Difference between revisions of "L4E rule 4 (2014)"
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This article covers '''L4E rule 4''' for the 2014 [[L4E]] [[workload]] system. An overview of the L4E rules is found in the [[L4E rules of 2014]]. | This article covers '''L4E rule 4''' for the 2014 [[L4E]] [[workload]] system. An overview of the L4E rules is found in the [[L4E rules of 2014]]. | ||
The definitive | The definitive reference for the rule is found on the CAP-ACP website.<ref name=capacp2014>Workload and Workforce Committee of the CAP-ACP. Workload Measurement Guidelines. Canadian Association of Pathologists (CAP-ACP). 2014. URL: [https://www.cap-acp.org/cmsUploads/CAP/File/CAP-ACP%202014%20Workload%20FINAL.pdf https://www.cap-acp.org/cmsUploads/CAP/File/CAP-ACP%202014%20Workload%20FINAL.pdf]. Accessed on: 17 October 2017.</ref> | ||
You can test your knowledge in the ''[[Quiz:L4E rule 4 (2014)|L4E rule 4 quiz]]''. | You can test your knowledge in the ''[[Quiz:L4E rule 4 (2014)|L4E rule 4 quiz]]''. | ||
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! Examples | ! Examples | ||
|- | |- | ||
| Most non-malignant | | Most non-malignant resections (see below) | ||
| 1 L2/block, 0.33 L4E/block, minimum 1 L3 (0.5 L4E) | | 1 L2/block, 0.33 L4E/block, minimum 1 L3 (0.5 L4E) | ||
| 1 block = 0.5 L4E, 2 blocks = 0.66 L4E, 3 blocks = 1 L4E, 4 blocks = 1.33 L4E, 5 blocks = 1.66 L4E | | 1 block = 0.5 L4E, 2 blocks = 0.66 L4E, 3 blocks = 1 L4E, 4 blocks = 1.33 L4E, 5 blocks = 1.66 L4E | ||
| benign hysterectomy in 12 blocks = 4 L4E, hemithyroid with nodular hyperplasia in 15 blocks = 5 L4E | | benign hysterectomy in 12 blocks = 4 L4E, hemithyroid with nodular hyperplasia in 15 blocks = 5 L4E | ||
|} | |} | ||
Note: | |||
*[[L4E rule 5 (2014)|Rule 5]] may apply to cases requiring a synoptic report as per the CAP. | |||
=== | ===Specimens this rule applies to=== | ||
Benign disease in: | Benign disease in: | ||
*Hysterectomy. | *Hysterectomy. | ||
*Thyroidectomy. | *Thyroidectomy. | ||
*Nephrectomy | *Simple Nephrectomy. | ||
*Breast lumpectomy. | *Breast lumpectomy. | ||
*Small bowel resection. | *Small bowel resection. | ||
*Large bowel resection. | *Large bowel resection. | ||
*Sleeve gastrectomy. | *Sleeve gastrectomy. | ||
*Appendix. | |||
Malignant disease - non-radical resections: | |||
*Partial nephrectomy. | |||
*Hemithyroidectomy with cancer. | |||
==See also== | ==See also== | ||
*[[L4E rules of 2014]]. | *[[L4E rules of 2014]]. | ||
*[[L4E rule 4 (2018)]]. | |||
==References== | ==References== | ||
Latest revision as of 01:13, 20 May 2019
This article covers L4E rule 4 for the 2014 L4E workload system. An overview of the L4E rules is found in the L4E rules of 2014.
The definitive reference for the rule is found on the CAP-ACP website.[1]
You can test your knowledge in the L4E rule 4 quiz.
Overview
- This rule applies to most benign resections.
- It applies to some small biopsies that are submitted in several blocks, e.g. an endoscopically resected large tubular adenoma of the colon without high-grade dysplasia submitted in 3 blocks.
Details
| Specimen type(s) | Weight (L4E) | Details | Examples |
|---|---|---|---|
| Most non-malignant resections (see below) | 1 L2/block, 0.33 L4E/block, minimum 1 L3 (0.5 L4E) | 1 block = 0.5 L4E, 2 blocks = 0.66 L4E, 3 blocks = 1 L4E, 4 blocks = 1.33 L4E, 5 blocks = 1.66 L4E | benign hysterectomy in 12 blocks = 4 L4E, hemithyroid with nodular hyperplasia in 15 blocks = 5 L4E |
Note:
- Rule 5 may apply to cases requiring a synoptic report as per the CAP.
Specimens this rule applies to
Benign disease in:
- Hysterectomy.
- Thyroidectomy.
- Simple Nephrectomy.
- Breast lumpectomy.
- Small bowel resection.
- Large bowel resection.
- Sleeve gastrectomy.
- Appendix.
Malignant disease - non-radical resections:
- Partial nephrectomy.
- Hemithyroidectomy with cancer.
See also
References
- ↑ Workload and Workforce Committee of the CAP-ACP. Workload Measurement Guidelines. Canadian Association of Pathologists (CAP-ACP). 2014. URL: https://www.cap-acp.org/cmsUploads/CAP/File/CAP-ACP%202014%20Workload%20FINAL.pdf. Accessed on: 17 October 2017.