Pathology reporting: communication is key

Guidelines generally focus on complete reporting of histopathology data in a standard format. We highlight the importance of effectively communicating the “message” to clinicians who do not view histology images. Communication issues related to each part of the histopathology report are outlined. We emphasize that reports must be unambiguous and include only relevant information so that the latter is not misunderstood or missed by the treating clinician. The specimen block key should be available to reporting and reviewing pathologists but does not have to be included in the report communicated to the clinical team. Pathologists should also be aware that they may be communicating directly with patients who read histopathology reports. Grade and stage represent biological continuums. In truly borderline cases, effective communication may be more important than precise grading or staging. We also provide advice on recording of other opinions that had been sought while reporting a case.