Lessons we learn from hematopathology consultation in Taiwan

Chen Chan, Shih Wen Huang, Ih Jen Su, Kung Chao Chang

研究成果: Review article同行評審

摘要

The appropriate management of hematology patients depends first on correct diagnoses. Expert review is important in reaching accurate diagnoses. To improve diagnostic accuracy, the Taiwan Society of Pathology and the Taiwan Division of the International Academy of Pathology has been conducting an expert consultation program for general pathologists since 2001. As per this program, we have received a total of 395 cases (406 samples) for review. We found that meaningful diagnostic discrepancies occurred frequently in hematopathology reviews. Ambiguous or nondiagnostic original reports were the major causative factor for the major discrepancy cases, which demonstrates that diagnostic uncertainty is a big problem for referring pathologists. However, the World Health Organization lymphoma classification may be poorly reproducible in countries where extensive use of an ancillary technique is not used by general pathologists. This review is intended to report the misdiagnoses most commonly seen in the hematopathology practice in Taiwan. Awareness of the easily misinterpreted entities helps to achieve the right diagnosis and improve patient care.

原文English
頁(從 - 到)738-748
頁數11
期刊Journal of the Formosan Medical Association
112
發行號12
DOIs
出版狀態Published - 2013 十二月

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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