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Research ArticleClinical Studies

Second Opinion Reviews for Cancer Diagnoses in Anatomic Pathology: A Comprehensive Cancer Center's Experience

CAROLINA STROSBERG, JULIE GIBBS, DIANA BRASWELL, RONNI R. LESLIE, JANE MESSINA, BARBARA A. CENTENO and DOMENICO COPPOLA
Anticancer Research May 2018, 38 (5) 2989-2994;
CAROLINA STROSBERG
1Department of Chemical Biology Molecular Medicine, H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL, U.S.A.
2Department of Pathology and Cell Biology, University of South Florida, Tampa, FL, U.S.A.
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JULIE GIBBS
1Department of Chemical Biology Molecular Medicine, H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL, U.S.A.
2Department of Pathology and Cell Biology, University of South Florida, Tampa, FL, U.S.A.
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DIANA BRASWELL
1Department of Chemical Biology Molecular Medicine, H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL, U.S.A.
2Department of Pathology and Cell Biology, University of South Florida, Tampa, FL, U.S.A.
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RONNI R. LESLIE
3Department of Anatomic Pathology, H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL, U.S.A.
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JANE MESSINA
3Department of Anatomic Pathology, H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL, U.S.A.
4Department of Oncological Sciences, University of South Florida, Tampa, FL, U.S.A.
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BARBARA A. CENTENO
3Department of Anatomic Pathology, H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL, U.S.A.
4Department of Oncological Sciences, University of South Florida, Tampa, FL, U.S.A.
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DOMENICO COPPOLA
1Department of Chemical Biology Molecular Medicine, H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL, U.S.A.
3Department of Anatomic Pathology, H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL, U.S.A.
4Department of Oncological Sciences, University of South Florida, Tampa, FL, U.S.A.
5Department of Tumor Biology, H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL, U.S.A.
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  • For correspondence: domenico.coppola@moffitt.org
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Abstract

Aim: The objective of this study was to define the rates of discrepancy between outside pathological diagnoses and secondary reviews. Materials and Methods: We assessed the rates of discordance between outside diagnoses and secondary reviews, categorizing by organ site and minor or major (affecting patient care) discordances. Results: A total of 9,289 consecutive surgical pathology (SP) and cytopathology (CP) cases reviewed in 2015 were identified. For 8,191 outside SP cases reviewed, the overall discordance rate (DR) was 14.2% (2.2% major, 12.0% minor). Specifically, neuropathology had the highest DR (10.9%), cutaneous and breast the lowest (1.1% each). Among 1,098 CP cases, the total DR was 13.7% (3.0% major, 10.7% minor). The majority of CP cases (1,066) were non-gynecological and had a total DR of 13.4% (2.7% major, 10.7% minor). Conclusion: While major DR was low, certain subspecialties had high DRs. This project can help identify areas where focused education could help improve pathological diagnostic accuracy for cancer.

  • Pathology
  • second opinion
  • discrepancies
  • cancer center
  • Received January 7, 2018.
  • Revision received February 23, 2018.
  • Accepted March 8, 2018.
  • Copyright© 2018, International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved
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Anticancer Research: 38 (5)
Anticancer Research
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May 2018
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Second Opinion Reviews for Cancer Diagnoses in Anatomic Pathology: A Comprehensive Cancer Center's Experience
CAROLINA STROSBERG, JULIE GIBBS, DIANA BRASWELL, RONNI R. LESLIE, JANE MESSINA, BARBARA A. CENTENO, DOMENICO COPPOLA
Anticancer Research May 2018, 38 (5) 2989-2994;

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Second Opinion Reviews for Cancer Diagnoses in Anatomic Pathology: A Comprehensive Cancer Center's Experience
CAROLINA STROSBERG, JULIE GIBBS, DIANA BRASWELL, RONNI R. LESLIE, JANE MESSINA, BARBARA A. CENTENO, DOMENICO COPPOLA
Anticancer Research May 2018, 38 (5) 2989-2994;
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Keywords

  • pathology
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