Double reporting and second opinion in head and neck pathology

Woolgar, Julia A.; Triantafyllou, Asterios; Thompson, Lester D.�R.; Hunt, Jennifer L.; Lewis, James S.; Williams, Michelle D.; Cardesa, Antonio; Rinaldo, Alessandra; Barnes, Leon; Slootweg, Pieter J.; Devaney, Kenneth O.; Gnepp, Douglas R.; Westra, William H.; Ferlito, Alfio

doi:10.1007/s00405-014-2879-8

Cited by 23 publications

(19 citation statements)

References 26 publications

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“…The majority (48/63) of discordant responses received stated squamous cell carcinoma (SCC). This concurs with the report by Woolgar et al 17 who, in their experience, list ‘mistaking necrotizing sialometaplasia for SCC’ as an example of potential misdiagnosis. The presence of squamous islands in necrotising sialometaplasia is considered a classic example of a benign lesion having the misleading appearance of SCC 17…”

Section: Discussionsupporting

confidence: 89%

Review of diagnostic error in anatomical pathology and the role and value of second opinions in error prevention

et al. 2018

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It was possible to ascertain that gynaecology, dermatopathology and gastrointestinal specimens had presented the greatest diagnostic challenge to the participant pathologists, determined as highest rate of diagnostic inaccuracy, that is, major discordance with respective case target diagnoses.Through a combination of routine second opinions, directed retrospective peer review and participation in appropriate external quality assurance schemes, the risk associated with these diagnoses can be minimised.

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Section: Discussionsupporting

confidence: 89%

Review of diagnostic error in anatomical pathology and the role and value of second opinions in error prevention

et al. 2018

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“…Second opinion or outside cases are the major source of referrals to an OMFP practice. 10 , 11 A 10-year study at Johns Hopkins Cancer Center (Baltimore, Maryland, USA) showed that the diagnoses in 7% of outside cases of head and neck lesions were later changed or modified. The tumor classification had to be changed in approximately 61% of the cases; the classification changed from benign to malignant in 24% and vice versa in 15%.…”

Section: Discussionmentioning

confidence: 99%

The use of oral and maxillofacial pathology services by general pathologists and their attitude towards it in Saudi Arabia

Binmadi

Almazrooa

2017

SMJ

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Objectives:To investigate the awareness and usage of oral and maxillofacial pathology (OMFP) subspecialty services among pathologists in Saudi Arabia.Methods:In this cross-sectional study, we conducted an electronic questionnaire survey of pathologists in all regions of Saudi Arabia. The study was conducted between July 2015 and August 2016. The questionnaire comprised 19 questions to evaluate the knowledge of pathologists regarding microscopic OMFP and their perceptions towards this subspecialty.Results:Most of the pathologists surveyed (94.6%) were aware of the OMFP subspecialty and its scope of practice. Although most of the pathologists recognized the importance and need of this subspecialty, 70% of them never referred or consulted an oral pathologist as they either diagnosed the cases themselves or did not know any oral pathologist (57.7%). The pathologists had the greatest difficulty in identifying and diagnosing odontogenic tumors, salivary gland tumors, and odontogenic cysts.Conclusion:Pathologists are aware of the OMFP subspecialty, but their utilization of the services offered by OMFP specialists in Saudi Arabia is quite low despite the strong demand for OMFP services.

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“…Thus, a second opinion diagnosis (SOD) given on indeterminate thyroid FNA, referred to an outside expert pathologist, is a common practice recorded in several studies . Conversely, little is known about the intra‐institutional second opinion diagnosis (iSOD), that is often informally performed among junior and more experienced colleague(s) but is not always acknowledged in the final sign‐out . As an example, iSOD may be used when an FN/SFN diagnosis is being considered, as this diagnosis should be as accurate as possible, as it requires surgery despite its low risk of malignancy (ROM 15%‐30%).…”

Section: Introductionmentioning

confidence: 99%

Intra‐institutional second opinion diagnosis can reduce unnecessary surgery for indeterminate thyroid FNA: A preliminary report on 34 cases

et al. 2017

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Double reporting and second opinion in head and neck pathology

Cited by 23 publications

References 26 publications

Review of diagnostic error in anatomical pathology and the role and value of second opinions in error prevention

Review of diagnostic error in anatomical pathology and the role and value of second opinions in error prevention

The use of oral and maxillofacial pathology services by general pathologists and their attitude towards it in Saudi Arabia

Intra‐institutional second opinion diagnosis can reduce unnecessary surgery for indeterminate thyroid FNA: A preliminary report on 34 cases

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