{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T09:05:48Z","timestamp":1789376748680,"version":"build-2803163510"},"reference-count":20,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T00:00:00Z","timestamp":1786492800000},"content-version":"vor","delay-in-days":11,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pathology International"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>The Japanese General Rules of Clinical and Pathological Reporting of Cancers (Kiyaku) are unique standardized systems for cancer handling and documentation used by professionals involved in cancer care in Japan. The Japanese Society of Pathology (JSP) conducted a questionnaire survey among practicing pathologists regarding the utilization and awareness of Kiyaku. We analyzed 1083 valid responses, representing 22.4% of the JSP members and 33.8% of the board\u2010certified pathologists. Kiyaku, with &gt;\u200990% latest\u2010edition ownership, covered approximately 90% of all cancers in Japan. The timing of the implementation of the new editions varied not only across institutions but also among individuals in each institution. Among department directors, 46.1% reported implementing new editions at their discretion without prior notice. Item\u2010level responses were collected for the stomach, lung, and breast as representative Kiyaku; histological classification and descriptive symbols were widely considered useful and frequently used across the three cancers, whereas biopsy\u2010related items in the lung and breast were used less frequently. In conclusion, Kiyaku is broadly embedded in daily practice and facilitates standardized cancer documentation in Japan, although several challenges remain. The JSP should clearly articulate the purpose of Kiyaku and promote coordinated adoption to standardize its use in pathology practice.<\/jats:p>","DOI":"10.1111\/pin.70162","type":"journal-article","created":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T05:14:34Z","timestamp":1786598074000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Utilization and Awareness of Japanese General Rules of Clinical and Pathological Recording of Cancers Among Japanese Pathologists: A Nationwide Questionnaire Survey"],"prefix":"10.1111","volume":"76","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7922-1871","authenticated-orcid":false,"given":"Norihiro","family":"Teramoto","sequence":"first","affiliation":[{"name":"Department of Pathology NHO Shikoku Cancer Center Matsuyama Ehime Japan"},{"name":"Division of Cancer Prevention and Epidemiology, Center for Cancer Research NHO Shikoku Cancer Center Matsuyama Ehime Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-0454-8289","authenticated-orcid":false,"given":"Reiko","family":"Watanabe","sequence":"additional","affiliation":[{"name":"Department of Surgical Pathology Sapporo Medical University, School of Medicine Sapporo Hokkaido Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5315-085X","authenticated-orcid":false,"given":"Ichiro","family":"Ito","sequence":"additional","affiliation":[{"name":"Department of Pathology Fujieda Municipal General Hospital Fujieda Shizuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4855-4366","authenticated-orcid":false,"given":"Toyonori","family":"Tsuzuki","sequence":"additional","affiliation":[{"name":"Department of Surgical Pathology Aichi Medical University, School of Medicine Nagakute Aichi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,12]]},"reference":[{"issue":"5","key":"e_1_2_15_2_1","first-page":"466","article-title":"General Rules for Cancers, Cross\u2010Cutting Japanese Cancer Staging Manual and ICCR: How the Japanese Society of Pathology Will Be Involved in the Future","volume":"40","author":"Watanabe R.","year":"2022","journal-title":"Pathology and Clinical Medicine"},{"issue":"5","key":"e_1_2_15_3_1","first-page":"424","article-title":"International Trends of Pathological Reports, Present and Future","volume":"40","author":"Ochiai A.","year":"2022","journal-title":"Pathology and Clinical Medicine"},{"issue":"5","key":"e_1_2_15_4_1","first-page":"431","article-title":"International Collaboration on Cancer Reporting (ICCR): The Purpose of Organization and Its Activity","volume":"40","author":"Tsuzuki T.","year":"2022","journal-title":"Pathology and Clinical Medicine"},{"key":"e_1_2_15_5_1","volume-title":"General Rules for Surgical and Pathological Studies of Gastric Cancer","author":"Japanese