[Reporting system in surgical pathology].

Abstract

The questionnaire survey on quality assurance in pathology departments and certified hospitals was performed by Japanese Society of Pathology in 2001 and it showed that most institutions do not have guidelines for the reporting system. In this paper, how to write histopathology reports is described. The reports are composed of 1) clinical data, 2) pathology data, 3) macroscopic findings, 4) microscopic findings, 5) diagnoses, and 6) comments. Neither of the components should be made light of. We also describe the results of questionnaire survey on histopathology reports we performed.