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    Audit of tumour histopathology reviewed by a regional oncology centre.

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    Authors
    Prescott, R J
    Wells, S
    Bisset, D L
    Banerjee, Saumitra S
    Harris, Martin
    Affiliation
    Department of Histopathology, Bolton General Hospital.
    Issue Date
    1995-03
    
    Metadata
    Show full item record
    Abstract
    AIMS: To analyse the diagnostic differences in reporting tumour histopathology between a district general hospital and a regional oncology centre. METHODS: Tumour histopathology reports (n = 227) extracted from Bolton General Hospital files between 1988 and 1992 were compared with the corresponding Christie Hospital (oncology centre) reports, the same material having been seen at both hospitals. RESULTS: Diagnostic agreement existed in 77% of all cases. The incidence of major discrepancies was 8.37%. Of the diagnoses, 19 (36%) cases involved major discrepancies and 34 (64%) cases minor discrepancies. Most discrepancies occurred in the lymphoma group and involved subclassification of Hodgkin's and non-Hodgkin's lymphoma. Ki1 anaplastic large cell lymphoma and T cell rich B cell lymphoma were problematic diagnoses. The correct grading of follicle centre cell lymphomas using the Kiel classification was another problem area. In 19 cases certain aspects of immunohistochemistry produced discrepancies. In one case an incorrect diagnosis was made at the oncology centre and in another both centres gave an incorrect diagnosis. CONCLUSIONS: Areas of diagnostic difficulty mainly involve the subclassification of lymphomas. Review of tumour pathology by experts is recommended, at least in certain categories, to ensure correct diagnosis and uniformity in subclassification of tumours.
    Citation
    Audit of tumour histopathology reviewed by a regional oncology centre. 1995, 48 (3):245-9 J. Clin. Pathol.
    Journal
    Journal of Clinical Pathology
    URI
    http://hdl.handle.net/10541/99102
    DOI
    10.1136/jcp.48.3.245
    PubMed ID
    7730487
    Type
    Article
    Language
    en
    ISSN
    0021-9746
    ae974a485f413a2113503eed53cd6c53
    10.1136/jcp.48.3.245
    Scopus Count
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    All Christie Publications

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