Difference between revisions of "Waffle diagnosis"
Jump to navigation
Jump to search
m (→Cytopathology) |
|||
| Line 15: | Line 15: | ||
===Surgical pathology=== | ===Surgical pathology=== | ||
*Atypical small acinar proliferation (ASAP) - [[prostate gland]] pathology. | *[[Atypical small acinar proliferation]] (ASAP) - [[prostate gland]] pathology. | ||
*Indefinite for dysplasia - [[GI pathology]]. | *Indefinite for dysplasia - [[GI pathology]]. | ||
*Smooth muscle tumour of uncertain malignant potential (STUMP) - [[Gynecologic pathology]]. | *[[Smooth muscle tumour of uncertain malignant potential]] (STUMP) - [[Gynecologic pathology]]. | ||
==See also== | ==See also== | ||
Revision as of 02:31, 30 January 2012
A waffle diagnosis, also waffle category, is something used to say "I don't know". It is used when a pathologist cannot decide whether something is benign or suspicious for malignant.[1]
Points to remember
- These diagnoses essentially say "I don't know"/"I cannot call it benign & I cannot call it suspicious".
- Their use should be minimized.
- The use of these diagnoses are often used as quality measures.
- Pathologists that use 'em too often aren't doing a good job.
- The use of these diagnoses are often used as quality measures.
- Generally, they are not considered to have a distinct pathobiology.[2]
Examples
Cytopathology
- Atypical squamous cells of undetermined significance (ASCUS) - gynecologic cytopathology.
- Atypical glandular cells of undetermined signficance (AGUS) - gynecologic cytopathology.
- Follicular lesion of unknown significance (FLUS) - thyroid cytopathology.
Surgical pathology
- Atypical small acinar proliferation (ASAP) - prostate gland pathology.
- Indefinite for dysplasia - GI pathology.
- Smooth muscle tumour of uncertain malignant potential (STUMP) - Gynecologic pathology.
See also
References
- ↑ Layfield LJ, Morton MJ, Cramer HM, Hirschowitz S (October 2009). "Implications of the proposed thyroid fine-needle aspiration category of "follicular lesion of undetermined significance": A five-year multi-institutional analysis". Diagn. Cytopathol. 37 (10): 710–4. doi:10.1002/dc.21093. PMID 19373907.
- ↑ Flury SC, Galgano MT, Mills SE, Smolkin ME, Theodorescu D (January 2007). "Atypical small acinar proliferation: biopsy artefact or distinct pathological entity". BJU International 99 (4): 780-5. PMID 17378841. http://www3.interscience.wiley.com/journal/118508438/abstract.