L4E rule 5 (2014)
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This article covers L4E rule 5 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]
Overview
- This rule applies to specimens that require a synoptic report as per the College of American Pathologists (CAP).
Details
| Specimen type(s) | Weight (L4E) | Details | 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 | If the case is <5 L4E = 5 L4E; If the case is >5 L4E, no change | Malignant colorectal polyp in 2 blocks = 5 L4E, breast lumpectomy with carcinoma in 15 blocks = 5 L4E (rule 4), hemithyroidectomy with PTC in 18 blocks = 6 L4E (rule 4) |
Note:
- Radical resections are covered by L4E rule 9.
Further examples
| Specimen | Rule 5 applies? | L4E | Explanation |
|---|---|---|---|
| Invasive malignant melanoma - 1 punch biopsy | Yes | 5 L4E | synoptic has to be done, would otherwise by 1 L4E as per rule 1 |
| Melanoma in situ - 1 punch biopsy | No | 1 L4E | synoptic does not have to be done, rule 1 applies |
| Partial nephrectomy in 9 blocks with clear cell RCC | Yes | 5 L4E | synoptic has to be done, would otherwise be 3 L4E as per rule 4 |
| Lumpectomy in 24 blocks with DCIS | No | 8 L4E | synoptic has to be done, rule 4 applies |
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.