TABLE 3.
Frequency with which critical surgical and pathologic factors were documented in operative and pathology reports of patients enrolled on ACOSOG Z5031
| Clinical factor | Reported, n (%) |
|---|---|
| Surgical factorsa | |
| Type of resection | 80 (100) |
| Preoperative clinical stage | 10 (13) |
| Transfusion requirement | 14 (18) |
| Search for extrapancreatic disease | 77 (96) |
| Description of liver | 64 (80) |
| Description of peritoneum | 54 (68) |
| Relationship of tumor to SMV | 55 (69) |
| Technique of SMA dissection | 54 (68) |
| Marking of SMA marginb | 20 (25) |
| Absence of residual macroscopic disease | 19 (24) |
| Communication with pathologistb | 12 (15) |
| Pathologic factors | |
| Histologic subtype | 79 (100) |
| Inking performed | 52 (66) |
| Evaluation of SMA margin | 37 (47) |
| Examination of regional lymph nodes | 79 (100) |
| Maximum tumor diameter | 74 (94) |
| Tumor grade | 79 (100) |
| Lymphovascular invasion | 63 (80) |
| Perineural invasion | 75 (95) |
| AJCC TNM stage | 39 (49) |
| CAP guidelines observed | 27 (34) |
a
Operative dictation was performed by the attending surgeon in only 64 (80%) cases
b
Determined by simultaneous review of both operative and pathology reports