Abstract
A total of 468 cases of bone soft tissue and visceral sarcomas (and certain other tumours) diagnosed during the years 1982-84 in North West England were entered in a study of histopathological peer review, incidence and survival. This paper describes the effects of peer review. Material was reviewed by a panel of five pathologists for 413 of the 450 cases originally registered as sarcomas with the Regional Cancer Registry. The diagnosis of sarcomas was confirmed in 76% cases and and there was agreement on sub-type for 53% cases. Measures of agreement were lowest for the two sub-types most commonly diagnosed i.e. malignant fibrous histiocytoma and leiomyosarcoma. Degree of agreement between individual pathologists and final panel diagnosis was also very variable but never less than 65%. It is concluded that second opinion is essential in cases of presumed sarcomas for studies of incidence and aetiology and to ensure that appropriate treatment is selected.
Original language | English |
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Pages (from-to) | 315-320 |
Number of pages | 5 |
Journal | British Journal of Cancer |
Volume | 64 |
Issue number | 2 |
Publication status | Published - 1991 |
Keywords
- diagnosis: Bone Neoplasms
- England
- Humans
- Peer Review
- Research Support, Non-U.S. Gov't
- classification: Sarcoma
- diagnosis: Soft Tissue Neoplasms