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Five-year review of intraoperative pathology consultation in a single institution.

Intraoperative pathology consultation plays an important role in the management of surgical patients and is also a measure for quality control in surgical pathology. A retrospective study was conducted to review intraoperative consultation during a 5-year period at a single institution. There were 1...

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Published in:Baylor University Medical Center Proceedings Vol. 34; no. 6; pp. 649 - 654
Main Authors: Wang, Liping, Leng, Bing, Rampisela, Debby
Format: pictorial research tables/charts Journal Article
Published: Taylor & Francis Ltd Dec 2021
Online Access:View this record in EBSCOhost
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      jtl: Baylor University Medical Center Proceedings
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      dt: Dec 2021
      vid: 34
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/08998280.2021.1941700
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        atl: Five-year review of intraoperative pathology consultation in a single institution.
      aug:
        au:
          Wang, Liping
          Leng, Bing
          Rampisela, Debby
        affil: Department of Pathology, Baylor Scott and White Medical Center – Temple, Temple, Texas
      sug:
        subj:
          Intraoperative Period
          Referral and Consultation
          Surgical Patients
          Pathology, Clinical
          Human
          Retrospective Design
          Descriptive Statistics
          Histology
          Lymph Nodes Pathology
          Neoplasm Metastasis
      ab: Intraoperative pathology consultation plays an important role in the management of surgical patients and is also a measure for quality control in surgical pathology. A retrospective study was conducted to review intraoperative consultation during a 5-year period at a single institution. There were 19,145 intraoperative pathology consultation cases, including 19,026 concordant cases, 71 (<1%) frozen discordant cases, 11 (<1%) gross discordant cases, and 37 (<1%) deferred cases. Among frozen discordant cases, the most common cause for discordance was histologic sampling error (52.1%), followed by misinterpretation (42.3%). The most common major (clinically significant) frozen discordance was histologic sampling error for skin margins (32.4%), followed by histologic sampling error for lymph node metastasis (13.5%). Although our discordant rate (0.43%) was lower than that in previously reported studies (2%–8%), our major discordant rate was relatively high (50%). This review suggests that deeper sectioning of the blocks could improve the quality of our intraoperative consultations.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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