Lung cancer morphologic diagnosticguidelines – Czech experience

Aleš RyškaUniversity Hospital, Hradec Králové

Lung cancer in Czech republic

Travis WD et al. J Thorac Oncol. 2011;6(2):244-85.

Rossi et al; International Journal of Surgical Pathology / Vol. 17, No. 3, June 2009

NSCLC

Morphology NOS

AC SC

Morphology + immunohistochemistry

SCAC NOS

CK7

Poorly differentiated NSCLC, favor adenoca

Pathologist = partner of the clinician

Pure morphology immunohistochemistry Molecular genetics+ +

Czech guidelines

• Printed version distributed to all pathologists• Freely available for clinicians• Electronic version available online• Material is obligatory to anybody providing

morphological diagnosis of LC• Controled during audits of laboratories• Recently slight changes (ALK)