Colorectal NSSG Audit Day - Polyp Cancers Northumbria Healthcare NHS Trust Sarah Mills

Inclusion criteria & Outcome Measures* *Suggested 23 rd June 2014 Inclusion criteria Date of diagnosis 1 st April 2010 – 31 st March 2014 Final pathological staging = T1, M0 Outcome measures Age Sex Local excision; Yes/No Major resection; Yes/No – If yes, residual disease; Yes/No – If yes, lymph node metastases; Yes/No 90/7 mortality

Denominator/Context CRC NHCT Date Dx 1/4/10 – 31/3/14; n= (4.3%) cases excluded (referred N/Cle Rx) N=1199 M:F = 1.38:1 Mean age = 71 (29-100) M0, pT1; n=130 (10.8%)* *+ 9 ypT1 + 1 cpT ypT0

NB No 90/7 Mortality

? Local Resection ? Recurrence ? Avoid Resection

Kikuchi or Haggitt Stage; 82/96 (85%) Local resections

Reporting of risk factors* *? Case for synoptic reporting vs quality specimens Kikuchi or Haggitt stage; 85% (some fence-sitting) Resection margin; 68.8% Degree differentiation; 88.5% Mucinous; 2.1% (ie only if +ve?) Tumour budding; 1.0% (ie only if +ve?) Lymphovascular invasion; 35.4%