Difference between revisions of "Critical values"
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==List== | ==List== | ||
===Cytology=== | |||
Critical diagnoses as per Pereira ''et al.'':<ref name=pmid16680772>{{Cite journal | last1 = Pereira | first1 = TC. | last2 = Clayton | first2 = AC. | last3 = Tazelaar | first3 = HD. | last4 = Liu | first4 = Y. | last5 = Leon | first5 = M. | last6 = Silverman | first6 = JF. | title = Critical values in cytology. | journal = Diagn Cytopathol | volume = 34 | issue = 6 | pages = 447-51 | month = Jun | year = 2006 | doi = 10.1002/dc.20443 | PMID = 16680772 }}</ref> | |||
*Unexpected malignancy - vast majority of cases. | |||
*Microorganisms in non-gynecologic specimens and FNA specimens. | |||
===Surgical pathology=== | |||
The following is primarily constructed from a list in Pereira ''et al.''<ref name=pmid15323136>{{Cite journal | last1 = Pereira | first1 = TC. | last2 = Liu | first2 = Y. | last3 = Silverman | first3 = JF. | title = Critical values in surgical pathology. | journal = Am J Clin Pathol | volume = 122 | issue = 2 | pages = 201-5 | month = Aug | year = 2004 | doi = 10.1309/7NRW-7G68-4VEP-WPMR | PMID = 15323136 }}</ref> | The following is primarily constructed from a list in Pereira ''et al.''<ref name=pmid15323136>{{Cite journal | last1 = Pereira | first1 = TC. | last2 = Liu | first2 = Y. | last3 = Silverman | first3 = JF. | title = Critical values in surgical pathology. | journal = Am J Clin Pathol | volume = 122 | issue = 2 | pages = 201-5 | month = Aug | year = 2004 | doi = 10.1309/7NRW-7G68-4VEP-WPMR | PMID = 15323136 }}</ref> | ||
===General=== | ====General==== | ||
*[[blood vessels|Large vessel]] in core biopsy specimen. | *[[blood vessels|Large vessel]] in core biopsy specimen. | ||
*Unexpected malignant diagnosis. | *Unexpected malignant diagnosis. | ||
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**Malignancy causing superior vena cava syndrome. | **Malignancy causing superior vena cava syndrome. | ||
=== | ====Gynecologic==== | ||
*No [[chorionic villi]] or trophoblasts on D&C in someone pregnant. | *No [[chorionic villi]] or trophoblasts on D&C in someone pregnant. | ||
*[[Fat on endometrial biopsy]]. | *[[Fat on endometrial biopsy]]. | ||
*Fat on endocervical canal sampling. | *Fat on endocervical canal sampling. | ||
===Diagnostic of infection=== | ====Diagnostic of infection==== | ||
*Fungal. | *Fungal. | ||
*Microbacterial. | *Microbacterial. | ||
| Line 31: | Line 32: | ||
*Viral. | *Viral. | ||
===Suggestive of infection=== | ====Suggestive of infection==== | ||
*Necrotic [[granulomas]]. | *Necrotic [[granulomas]]. | ||
===Cardiac=== | ====Cardiac==== | ||
*Mesothelial cells in heart muscle biopsy. | *Mesothelial cells in heart muscle biopsy. | ||
===Transplant related=== | ====Transplant related==== | ||
*Transplant rejection. | *Transplant rejection. | ||
===Medical diseases=== | ====Medical diseases==== | ||
*[[Vasculitis]]. | *[[Vasculitis]]. | ||
===Renal=== | ====Renal==== | ||
*[[Glomerular crescents|Crescents]] in kidney biopsy. | *[[Glomerular crescents|Crescents]] in kidney biopsy. | ||
Revision as of 02:01, 2 April 2015
Critical values is a concept which comes to anatomical pathology from clinical pathology.[1]
In the context of surgical pathology, it is, perhaps more appropriately, called critical diagnosis.
The general consensus is that these findings require a phone call and/or discussion with the clinician to ensure the situation is managed appropriately in a timely manner.[2]
List
Cytology
Critical diagnoses as per Pereira et al.:[2]
- Unexpected malignancy - vast majority of cases.
- Microorganisms in non-gynecologic specimens and FNA specimens.
Surgical pathology
The following is primarily constructed from a list in Pereira et al.[3]
General
- Large vessel in core biopsy specimen.
- Unexpected malignant diagnosis.
- Malignant diagnosis in the context of a medical emergency:
- Neoplasm causing paralysis.
- Malignancy causing superior vena cava syndrome.
Gynecologic
- No chorionic villi or trophoblasts on D&C in someone pregnant.
- Fat on endometrial biopsy.
- Fat on endocervical canal sampling.
Diagnostic of infection
- Fungal.
- Microbacterial.
- Bacterial.
- Viral.
Suggestive of infection
- Necrotic granulomas.
Cardiac
- Mesothelial cells in heart muscle biopsy.
- Transplant rejection.
Medical diseases
Renal
- Crescents in kidney biopsy.
See also
References
- ↑ Allen TC (May 2007). "Critical values in anatomic pathology?". Arch. Pathol. Lab. Med. 131 (5): 684–7. PMID 17491125. http://arpa.allenpress.com/arpaonline/?request=get-document&issn=0003-9985&volume=131&issue=5&page=684.
- ↑ 2.0 2.1 Pereira, TC.; Clayton, AC.; Tazelaar, HD.; Liu, Y.; Leon, M.; Silverman, JF. (Jun 2006). "Critical values in cytology.". Diagn Cytopathol 34 (6): 447-51. doi:10.1002/dc.20443. PMID 16680772.
- ↑ Pereira, TC.; Liu, Y.; Silverman, JF. (Aug 2004). "Critical values in surgical pathology.". Am J Clin Pathol 122 (2): 201-5. doi:10.1309/7NRW-7G68-4VEP-WPMR. PMID 15323136.