Cancer Synoptic Reporting Project Group

24 January 2022 at 17:30 UTC

Discussion items

ItemDescriptionOwnerNotesAction
1IHC
  1. Focus on synoptic reporting uses.
  2. Examples:
    1. Breast cancer her2 from breast tissue
    2. breast cancer her2 from lymph node
    3. breast cancer her2 from any tissue

a. her2 in breast tissue


b. her2 in breast cancer from lymph node


c. her2 in breast cancer from any tissue site specimen

Conclusion to this good discussion is that there exists a need to develop a mechanism to note an observation made that is a proxy statement - specifically, an observation about a primary neoplasm location made on a metastatic specimen.

Alternatively, be less specific in these observations and rely more upon the info model.

2Treatment effect

Continue discussion:

What are we measuring when assessing "treatment effect"?  

Is this a histologic change?  Viability of tumor cells?

  1. Primary site
  2. Lymph node
Briefly discussed, but general comments confer that this is a histologic feature property of measure.  Will address and confirm at next work group meeting

Did not discuss
3Lymph nodes
  1. Discuss approach to lymph node body structures and differences in naming/locations (example AJCC esophageal cancer vs. JES esophageal cancer)

2. Management of observables for lymph node involvement.  Example: 

Did not discuss
4AJCC update?Any updates that can be shared?Jim Case meeting with AJCC on Wednesday 26-Jan to continue/finalize contract issues

Meeting Files

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