The dataset has been developed for the reporting of resection and biopsy specimens of the ear and temporal bone. It includes only primary tumours of the external auditory canal, middle and inner ear, including both benign and malignant entities (specifically due to anatomic confines and management alternatives which may require significant, destructive or disfiguring surgery).
By definition, all malignancies of the external ear (pinna, concha, scaphoid, lobe, etc., such as squamous cell carcinoma (SCC), basal cell carcinoma, pleomorphic dermal sarcoma, Merkel cell carcinoma and melanoma) are separately covered by the ICCR Skin Datasets. Primary parotid gland malignancies with direct extension in to the ear canal are excluded; the ICCR Carcinomas of the major salivary glands dataset should be used. Haematolymphoid neoplasms are also excluded from this dataset.
Neck dissections and nodal excisions are dealt with in a separate dataset, and this dataset should be used in conjunction, where applicable.
For bilateral tumours, a separate dataset should be completed for each tumour.
This dataset is intended for use for primary tumour resections. For resections of recurrent disease, the reporting guide may be used pragmatically although some data elements may be not applicable nor assessable.
These datasets were developed with the kind support of the North American Society of Head and Neck Pathology (NASHNP), American Academy of Oral and Maxillofacial Pathology (AAOMP), International Association of Oral and Maxillofacial Pathologists (IAOP), and British Society for Oral and Maxillofacial Pathology (BSOMP).
2nd edition – July 2024
Updated following the publication of the 2024 World Health Organization (WHO) Classification of Head and Neck Tumours, 5th edition.
SUMMARY OF CHANGES
• Added a new element ‘Clinical information’.
• Updated the ‘Operative procedure’ element.
• Updated the ‘Specimen(s) submitted’ element’.
• Updated the ‘Tumour site’ element.
• Added a separate element ‘Tumour laterality’.
• Added a new element ‘Block identification key’.
• Updated the ‘Histological tumour type’ element.
• Updated the ‘Histological tumour grade’ element.
• Updated the ‘Extent of invasion’ element.
• Updated the ‘Lymphovascular invasion’ element.
• Updated the ‘Perineural invasion’ element.
• Updated the ‘Coexistent pathology’ element.
• Updated the ‘Ancillary studies’ element.
• Other minor updates to elements were also included.
• Revised all notes, including incorporation of the most recent 2024 WHO Classification.
1st edition – September 2018
The 2nd edition of the dataset for Ear and temporal bone tumours was developed by the following international team:
Domain experts:
Authors of the previous edition of this dataset are available here.