Colorectal Cancer - Pathology Reporting database

Reporting of Colorectal Cancer records answer data for 94 questions in 6 groups. Data is recorded for patient identification, observations about the clinical specimen, macroscopic and microscopic findings, results for ancillary tests and tumour classification. The completed data is reported as print or PDF output.

Identification data

Family Name, Given name(s), Sex, Date of Birth, Patient Identifiers, Date of Surgical procedure, Pathology Accession Number, req. dr name, (req. dr ph), (req. dr called)

Clinical details data

Specimen type, Principal Clinician caring for patient, Operating surgeon, Contact address, Phone (mobile) number, Perforation:, Nature of perforation:, Clinical obstruction, Tumour location, For synchronous tumours indicate each site, Distance from the anal verge, Not stated, Type of operation, position, other procedures detail, Pre-operative radiotherapy, course, Surgeon's opinion on the existence of local residual cancer postsurgery, Involvement of adjacent organs, Presence of distant metastases, Details, Any other relevant information

Macroscopic findings data

Nature and site of blocks, Specimen length, Tumour site, Maximum tumour diameter, Distance of tumour to the nearer proximal or distal ‘cut end' margin, Distance of tumour to the nonperitonealised circumferential margin, Tumour perforation, Relationship to anterior peritoneal reflection (rectal tumours), Intactness of mesorectum (rectal resections), Macroscopic comments

Microscopic findings data

Histological tumour type, Histological grade, Maximum degree of local invasion into or through the bowel wall, , Involvement of the proximal or distal resection margins, Minimum distance between tumour and the nonperitonealised circumferential margin (rectal tumours), Minimum distance between tumour and the nonperitonealised circumferential margin (colon tumours), Total number, Number positive, Isolated extra-mural tumour deposits, Status of apical node, Intramural vein invasion, Extramural vein invasion, Small vessel invasion, Perineural invasion, Distant metastases, Site(s), Polyps (describe type, number, etc.), Ulcerative colitis (with/without dysplasia), Crohn's disease (with/without dysplasia), Other, Microscopic residual tumour status (completeness of resection), Response to neoadjuvant therapy, Microscopic comments

Ancillary test findings data

MLH-1, PMS-2, MSH-2, MSH-6, Comments, Microsatellite instability (MSI), Lab performing test (MSI), Report number (MSI), Comments (MSI), BRAF (V600E mutation), Lab performing test (BRAF), Report number (BRAF), Comments (BRAF), KRAS gene mutation (codons 12 and 13), Lab name (KRAS), Report number (KRAS), Comments(KRAS)

Synthesis and Overview data

T classification Primary tumour, N classification Regional lymph node, M classification Distant metastasis, Stage grouping, Residual tumour status, Diagnostic summary, specimen type, tumour site, tumour type, tumour stage, completeness of excision, Overarching comment