Re: Pap interpretation

From: art fougner, md (evsono@pipeline.com)
Wed May 8 12:09:30 2002


except the incidence of invasive breast cancer is considerably higher than that of invasive cervical cancer.

art

At Wed, 8 May 2002, ainsron@msn.com wrote: >
>Think about the mammogram reports you get; they have very similar
>language. The pathologists are taking a page out of the radiologist's
>book. I think the main reason revolves around liability concerns, i.e.
>if the pathologist doesn't recommend that something be done, it isn't
>done and as a result the patient develops advanced cancer, . . . See
>you in court.
>
>>I need an opinion from all my esteemed colleagues here on the List. Am
>>I being too old fashioned or starchy by feeling that it is wrong for a
>>Pathologist who interprets a pap smear as AGUS, to include a comment in
>>his "Final Diagnosis" section stating:
>>
>>"Colposcopy and biopsy and thorough endocervical sampling is recommended
>>as clinically indicated."
>>
>>Now I am not talking about whether or not the content of the
>>recommendation is appropriate (that is another debate). I am simply
>>objecting to a Pathologist asserting his/her opinion into something that
>>should be the judgement of the gynecologist. Isn't the Pathologist's
>>job to interpret and report the pathology results and our job to assess
>>the results and decide the appropriate plan from that point.
>>
>>Lynn
>
>--
>Ronald E. Ainsworth, MD
>

--
art fougner, md
ich bin ein New Yorker




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