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.
The definitive references for this rules in 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 resection (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.
- Nephrectomy..
- Breast lumpectomy.
- Small bowel resection.
- Large bowel resection.
- Sleeve gastrectomy.
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.