['Traditionally, pathology reports have been textual, with a high degree of variability. In part, they miss some of the information needed, e.g. for therapy decisions. To meet all requirements, it would be helpful to have a tool providing reminders of the necessary data and facilitating the transfer of these data into a pathology information system (PIS). Here, we describe a TNM-adapted toolset including a PIS-integrated structured template that contributes to improving pathology reports of prostatectomy specimens.', 'All prostatectomy reports between January 2002 and August 2010 (n\u2003=\u20031049) were classified into descriptive reports (DRs) (n\u2003=\u2003411), structured reports (SRs) arranged according to tumour spread, lymph node status, and surgical margin status (n\u2003=\u2003333), and template-based synoptic reports (TBSRs) (n\u2003=\u2003305). The report types were compared with regard to the content of 11 organ-specific essential data (ED) items crucial for exact TNM classification, therapy decisions, or prognostication. All 11 ED items were included in 2.7% of DRs, 43.5% of SRs and 97.2% of TBSRs, with a statistically highly significant difference (P\u2003<\u20030.001).'] Do template-based synoptic reports improve the quality of pathology reports of prostatectomy specimens?