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RPD Graham

Adequacy of Lymph Node Harvesting in Colorectal Cancer Management Improving Standards, Ensuring Quality

The adequacy of lymph node resection at the University Hospital of the West Indies meets accepted standards for right-sided colon cancers but is less than adequate for left-sided cancers. Ensuring adequate node sampling is a dual responsibility of the reporting pathologist and attending surgeon as this has important implications for treatment, prognosis and quality of care.


Objective: The aim of this study was to determine the adequacy of nodal sampling in resection specimens for colorectal carcinoma in a Jamaican population.

Methods: The pathology records of all patients who underwent operation for colorectal carcinoma at the University Hospital of the West Indies (UHWI) during the five-year period, 2003−2007, were reviewed. Pertinent clinical and pathologic data were obtained and analysed.

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e-Published: 19 Aug, 2013
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