Breast Cancer Reporting in Lagos, Nigeria-Implications for Training and Education in Africa

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Daramola, AO
Banjo, AAF
Abdulkareem, FB
Shaaban, AM
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Journal of Global Oncology
Purpose: To assess the completeness and accuracy of breast cancer pathologic reporting in Nigeria. Materials and methods: The histologic parameters provided in breast cancer pathology reports at a large teaching hospital in Nigeria were assessed. The corresponding slides were reviewed after the United Kingdom Royal College of Pathologists guidelines, and results were compared. Results: Out of 115 breast cancer cases, histologic type of breast carcinoma was concordant with the review type in 53.1% of cases and discordant in 46.9%. Grading was stated in 89.62% of cases, of which 50.5% were correctly graded, 35.8% were under-graded, and 8.5% were over-graded. Poor fixation and omission of the mitotic count were the main reasons for discordant grades. A comment on lymph node status was included in 40% of cases, and lymphovascular invasion was not commented on in 97.4% of cases. Only 26% of the tumors had hormone receptors and/or HER2 tested. Conclusion: Some essential histologic parameters were absent from the histologic reports, and where present, a proportion were inaccurate. Attention to specimen fixation and method of grading and familiarity with uncommon breast cancer types are required; all can be facilitated by education and training. The use of a template/proforma is recommended to ensure cancer data set parameters are included in the pathology reports.
J Glob Oncol . 2016 Apr 6;2(6):397-402. doi: 10.1200/JGO.2015.003079. eCollection 2016 Dec.