Editor-in-Chief, Deputy Editor 2017-2019

 

Editor-in-Chief:

Tom MOREELS

 

Deputy Editor:

Nicolas LANTHIER

 

Guidelines



BASL guidelines for the surveillance, diagnosis and treatment of hepatocellular carcinoma


Price: €10,00

Hepatocellular carcinoma (HCC) is a primary tumour of the liver. Its behaviour is rather peculiar with prognosis made out not only by the tumoural disease but also by the severity of the underlying liver disease. Worldwide it is a major problem. In the West, however, the prevalence is lower than in developing countries. However due to a rise in HCV induced liver cirrhosis, HCC becomes more prevalent in Belgium. In the HepCar registry (a Belgian registry where on a voluntary basis, patients with HCC are reported), 70 patients (51 male / 19 female) were reported between January 2003 and September 2003. Median age was 62 years ± 12. Underlying liver disease was HCV in 29 patients, HBV in 14 patients, alcoholic liver disease in 16 patients and miscellaneous in 12 patients. Diagnosis was made by surveillance in 27 patients. There was a clear tendency for incidental diagnosis in patients with alcoholic liver disease. Due to this changing pattern of HCC in Belgium, a BASL working group was founded to discuss and report on guidelines in epidemiology, screening, diagnosis and treatment of HCC. These guidelines are a result of a discussion between the different members of the working group reflecting data published in literature and taking into account the specific Belgian situation. [Product Details...]



Critical review in the surgical pathology of carcinoma of the stomach


Price: €10,00

Further to a thorough analysis of the management of the surgical specimen for gastric carcinomas, guidelines were defined following several recommendations including informative gross and microscopic descriptions associated to a final correct staging of the tumour, according to the TNM classification and must at least include tumour penetration, nodal or distant metastases. The Belgian working party for GI cancer debate on these data and present a check-list that would help pathologists. [Product Details...]



Editorial


Price: €10,00

Gastrointestinal cancer is an important health problem. In 1998, 5089 new cases of colorectal cancer (2667 male) and 1095 new cases of gastric cancer (637 male) were diagnosed in Belgium. Gastrointestinal cancer still carries a high morbidity and mortality rate. In 1997, 3059 patients died of colorectal cancer. Secondary prevention with early diagnosis and proper surgical treatment, including adjuvant treatment with chemotherapy or radiotherapy for more advanced cases are therefore very important. The therapeutic strategy depends partly upon the information provided by the pathologists examining surgical resection specimens. This implies analysis of these specimens according to generally accepted criteria. The Belgian Club for Digestive Pathology has organized a working party for the design of guidelines for adequate reporting of resection specimens of gastrointestinal cancer. The aim of the working party is to prepare review papers for the different types of cancer occurring in the Gastrointestinal tract, pancreas and liver based on the data available in the literature, on internationally accepted classifications such as the TNM and on guidelines published by societies, which can be either national such as the British or French societies of Gastroenterology, or speciality-related such as the Association of Directors of Surgical Pathology. [Product Details...]



Guidelines for adequate histopathological reporting of pancreatic ductal adenocarcinoma resection specimens


Price: €10,00

More than 90% of all malignant tumours of the pancreas are exocrine carcinomas and, of these, 95% are ductal adenocarcinomas. Since a cure is possible only in case of complete resection of the primary tumour, including its local and regional extensions, the arrival of a resected pancreas in the surgical pathology laboratory is a quite common but for many pathologists stressful event, due to the complexity of the anatomy and the importance of a good dissection in establishing the correct diagnosis and staging. However, a simple, logical approach to the dissection and histopathological reporting can avoid many problems. [Product Details...]



Histopathological reporting of resected carcinomas of the oesophagus and gastro-oesophageal junction


Price: €10,00

In 1999, the Institute of Medicine (IOM) published a report entitled ‘To err is human’ regarding medical error and its effects on patient’s safety in the United States. The 287-page report stated that medical errors cause a large number of deaths in American hospitals and that physicians have been rather complacent about iatrogenic injury. The report also formulated measures to reduce future medical errors. The more recent IOM report singles out physicians ‘irrational variation’ as a major contributor to the ‘quality chasm’. In 1991 The American Association of Directors of Anatomic and Surgical Pathology (ADASP) produced a list of recommended types of departmental audit. More recently the Association of Directors of Anatomic and Surgical Pathology has named several committees to develop recommendations regarding the content of the surgical pathology report for common malignant tumours. A committee of individuals with special interest and expertise wrote the recommendations, and they were reviewed and approved by the council of ADASP and subsequently by the entire membership. These recommendations have been broadly published with their final purposes to provide an informative report for the clinicians. The recommendations, as published, for the reporting of oesophageal carcinomas will be discussed in detail. [Product Details...]



Recommendations for pathological examination and reporting for colorectal cancer: Belgian Consensus


Price: €10,00

For over years, numerous studies have demonstrated the utmost importance of pathological examination in assessing prognosis for cancer patients. For colorectal cancer, it has been shown that the depth of invasion, the presence of lymph node metastases, their number and localisation, the presence of tumour at the surgical margins and the presence of vascular invasion need to be assessed. These data are indicative in the choice for additional treatment. Therefore standardisation of pathological examination is important for the quality of care of the patient. The Belgian Club for Digestive Pathology has attempted to reach a National consensus on pathological examination and reporting. [Product Details...]


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