Interpretive disparity among pathologists in breastsentinel lymph node evaluation

作者: Cory A Roberts , Peter D Beitsch , Craig E Litz , D.Sue Hilton , Gene E Ewing

DOI: 10.1016/S0002-9610(03)00268-X

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摘要: Abstract Background Immunohistochemical staining on breast sentinel lymph nodes (SLN) is controversial. Methods Twenty-five SLN cases were reviewed by 10 pathologists (three academic, seven private) including 5 negative both hematoxylin and eosin (HE 80% of positive IHC had at least one pathologist score it incorrectly. As tumor cells decrease in number, incorrect responses increase. When numbered less than 10, more 30% answered Conclusions number pathologists' ability to recognize them decreases. We propose adding “indeterminate” “positive” “negative” when 10.

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