[P-08] An audit on histopathology reporting of transurethral resection of prostate in a tertiary care centre in Sri Lanka

Lalani De Silva1, Sinha De Silva2, Harshima Wijesinghe1, Gayani Ranaweera1, Priyani Amarathunga1, Niranthi Perera1 and Chandu De Silva1

  1. Department of Pathology, Faculty of Medicine, University of Colombo, Sri Lanka
  2. Postgraduate Institute of Medicine, University of Colombo, Sri Lanka

 

Background and Objectives: Transurethral resection of prostate (TURP) is offered for men with lower urinary tract symptoms secondary to benign prostatic hyperplasia (BPH). Our objective was to audit the quality of reporting TURP specimens handled by a tertiary-care centre in Sri Lanka.

Materials and Methods: Specimen request forms and finalised reports on TURP specimens received over 6 months (1 July to 31 December 2019) were reviewed and compliance with the standards in dataset for reporting prostate tissue of Royal College of Pathologists, United Kingdom was recorded.

Results: Reports of 112 TURP specimens were reviewed. Patient identification details were complete in all the cases. The indication for biopsy was mentioned in 98.2%. Digital rectal examination (DRE) findings and PSA levels were mentioned in 51.7% and 36.6%, respectively. Dimensions of chips were measured in all. Weight was measured in 78.6%. Equal or excess number of cassettes according to the weight were embedded in 67%. All tissues were embedded from clinically malignant prostates. The majority had BPH (78.6%, n = 88) and 21.4% (n = 24) were malignant. In malignant reports, tumour type, tumour grade and tumour extent were complete in 100%. The grade-group and perineural invasion were mentioned in 91.7%. Presence of PIN and vascular invasion were reported in 75% and 50%, respectively. Bladder neck invasion and tumour stage were rarely reported.

Conclusion: Most of the clinical and microscopic data were satisfactory. Deficiencies were identified in providing DRE findings, PSA and recording weight. Awareness on complete clinical, radiology and serological findings is the cornerstone of accurate histopathology reporting and importance of providing such information in the requests should be emphasised.