Value of Specialist Pathology Review in a Single Statewide Gynecologic Cancer Service

International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society
Jerome MelonPaul A Cohen

Abstract

A case review by specialist diagnostic pathologists as part of a Gynecologic Oncology Multi-disciplinary Tumor group has the potential to influence the management of patients with cancer. The primary aim of this study was to determine the frequency of diagnostic discrepancies between the initial (nonspecialist) and final pathological diagnoses in cases referred to the Gynecologic Oncology Tumor Conference (TC) in Western Australia and the impact of such revised diagnosis on clinical management. A secondary aim was to assess the evolving workload encountered by the TC during a 5-year interval. The records of the weekly TC for the 2 calendar years 2008 and 2013 were examined, and histological and cytological specimens that had been initially assessed by "outside" (nonspecialist) pathology departments, and subsequently reviewed by specialist pathologists, were assessed. The initial and final diagnoses were compared, and where the pathological findings were amended upon review, it was determined whether the change affected clinical management. Diagnostic discrepancies that resulted in a change in patient management were classified as major, whereas discrepancies that did not affect patient management were classified as minor. A tot...Continue Reading

References

Dec 21, 2000·International Journal of Radiation Oncology, Biology, Physics·S ChafeV Capstick
Apr 17, 2004·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·J T SantosoE V Hannigan
Dec 6, 2008·Journal of Cancer Education : the Official Journal of the American Association for Cancer Education·Troy A Gatcliffe, Robert L Coleman
Dec 4, 2009·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Paul CohenAndrea Penman
Mar 8, 2011·Journal of Cancer Education : the Official Journal of the American Association for Cancer Education·Abdul Rahman Jazieh

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Citations

Jan 7, 2021·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Vinita Angeline RajaduraiPaul Andrew Cohen

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