RT Journal Article
SR Electronic
T1 Second Opinion Reviews for Cancer Diagnoses in Anatomic Pathology: A Comprehensive Cancer Center's Experience
JF Anticancer Research
JO Anticancer Res
FD International Institute of Anticancer Research
SP 2989
OP 2994
VO 38
IS 5
A1 CAROLINA STROSBERG
A1 JULIE GIBBS
A1 DIANA BRASWELL
A1 RONNI R. LESLIE
A1 JANE MESSINA
A1 BARBARA A. CENTENO
A1 DOMENICO COPPOLA
YR 2018
UL http://ar.iiarjournals.org/content/38/5/2989.abstract
AB 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.