Gastric Cancer Association","year":"1962"},{"key":"e_1_2_15_6_1","volume-title":"General Rule for Clinical and Pathological Record of Lung Cancer","author":"Japan Lung Cancer Society","year":"2017"},{"key":"e_1_2_15_7_1","volume-title":"Japanese Classification of Gastric Carcinoma","author":"Japanese Gastric Cancer Association","year":"2010"},{"key":"e_1_2_15_8_1","volume-title":"Japanese Classification of Colorectal, Appendiceal, and Anal Carcinoma","author":"Japanese Society for Cancer of the Colon and Rectum","year":"2018"},{"key":"e_1_2_15_9_1","volume-title":"General Rules for Clinical and Pathological Recording of Breast Cancer","author":"Japanese Breast Cancer Society","year":"2025"},{"key":"e_1_2_15_10_1","unstructured":"International Agency for Research on Cancer [Home Page on the Internet] (WHO Classification of Tumours. Lyon: International Agency for Research on Cancer 2026) accessed May 11 2026 https:\/\/whobluebooks.iarc.fr."},{"key":"e_1_2_15_11_1","volume-title":"UICC TNM Classification of Malignant Tumours","author":"Brierley J. D.","year":"2025"},{"key":"e_1_2_15_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/his.14431"},{"key":"e_1_2_15_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10147-019-01434-w"},{"key":"e_1_2_15_14_1","unstructured":"National Cancer Center Japan Center for Cancer Registries Hospital\u2010Based Cancer Registry: Manuals and Site\u2010Specific Coding Texts[Home Page on the Internet] (National Cancer Center Japan 2026) accessed May 11 2026 https:\/\/ganjoho.jp\/medpro\/cancercontrol\/canreg\/hospital\/manual.html."},{"key":"e_1_2_15_15_1","doi-asserted-by":"publisher","DOI":"10.1200\/CCI.20.00104"},{"key":"e_1_2_15_16_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17020521"},{"key":"e_1_2_15_17_1","unstructured":"The Survey Working Group of the Kiyaku Committee of the Japanese Society of Pathology the Questionnaire Survey About Utilization of the Japanese General Rules of Clinical and Pathological Recording of Cancers [Home Page on the Internet] (Japanese) (Japanese Society of Pathology 2024) https:\/\/forms.gle\/LKhUxEQPpA45yaVdA."},{"key":"e_1_2_15_18_1","unstructured":"National Cancer Center Japan Center for Cancer Registries Hospital\u2010Based Cancer Registry: National Aggregated Report. [Monograph on the Internet] (Including Non\u2010Designated Hospitals) (Japanese) (National Cancer Center Japan 2025) p. 2023 https:\/\/ganjoho.jp\/public\/qalinks\/report\/hospc\/pdf\/2023report.pdf."},{"key":"e_1_2_15_19_1","unstructured":"Japanese Society of Pathology Kiyaku\u2010Net (the Kiyaku Committee) [Home Page on the Internet] (Japanese Society of Pathology 2026) https:\/\/pathology.or.jp\/kiyakunet.html."},{"key":"e_1_2_15_20_1","unstructured":"Ministry of Health Labour and Welfare [Monograph on the Internet] Cancer Incidence of Japan (Ministry of Health Labour and Welfare 2026) p. 2023 https:\/\/www.mhlw.go.jp\/content\/10901000\/001630323.pdf."},{"key":"e_1_2_15_21_1","unstructured":"Australian Government Department of Health and Aged Care [Monograph on the Internet] Quality Use of Pathology (QUP) Project Stream: Final Report for the Structured Pathology Reporting of Cancer in Australia 2017\u201320 Project (Canberra: Australian Government Department of Health and Aged Care 2020) https:\/\/www.health.gov.au\/resources\/publications\/quality-use-of-pathology-qup-project-stream-final-report-for-the-structured-pathology-reporting-of-cancer-in-australia-2017-20-project?language=en."}],"container-title":["Pathology International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pin.70162","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/pin.70162","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pin.70162","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T08:40:09Z","timestamp":1789375209000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/pin.70162"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":20,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["10.1111\/pin.70162"],"URL":"https:\/\/doi.org\/10.1111\/pin.70162","archive":["Portico"],"relation":{},"ISSN":["1320-5463","1440-1827"],"issn-type":[{"value":"1320-5463","type":"print"},{"value":"1440-1827","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"2026-06-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-01","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-12","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70162"}}