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Pathology Reports

How Pathology Report Affects Treatment of Colorectal Cancer

Pathology reports are the most important medical documents:

  • Generally only complete information in a patient file is a pathology report.

Types of pathology reports

  • Free Text

  • Structured

  • Synoptic

CAP what is not synoptic report

CAP video

Pathology reports suffer from the outside forces:

  • Clinicians who do not want (!) "inadequate specimen" reports.

  • We change our diagnosis so that clinicians do not misunderstand

  • Do not write chronic prostitis because they may assume that elevated PSA levels are due to chronic prostitis ???

  • We change our reports so that patients do not misunderstand

    • Change prostate grading scheme so that patients are grade group 1, not in 6 out of 10.

    http://pathology.jhu.edu/ProstateCancer/NewGradingSystem.pdf

    • Explanatory notes for patients

  • We change tumor names so that insurance firms do not label patients as cancer

    • Change thyoid tumor names (NIFTP)

  • Patoloji Raporunda Yer Alan Tanılar Tekrarlanabilir mi? Are the Pathologic Diagnosis reproducible?

http://guncelpatoloji.org/uploads/pdf/pdf_3.pdf

  • Hasta'ya açıklama içeren patoloji raporu

https://twitter.com/TeamCaptainJohn/status/908456197740793856

The FAQ initiative explaining pathology reports to patients

http://www.nature.com/modpathol/journal/v23/n9/full/modpathol2010108a.html

https://academic.oup.com/ajcp/article/137/4/606/1760925/Addenda-in-Pathology-ReportsTrends-and-Their

The Complete Surgical Pathology Report

https://link.springer.com/chapter/10.1007%2F978-1-4939-2339-7_11

Pathologist Brings Patients Into the Lab to See Their Cancer Close-Up

‘Please let me see the dragon that I’m slaying!’

http://www.hhnmag.com/articles/8561-pathologist-brings-patients-into-the-lab-to-see-their-cancer-close-up#.WcAc0linuq8.facebook

http://www.humanpathol.com/article/S0046-8177(17)30148-X/fulltext

Pathologists' Perspectives on Disclosing Harmful Pathology Error

https://www.ncbi.nlm.nih.gov/pubmed/28362155

CommunicatingUncertainty in Surgical PathologyReports: A Survey of Staff Physicians and Residents at an Academic Medical Center.

https://www.ncbi.nlm.nih.gov/pubmed/28725774

Communicating diagnostic uncertainty in surgical pathologyreports: disparities between sender and receiver.

https://www.ncbi.nlm.nih.gov/pubmed/24939143

Patients Want Web Access To Test Results But Don't Want To Have To Be A Doctor To Understand Them

https://www.forbes.com/sites/ritarubin/2017/12/29/patients-want-web-access-to-test-results-but-dont-want-to-have-to-be-a-doctor-to-understand-them/2/#4bd5717e3db5

Data set for the reporting of lung cancer: recommendations from the International Collaboration on Cancer Reporting (ICCR)

https://onlinelibrary.wiley.com/doi/10.1111/his.15313

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