Sarcomas in north west England: I. Histopathological peer review.
Harris, Martin Hartley, Ann L Blair, Val Birch, Jillian M Banerjee, Saumitra S Freemont, A J McClure, J McWilliam, L J
Harris, Martin
Hartley, Ann L
Blair, Val
Birch, Jillian M
Banerjee, Saumitra S
Freemont, A J
McClure, J
McWilliam, L J
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Abstract
A total of 468 cases of bone, soft tissue and visceral sarcomas (and certain other tumours) diagnosed during the years 1982-84 in North West England were entered in a study of histopathological peer review, incidence and survival. This paper describes the effects of peer review. Material was reviewed by a panel of five pathologists for 413 of the 450 cases originally registered as sarcomas with the Regional Cancer Registry. The diagnosis of sarcomas was confirmed in 76% cases and and there was agreement on sub-type for 53% cases. Measures of agreement were lowest for the two sub-types most commonly diagnosed i.e. malignant fibrous histiocytoma and leiomyosarcoma. Degree of agreement between individual pathologists and final panel diagnosis was also very variable but never less than 65%. It is concluded that second opinion is essential in cases of presumed sarcomas for studies of incidence and aetiology and to ensure that appropriate treatment is selected.
Description
Date
1991-08
Publisher
Collections
Keywords
Bone Cancer
Soft Tissue Cancer
Soft Tissue Cancer
Type
Article
Citation
Sarcomas in north west England: I. Histopathological peer review. 1991, 64 (2):315-20 Br. J. Cancer