za\u0159azen\u00ED v\u0161ichni pacienti, kte\u0159\u00ED podstoupili resekci pro kolorekt\u00E1ln\u00ED karcinom ve FNO v obdob\u00ED od 1.1.2011 do 30.6.2013. Histopatologick\u00E9 zpr\u00E1vy pacient\u016F (p\u0159ed a po zaveden\u00ED protokolu) byly analyzov\u00E1ny se zam\u011B\u0159en\u00EDm na p\u0159\u00EDtomnost sledovan\u00FDch parametr\u016F a rozd\u00EDly byly statisticky testov\u00E1ny. V\u00FDsledky: Do studie bylo za\u0159azeno celkem 235 pacient\u016F, kte\u0159\u00ED podstoupili resekci kolorekta pro karcinom (p\u0159ed zaveden\u00EDm protokolu 184 pacient\u016F, po zaveden\u00ED protokolu 51 pacient\u016F). V resek\u00E1tech kolorekta p\u0159ed zaveden\u00EDm protokolu byl pr\u016Fm\u011Brn\u00FD po\u010Det nalezen\u00FDch lymfatick\u00FDch uzlin (LU) 12,5\u00B16,3 (kolon) a 12,6\u00B16,2 (rektum). Po zaveden\u00ED protokolu byl pr\u016Fm\u011Brn\u00FD po\u010Det nalezen\u00FDch LU 15,0\u00B14,6 (kolon) a 16,8\u00B16,7 (rektum); rozd\u00EDly jsou statisticky signifikantn\u00ED. P\u0159ed zaveden\u00EDm protokolu nebyl dosa\u017Een po\u017Eadovan\u00FD limit 12 LU u 49 pacient\u016F s karcinomem kolon (43,8 %) a u 32 pacient\u016F s karcinomem rekta (44,4 %). Po zaveden\u00ED standardn\u00EDho protokolu limit 12 LU nebyl dosa\u017Een u 5 pacient\u016F s karcinomem kolon (18.5 %) a u 4 pacient\u016F s karcinomem rekta (16,7 %); rozd\u00EDly jsou statisticky signifikantn\u00ED. Byly prok\u00E1zany rovn\u011B\u017E rozd\u00EDly v \u010Detnosti hodnocen\u00ED makroskopick\u00E9 celistvosti mezorekta, cirkumferen\u010Dn\u00EDho resek\u010Dn\u00EDho okraje a zn\u00E1mek mikroskopick\u00E9 agresivity tumoru ve prosp\u011Bch histopatologick\u00FDch zpr\u00E1v po zaveden\u00ED standardn\u00EDho protokolu. Z\u00E1v\u011Br: Vykonan\u00E1 retrospektivn\u00ED studie prok\u00E1zala, \u017Ee zaveden\u00ED standardn\u00EDho patologick\u00E9ho protokolu do praxe p..."@cs . "Pelik\u00E1n, Anton" . . . "Introduction: Detailed, high-quality histopathological examination of colorectal carcinoma is an essential component of accurate disease staging. The aim of this study was to evaluate the influence of standard pathological protocol implementation on the quality of colorectal cancer specimen evaluation. Material and methods: The standard protocol for colorectal cancer specimens evaluation was created on the basis of the NCCN guidelines for colorectal carcinoma and in accordance with the American Joint Committee on Cancer (AJCC) recommendation. The protocol has been implemented into the practice of University Hospital Ostrava since 1 January 2013. All patients who underwent resection for colorectal cancer in University Hospital Ostrava between 1 January 2011 and 30 June 2013 were included into the study. Histopathological reports (before and after protocol implementation) were analysed with a focus on the presence of the parameters being monitored; the differences underwent statistical analysis. Results: In total, 235 patients who underwent resection of colorectal cancer (184 patients before and 51 patients after protocol implementation) were included into the study. The mean number of investigated lymph nodes was 12.5\u00B16.3 (colon) and 12.6\u00B16.2 (rectum) before protocol implementation. The mean number of lymph nodes was 15.0\u00B14.6 (colon) and 16.8\u00B16.7 (rectum) after protocol implementation; the differences are statistically significant. Before protocol implementation, the limit of 12 investigated lymph nodes was not reached in 49 patients with colon carcinoma (43.8%) and in 32 patients with rectal carcinoma (44.4%). Statistically significant improvement was noted after protocol implementation - the limit of 12 lymph nodes was not reached in 5 patients (18.5%) with colon and 4 patients (16.7%) with rectal carcinoma. There were also differences in the number of macroscopic mesorectal excision quality evaluation, circumferential resection margin reports and signs of micr..."@en . "Gu\u0148kov\u00E1, Petra" . . . "V\u00E1vra, Petr" . "Dvo\u0159\u00E1\u010Dkov\u00E1, Jana" . "Zv\u00FD\u0161en\u00ED kvality histopatologick\u00E9ho hodnocen\u00ED prepar\u00E1t\u016F kolorekt\u00E1ln\u00EDho karcinomu prost\u0159ednictv\u00EDm zaveden\u00ED standardn\u00EDho protokolu"@cs .