Errors in breast cancer pathology reports

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Be the first to know about upcoming webinars and join the hundreds that enhance their knowledge with our new videos, articles, and other industry leading content. Click here to receive your certificate of attendance or CE credit. Pathologists are not just diagnosticians.

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It was the sort of bad news every patient fears. Merlin Erickson, a year-old retired engineer in Abingdon, Md. Erickson, worried, began investigating the options: whether to have his prostate removed, or perhaps to have radiation treatment.

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It is a good idea to seek a second opinion on your pathology report if a change could affect the nature of your treatment. These errors included mistakes in staging, misidentification of the type of cancer, and misdiagnosis of a benign tumor as malignant and vice versa. A study at Northwestern University of breast cancer patients found that errors in breast cancer pathology reports would affect the decision to choose between a lumpectomy and mastectomy 7.

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Pathologists are actively engaged in the quality and safety movement, and robust literature is now available detailing pathology and laboratory error reduction strategies 1. Nevertheless, despite our best efforts, harmful pathology errors are unavoidable. What should pathologists do when errors inevitably occur? This summary presents recommendations for disclosure in the unique setting of pathology error, details of which were previously published by authors Yael Heher and Suzanne Dintzis in Advances in Anatomic Pathology 2.

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There are two kinds of second opinions that can help you. You should get both kinds of second opinions. Get a pathology second opinion before getting a treatment second opinion.

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Skip to Content. There is a member of your health care team who plays a vital role in your diagnosis and cancer care who you may never meet face to face: the pathologist. This is the doctor who analyzes the sample of tissue removed during a biopsy to make the correct diagnosis.

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Quality assurance and peer-review practices in surgical pathology have been well described in the literature, but the majority of these reports apply to the realm of general surgical pathology. Error types are qualitative, and are categorized according to impact on patient care. QA data of all amended reports from to in breast and gynecologic pathology, as a measure of error type and frequency, were reviewed.

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Advances in imaging technology mean that more and more breast cancers are being detected at the earliest stages — sometimes when the rogue cells are as tiny as a few grains of salt. But now there are new questions about whether many pathologists are able to render reliable opinions on such tiny lesions, according to an extensive New York Times examination of breast cancer cases. Stephanie Saul of The Times reports that pathology errors put women at risk for unnecessary and disfiguring surgery and potentially harmful radiation treatment. Discerning the difference between some benign lesions and early stage breast cancer is a particularly challenging area of pathology, according to medical records and interviews with doctors and patients.

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