Table 3.
Summary of all investigated categories and subcategories (17 considered as mandatory, highlighted in bold) in narrative (NR) and standardized structured reports (SSR) of radical prostatectomy specimens according to recommendations by the International Collaboration on Cancer Reporting (ICCR), slightly adapted. The two-sided Fisher’s exact test was performed to compare categories in NR with SSR. p-values < 0.05 were considered statistically significant and are marked with an asterix.
| Narrative Reports (NR) | Standardized Structured Reports (SSR) | p-Values | |
|---|---|---|---|
| n = 99 | n = 32 | ||
| Ontario scale level | 2 | 5 | |
| CLINICAL DATA | |||
| Clinical information | 95/99 (96%) | 32/32 (100%) | 0.5716 |
| Pre-biopsy serum PSA | 37/99 (37%) | 13/32 (41%) | 0.8348 |
| MACROSCOPY | |||
| Specimen weight | 99/99 (100%) | 32/32 (100%) | 1 |
| Specimen dimensions | 99/99 (100%) | 32/32 (100%) | 1 |
| Seminal vesicles | 99/99 (100%) | 32/32 (100%) | 1 |
| Lymph nodes | 99/99 (100%) | 32/32 (100%) | 1 |
| → Laterality | 99/99 (100%) | 32/32 (100%) | 1 |
| Block identification key | 99/99 (100%) | 32/32 (100%) | 1 |
| MICROSCOPY | |||
| Histological tumor type | 94/99 (95%) | 32/32 (100%) | 0.3338 |
| How Gleason-Score is being reported | 5/99 (5%) | 32/32 (100%) | <0.0001 * |
| Gleason-Score | |||
| Percentage Gleason pattern 4/5 | 97/99 (98%) | 32/32 (100%) | 1 |
| ISUP Grade | 77/99 (78%) | 31/32 (97%) | 0.0144 * |
| 99/99 (100%) | 32/32 (100%) | 1 | |
| Intraglandular extent | 94/99 (95%) | 32/32 (100%) | 0.3338 |
| Extraprostatic extension | 67/99 (68%) | 32/32 (100%) | <0.0001 * |
| → Location(s) | 25/41 (61%) | 11/12 (92%) | 0.0765 |
| → Extent | 10/41 (24%) | 12/12 (100%) | <0.0001 * |
| Seminal vesicle invasion | 92/99 (93%) | 32/32 (100%) | 0.1935 |
| Urinary bladder neck invasion | 0/99 (0%) | 32/32 (100%) | <0.0001 * |
| Intraductal carcinoma of prostate | 0/99 (0%) | 32/32 (100%) | <0.0001 * |
| Lymphovascular invasion | 20/99 (20%) | 32/32 (100%) | <0.0001 * |
| Margin status | 99/99 (100%) | 32/32 (100%) | 1 |
| → Location of positive margin(s) | 29/29 (100%) | 4/4 (100%) | 1 |
| → Type of margin positivity | |||
| → Extent of margin positivity | 17/29 (59%) | 3/4 (75%) | 1 |
| → Gleason pattern of tumor present at positive margin | 1/29 (4%) | 4/4 (100%) | <0.0001 * |
| Lymph node status | 1/29 (4%) | 4/4 (100%) | <0.0001 * |
| → Laterality | |||
| → Maximum dimension of largest deposit | 99/99 (100%) | 32/32 (100%) | 1 |
| 7/16 (44%) | 2/2 (100%) | 0.4706 | |
| 16/16 (100%) | 2/2 (100%) | 1 | |
| PATHOLOGICAL STAGING | |||
| Primary tumor (pT) | 99/99 (100%) | 32/32 (100%) | 1 |
| Regional lymph nodes (pN) | 99/99 (100%) | 32/32 (100%) | 1 |
| Distant metastasis (pM) | 0/99 (0%) | 11/32 (34%) | <0.0001 * |