L4E rule 5 (2014)
From Libre Pathology
The definitive reference for the rule is found on the CAP-ACP website.
- This rule applies to specimens that require a synoptic report as per the College of American Pathologists (CAP).
|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)|
- Radical resections are covered by L4E rule 9.
|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|
- 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.