Standardization of Histopathological Auditing of the Mesorectal Specimen in the Brazilian National CancerInstitute / INCA

ABSTRACT

Aiming the decrease of local recurrence, the Heald´sstandardization was based on the clinical andpathological studies of Quirke and Reynolds thatdemonstrated the importance of the systematic exam ofthe radial margins which predicted the occurrence ofrecurrence, evidencing that most of the pelvic recurrenceshappened when the circumferential limit was involved.The Abdominal-Pelvic Surgery and Pathology Servicesof Brazilian National Cancer Institute (INCA)standardized the evaluation of radial margin ofextraperitoneal rectum tumors submitted to a curativesurgery since July 2004. Besides that the Quirke’stechnique of histopathological analysis of themesorectum modified by the INCA will be described.