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

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dc.contributor.authorDaramola, AO
dc.contributor.authorBanjo, AAF
dc.contributor.authorAbdulkareem, FB
dc.contributor.authorShaaban, AM
dc.date.accessioned2020-05-30T18:39:38Z
dc.date.available2020-05-30T18:39:38Z
dc.date.issued2016
dc.description.abstractPurpose: 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.en_US
dc.description.sponsorshipSupported by a grant from Breast Cancer Research Trust (A.M.S.en_US
dc.identifier.citationJ Glob Oncol . 2016 Apr 6;2(6):397-402. doi: 10.1200/JGO.2015.003079. eCollection 2016 Dec.en_US
dc.identifier.urihttps://ir.unilag.edu.ng/handle/123456789/8333
dc.language.isoenen_US
dc.publisherJournal of Global Oncologyen_US
dc.titleBreast Cancer Reporting in Lagos, Nigeria-Implications for Training and Education in Africaen_US
dc.typeArticleen_US
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