PubTransformer

A site to transform Pubmed publications into these bibliographic reference formats: ADS, BibTeX, EndNote, ISI used by the Web of Knowledge, RIS, MEDLINE, Microsoft's Word 2007 XML.

Characteristics of a Breast Pathology Consultation Practice.

Abstract - Intradepartmental consultation is a routine practice commonly used for new diagnoses. Expert interinstitutional case review provides insight into particularly challenging cases.
PMID
Related Publications

Breast pathology practice: most common problems in a consultation service.

Inter-Institutional Pathology Consultation: The Importance of Breast Pathology Subspecialization in a Setting of Tertiary Cancer Center.

Diagnostic concordance among pathologists interpreting breast biopsy specimens.

Papillary lesions of the breast: impact of breast pathology subspecialization on core biopsy and excision diagnoses.

Evaluation of 12 strategies for obtaining second opinions to improve interpretation of breast histopathology: simulation study.

Authors

Mayor MeshTerms
Keywords
Journal Title archives of pathology & laboratory medicine
Publication Year Start




PMID- 28353380
OWN - NLM
STAT- MEDLINE
DA  - 20170329
DCOM- 20170418
LR  - 20170418
IS  - 1543-2165 (Electronic)
IS  - 0003-9985 (Linking)
VI  - 141
IP  - 4
DP  - 2017 Apr
TI  - Characteristics of a Breast Pathology Consultation Practice.
PG  - 578-584
LID - 10.5858/arpa.2016-0371-OA [doi]
AB  - CONTEXT: - Intradepartmental consultation is a routine practice commonly used for
      new diagnoses. Expert interinstitutional case review provides insight into
      particularly challenging cases. OBJECTIVE: - To investigate the practice of
      breast pathology consultation at a large tertiary care center. DESIGN: - We
      reviewed breast pathology cases sent for private consultation and internal cases 
      reviewed by multiple pathologists at a tertiary center. Requisitions and reports 
      were evaluated for diagnostic reason for consultation, rate of multiple
      pathologist review at the tertiary center, use of immunohistochemistry, and, for 
      private consultation cases, type of sender and concordance with the outside
      diagnosis. RESULTS: - In the 985 private consultation cases, the most frequent
      reasons for review were borderline atypia (292 of 878; 33.3%), papillary lesion
      classification (151 of 878; 17.2%), evaluating invasion (123 of 878; 14%),
      subtyping carcinoma (75 of 878; 8.5%), and spindle cell (67 of 878; 7.6%) and
      fibroepithelial (65 of 878; 7.4%) lesion classification. Of 4981 consecutive
      internal cases, 358 (7.2%) were reviewed, most frequently for borderline atypia
      (90 of 358; 25.1%), subtyping carcinoma (63 of 358; 17.6%), staging/prognostic
      features (59 of 358; 16.5%), fibroepithelial lesion classification (45 of 358;
      12.6%), evaluating invasion (37 of 358; 10.3%), and papillary (20 of 358; 5.6%)
      and spindle cell (18 of 358; 5.0%) lesion classification. Of all internal cases, 
      those with a final diagnosis of atypia had a significantly higher rate of review 
      (58 of 241; 24.1%) than those with benign (119 of 2933; 4.1%) or carcinoma (182
      of 1807; 10.1%) diagnoses. Immunohistochemistry aided in diagnosis of 39.7% (391 
      of 985) and 21.2% (76 of 359) of consultation and internally reviewed cases,
      respectively. CONCLUSIONS: - This study confirms areas of breast pathology that
      represent diagnostic challenge and supports that pathologists are appropriately
      using expert consultation.
FAU - East, Ellen G
AU  - East EG
FAU - Zhao, Lili
AU  - Zhao L
FAU - Pang, Judy C
AU  - Pang JC
FAU - Jorns, Julie M
AU  - Jorns JM
AD  - From the Departments of Pathology (Drs East, Pang, and Jorns) and Biostatistics
      (Dr Zhao), University of Michigan, Ann Arbor.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Arch Pathol Lab Med
JT  - Archives of pathology & laboratory medicine
JID - 7607091
SB  - AIM
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Breast/*pathology
MH  - Breast Diseases/*diagnosis
MH  - Breast Neoplasms/*diagnosis
MH  - Breast Neoplasms, Male/*diagnosis
MH  - Child
MH  - Female
MH  - Humans
MH  - Immunohistochemistry/methods
MH  - Male
MH  - Middle Aged
MH  - Pathology, Clinical/methods
MH  - Referral and Consultation
MH  - Reproducibility of Results
MH  - Sensitivity and Specificity
MH  - Young Adult
EDAT- 2017/03/30 06:00
MHDA- 2017/04/19 06:00
CRDT- 2017/03/30 06:00
AID - 10.5858/arpa.2016-0371-OA [doi]
PST - ppublish
SO  - Arch Pathol Lab Med. 2017 Apr;141(4):578-584. doi: 10.5858/arpa.2016-0371-OA.