The Pathologist / Issues / 2015 / Apr / Stop the Press!
Training and education Profession Professional Development

Stop the Press!

04/27/2015 1 min read

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Clinical Scorecard: Stop the Press!

At a Glance

CategoryDetail
ConditionDiagnostic discordance in breast pathology
Key MechanismsMagnitude of diagnostic disagreement among pathologists
Target PopulationPathologists and patients undergoing breast biopsies
Care SettingPathology laboratories

Key Highlights

  • Diagnostic disagreement reported in around 25% of cases
  • Highest discordance in borderline diagnoses like atypical hyperplasia and DCIS
  • Study methodology lacked commonality with real-life conditions
  • Pathologists unable to solicit second opinions during the study

Guideline-Based Recommendations

Diagnosis

  • Consider consensus panels for complex cases

Management

    Monitoring & Follow-up

      Risks

        Patient & Prescribing Data

        Women undergoing breast cancer screening and biopsy

        Education on the risk of misdiagnosis may improve screening attendance

        Clinical Best Practices

          Related Resources & Content

          References

          1. JG Elmore, et al., “Diagnostic concordance among pathologists interpreting breast biopsy specimens”, JAMA, 313, 1122–1132 (2015). PMID: 25781441.

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