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This article covers '''L4E rule 5''' for the 2018 [[L4E]] [[workload]] system. An overview of the L4E rules is found in the [[L4E rules of | This article covers '''L4E rule 5''' for the 2018 [[L4E]] [[workload]] system. An overview of the L4E rules is found in the [[L4E rules of 2018]]. | ||
The definitive reference for the rule is found on the CAP-ACP website.<ref name=capacp2018>Workload and Workforce Committee of the CAP-ACP. Workload Measurement Guidelines. Canadian Association of Pathologists (CAP-ACP). 2018. URL: [https://www.cap-acp.org/cmsUploads/CAP/File/CAP-ACP_Workload_Model_2018_Final_2020180907(1).pdf https://www.cap-acp.org/cmsUploads/CAP/File/CAP-ACP_Workload_Model_2018_Final_2020180907(1).pdf]. Accessed on: 19 May 2019.</ref> | The definitive reference for the rule is found on the CAP-ACP website.<ref name=capacp2018>Workload and Workforce Committee of the CAP-ACP. Workload Measurement Guidelines. Canadian Association of Pathologists (CAP-ACP). 2018. URL: [https://www.cap-acp.org/cmsUploads/CAP/File/CAP-ACP_Workload_Model_2018_Final_2020180907(1).pdf https://www.cap-acp.org/cmsUploads/CAP/File/CAP-ACP_Workload_Model_2018_Final_2020180907(1).pdf]. Accessed on: 19 May 2019.</ref> | ||
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! Examples | ! Examples | ||
|- | |- | ||
| | | all non-radical resections with cancer for which a synoptic report has to be filled-out as per CAP guidelines | ||
| at least 5 L4E | | 3 L4E per synoptic report, at least 5 L4E for a given case | ||
| | | if the case is <5 L4E = 5 L4E for whole case; if the case is >5 L4E, 3 L4E/synoptic filled out | ||
| | | malignant colorectal polyp in 2 blocks = 5 L4E, breast lumpectomy with carcinoma in 16 blocks = 4 L4E ([[L4E rule 4 (2018)|rule 4]]) + 3 L4E (for synoptic report), hemithyroidectomy with PTC in 20 blocks = 5 L4E ([[L4E rule 4 (2018)|rule 4]]) + 3 L4E (for synoptic report) | ||
|} | |} | ||
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| No | | No | ||
| 1 L4E | | 1 L4E | ||
| synoptic | | no synoptic has to be done, [[L4E rule 1-3 (2014)|rule 1]] applies | ||
|- | |- | ||
| Partial nephrectomy in | | Partial nephrectomy in 10 blocks with clear cell RCC | ||
| Yes | | Yes | ||
| 5 L4E | | 2.5 L4E + 3 L4E (synoptic) | ||
| synoptic has to be done, | | synoptic has to be done, [[L4E rule 4 (2014)|rule 4]] and rule 5 apply | ||
|- | |- | ||
| Lumpectomy in 24 blocks with DCIS | | Lumpectomy in 24 blocks with DCIS | ||
| | | Yes | ||
| 8 L4E | | 6 L4E + 3 L4E (synoptic) | ||
| synoptic has to be done, [[L4E rule 4 (2014)|rule 4]] | | synoptic has to be done, [[L4E rule 4 (2014)|rule 4]] and rule 5 apply | ||
|- | |||
| Cytoprostatectomy in 32 blocks with prostate cancer and bladder cancer | |||
| Yes | |||
| 8 L4E + 3 L4E (synoptic for prostate cancer) + 3 L4E (synoptic for bladder cancer) | |||
| synoptic has to be done, [[L4E rule 4 (2014)|rule 4]] and rule 5 apply | |||
|} | |} | ||
==See also== | ==See also== | ||
*[[L4E rules of 2014]]. | *[[L4E rules of 2018]]. | ||
*[[L4E rule 5 (2014)]]. | |||
==References== | ==References== |
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