Skip to main content
Journal cover image

Consultative issues in surgical neuropathology: a retrospective review of the rationale for submitting cases for expert review.

Publication ,  Journal Article
Lipp, ES; Clark, AC; McLendon, RE
Published in: Am J Clin Pathol
June 2015

OBJECTIVES: Second opinions on neuropathology cases are sought for a variety of reasons. We investigated the rationales for seeking expert neuropathologic review. METHODS: A retrospective review was done of the correspondence accompanying neuropathology cases submitted over a 5-year period. The review used a taxonomy of referral reasons, the submitting diagnoses, and requests for ancillary tests. RESULTS: In total, 508 adult cases were submitted, including glioblastoma (n = 94), anaplastic astrocytoma (n = 49), low-grade glioma (n = 49), oligodendroglioma (n = 48), and pituitary adenoma (n = 12). Thirty-nine cases submitted requested ancillary testing. A taxonomy of four categories revealed the following: preliminary diagnosis (n = 228 cases) was the most common reason for requesting review, followed by no diagnosis rendered (n = 183 cases), second opinion (n = 53), and confirmation/quality assurance (n = 43); the remaining case was "other." Overall, 456 cases were submitted by pathologists, 40 by clinicians and 12 by patients. CONCLUSIONS: Pathologists who predominately submit cases with a preliminary diagnosis rendered seek expert consultation while clinicians seek a second opinion.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

Am J Clin Pathol

DOI

EISSN

1943-7722

Publication Date

June 2015

Volume

143

Issue

6

Start / End Page

807 / 811

Location

England

Related Subject Headings

  • Retrospective Studies
  • Referral and Consultation
  • Pathology
  • Pathology
  • Neurology
  • Male
  • Humans
  • Female
  • Child
  • Brain Neoplasms
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Lipp, E. S., Clark, A. C., & McLendon, R. E. (2015). Consultative issues in surgical neuropathology: a retrospective review of the rationale for submitting cases for expert review. Am J Clin Pathol, 143(6), 807–811. https://doi.org/10.1309/AJCPWEP1HPX4EDCS
Lipp, Eric S., Alysha C. Clark, and Roger E. McLendon. “Consultative issues in surgical neuropathology: a retrospective review of the rationale for submitting cases for expert review.Am J Clin Pathol 143, no. 6 (June 2015): 807–11. https://doi.org/10.1309/AJCPWEP1HPX4EDCS.
Lipp, Eric S., et al. “Consultative issues in surgical neuropathology: a retrospective review of the rationale for submitting cases for expert review.Am J Clin Pathol, vol. 143, no. 6, June 2015, pp. 807–11. Pubmed, doi:10.1309/AJCPWEP1HPX4EDCS.
Journal cover image

Published In

Am J Clin Pathol

DOI

EISSN

1943-7722

Publication Date

June 2015

Volume

143

Issue

6

Start / End Page

807 / 811

Location

England

Related Subject Headings

  • Retrospective Studies
  • Referral and Consultation
  • Pathology
  • Pathology
  • Neurology
  • Male
  • Humans
  • Female
  • Child
  • Brain Neoplasms