venerdì 29 marzo 2013

Second Opinions: Pathologists' Preventive Medicine

We pathologists have long understood the significance of misdiagnoses and the value of second opinions. Second opinions of pathology diagnoses are routinely used intradepartmentally not only for immediate patient diagnostic accuracy, but also as a tool for peer review, quality assurance, and quality improvement. These may occur as consensus conferences or mandatory second opinions of initial diagnoses of cancers. These measures to assure accuracy of diagnosis are well established in many pathology departments, both private and academic. And directed peer review—selecting specific disease types or particular sites of origin—provides added benefit by targeting latent factors that contribute to diagnostic error.
Da Allen TC. Second Opinions: Pathologists' Preventive Medicine.

Bibliografia:

Allen TC. Second opinions: pathologists' preventive medicine. Arch Pathol Lab Med. 2013 Mar;137(3):310-1.

Landro L. What if the doctor is wrong?: some cancers, asthma, other conditions can be tricky to diagnose, leading to incorrect treatments. Wall Street Journal. January 12,2012 (link) Accessed March 29, 2013.

lunedì 11 marzo 2013

Colorectal cancer: surgical pathology practice guidelines

Caro PATHfinder,

se può essere utile, voglio passarti un piccolo contributo sul cancro del colon.

Ti allego alcuni articoli di Quirke molto didattici che spiegano qual è il metodo e l'obiettivo del patologo nella diagnosi dei tumori del retto. Due articoli spiegano molto chiaramente tutte le possibili lesioni che vanno diagnosticate; un articolo guida nel report macroscopico e microscopico, un altro spiega bene qual è il significato del margine radiale nelle resezioni del retto e come va valutato.
Penso possa essere molto d'aiuto per tutti.

Ciao

Severo Campione, MD.