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Incidence of Histologic Pattern and Anatomic Distribution of Colorectal Carcinoma (1989-2001)

Authors
Publisher
Sestre Milosrdnice University hospital and Institute of Clinical Medical Research; [email protected]
Publication Date
Disciplines
  • Biology
  • Communication
  • Medicine

Abstract

07ABST~1.PDF Acta clin Croat 2002; 41:135-186 Conference papers 134 Acta clin Croat, Vol. 41, No. 2, 2002 Acta clin Croat 2002; 41:135-186 Conference papers Acta clin Croat, Vol. 41, No. 2, 2002 135 ROLE OF PATHOLOGISTS IN BREAST CANCER UNITS G. Bussolati Dept. Biomedical Sciences and Oncology, University of Turin, Turin, Italy Pathologists are part of the core team of breast units, together with surgeons and radiologists. This means that they do not only play a diagnostic role for breast cancer, as used in the past, since they are requested for pre- and postoperative role in planning the therapeutic approach. Meetings for planning treatment of single cases are of basic importance, and also as an occasion for other spe- cialists to understand our problems of morphological in- terpretation. Such meetings are a stimulus so that patholo- gists can better afford the new requests imposed by a rap- idly changing scenario. One of the most compelling re- quests is reproducibility, and to achieve it pathologists must confront with diagnostic guidelines, definitions and landmarks. Guidelines produced by a group established by the EU of pathologists from different European countries involved in breast cancer screening proved effective in fa- voring reproducibility, as expressed by K statistics. How- ever, in specific areas such as classification and definition of in situ lesions, such as atypical hyperplasia, reproduc- ibility is far from ideal. Participation in a breast unit means highlighting of specific steps, which proved essential in a collaborative work and, ultimately, for the fight against breast cancer. Important steps are: identification of micro- calcifications, definition of margins, diagnosis of in situ and microinvasive lesions, detection of metastatic spread. Problems are in fact not only related to morphological in- terpretations, but to communication as well. Examples are the diagnostic definition of fine needle aspirates and core biopsies, where the use of five standard ca

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