Difference between revisions of "L4E rule 9 (2018)"

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==Overview==
 
==Overview==
*This rule applies to radical resections and complex cases.
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*This rule applies to resections post treatment/no residual tumour (pyT0).  
*It defines the ''L6 code'' as an all encompassing code for a case. Resections that include lymph nodes and several organs are given a L6 code and adjusted upwards if (1) >30 blocks (see details) and/or (2) require more than one CAP synoptic report.
 
  
 
==Details==
 
==Details==
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! Weight (L4E)
 
! Weight (L4E)
 
! Details
 
! Details
! Examples
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! Example
 
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| Radical resections with one synoptic
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| Resections post-therapy with or without residual tumour
| 10 L4E + 0.33 L4E/block for each block >30 blocks
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| 10 L4E for first 40 blocks, 0.25 L4E/blocks in excess of 40
| 30 blocks = 10 L4E, 31 blocks = 10.33 L4E, 32 blocks = 10.66 L4E
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| 40 blocks = 10 L4E, 41 blocks = 10.25 L4E, 42 blocks = 10.5 L4E; [[L4E rule 5 (2018)|rule 5]] applies if a synoptic is done
| prostatectomy with lymph nodes in 30 blocks = 10 L4E, radical mastectomy with lymph nodes in 60 blocks = 10 L4E + 30 x 0.33 L4E = 60 L4E
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| lumpectomy post treatment in breast cancer in 44 blocks, ypT0 = 10 + 1 (extra block) + 3 (synoptic report) L4Es
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| Radical resections with more than one synoptic
 
| 10 L4E + 0.33 L4E/block for each block >30 blocks + 5 L4E/additional synoptic
 
| 30 blocks = 10 L4E, 31 blocks = 10.33 L4E, 32 blocks = 10.66 L4E
 
| cytoprostatecomy with lymph nodes [[urothelial carcinoma|UCC]] and [[prostate cancer|Pca]] in 45 blocks = 10+5+5 L4E, radical bilateral mastectomy with lymph nodes and 2 separate cancers in 66 blocks = 10+12+5 L4E
 
 
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Latest revision as of 22:38, 19 May 2019

This article covers L4E rule 9 for the 2018 L4E workload system. An overview of the L4E rules is found in the L4E rules of 2018.

The definitive reference for this rule in found on the CAP-ACP website.[1]

Overview

  • This rule applies to resections post treatment/no residual tumour (pyT0).

Details

Specimen (s) Weight (L4E) Details Example
Resections post-therapy with or without residual tumour 10 L4E for first 40 blocks, 0.25 L4E/blocks in excess of 40 40 blocks = 10 L4E, 41 blocks = 10.25 L4E, 42 blocks = 10.5 L4E; rule 5 applies if a synoptic is done lumpectomy post treatment in breast cancer in 44 blocks, ypT0 = 10 + 1 (extra block) + 3 (synoptic report) L4Es

See also

References

  1. 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. Accessed on: 19 May 2019.