The Korean Journal of Cytopathology (대한세포병리학회지)

The Korean Society for Cytopathology (대한세포병리학회)
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Second Opinion Diagnoses of Cytologic Specimens on Consultation : Asan Medical Center Experience

세포 병리 자문 재판독의 진단 불일치에 관한 연구: 서울아산병원의 경험

  • Park, So-Hyung (Department of Pathology, University of Ulsan College of Medicine, Asan Medical Center) ;
  • Ro, Jae-Y. (Department of Pathology, University of Ulsan College of Medicine, Asan Medical Center) ;
  • Cho, Kyung-Ja (Department of Pathology, University of Ulsan College of Medicine, Asan Medical Center) ;
  • Gong, Gyung-Yub (Department of Pathology, University of Ulsan College of Medicine, Asan Medical Center) ;
  • Cho, Yong-Mee (Department of Pathology, University of Ulsan College of Medicine, Asan Medical Center) ;
  • Khang, Shin-Kwang (Department of Pathology, University of Ulsan College of Medicine, Asan Medical Center)
  • 박소형 (울산대학교 의과대학 병리학교실, 서울아산병원) ;
  • 노재윤 (울산대학교 의과대학 병리학교실, 서울아산병원) ;
  • 조경자 (울산대학교 의과대학 병리학교실, 서울아산병원) ;
  • 공경엽 (울산대학교 의과대학 병리학교실, 서울아산병원) ;
  • 조영미 (울산대학교 의과대학 병리학교실, 서울아산병원) ;
  • 강신광 (울산대학교 의과대학 병리학교실, 서울아산병원)
  • Published : 2008.09.30
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Abstract

Background : Second opinion diagnosis of outside pathology slides is a common practice for efficient and proper patient management. We analyzed cytology slides from outside hospitals submitted for a second opinion diagnosis to determine whether the second opinion diagnosis had any influence on patient care. Methods : We reviewed 1,153 outside cytology slides referred to Asan Medical Center for second opinions from January, 2007, to December, 2007. All cases were categorized into three groups; no diagnostic discrepancy, minor diagnostic discrepancies (no impact on the management), and major diagnostic discrepancies (significant impact on the management and subsequent follow-up). Results : The thyroid was the most common organ system (933 cases, 80.9%), Forty cases (3.6%) belonged to the major diagnostic discrepancy group and 149 cases (12.8%) to the minor discrepancy group. For validation of second opinion diagnoses in major discrepancy cases, subsequent biopsy or surgical resection specimens and clinical information were reviewed, which were available in 29 cases. The second opinion diagnoses resulted in alteration of clinical management in 21 of 29 cases. Conclusion : For all referred patients, second opinion diagnosis is important and mandatory for appropriate patient care.

Keywords

References

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