准确及及时评估病理标本对患者护理和肿瘤管理至关重要。本研究旨在确定标准化乳房切除术图谱对外科医生和病理学家之间的沟通是否有助于改善病理处理。我们进行了一项连续12个月的前瞻性质量改进研究。在前6个月，根据标准科室方案执行常规的乳房切除术病理处理。接着的6个月内，我们在手术时完成了一份标准化的乳房切除术图谱，记录了所有良性和恶性病变的位置和术前病理诊断。我们使用协方差分析比较了两组之间乳房病变鉴定数量以及标本接收至最终病理报告日期之间的天数。常规处理组中标本接收至最终病理报告日期的平均时间（±标准误差）从8.3 ± 0.7天减少至使用标准化乳房切除术图谱的6.1 ± 0.6天，两组之间差异为2.1天（95%置信区间[CI] 0.3-4.0; p = 0.02）。鉴定出的病变数量从1.8 ± 0.2增加至2.6 ± 0.2，两组之间差异为0.8（95% CI 0.1-1.5; p = 0.02）。一份在手术时完成的标准化乳房切除术图谱能够改善病理处理的质量。这个图谱作为乳房病变地图，能够协助病变定位，提高准确性，并缩短最终病理报告的时间。© 2023. 作者。

Accurate and timely assessment of pathology specimens is critical for patient care and oncologic management. This study aimed to determine whether a standardized mastectomy diagram would facilitate communication among surgeons and pathologists and improve pathologic processing.A prospective quality improvement study was conducted over a continuous 12-month period. During the first 6 months, usual pathologic processing of mastectomy specimens was performed per standard department protocol. In the second 6 months, a standardized mastectomy diagram was completed at the time of surgery, noting the location and preoperative pathologic diagnosis of all benign and malignant lesions. An analysis of covariance was used to compare the number of breast lesions identified and the number of days between specimen receipt and the date of the final pathology report between each group.Time from specimen receipt to final pathologic report decreased from a mean (± SE) of 8.3 ± 0.7 days in the usual processing group to 6.1 ± 0.6 days with the use of the standardized mastectomy diagram, for a between-group difference of 2.1 days (95% confidence interval [CI] 0.3-4.0; p = 0.02). The number of lesions identified increased from 1.8 ± 0.2 to 2.6 ± 0.2, for a between-group difference of 0.8 (95% CI 0.1-1.5; p = 0.02).A standardized mastectomy diagram completed at the time of surgery improves the quality of pathologic processing. The diagram, which serves as a mastectomy lesion map, assists lesion localization, enhances accuracy, and reduces time to final pathology report.© 2023. The Author(s).