Difference between revisions of "Waffle diagnosis"
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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.<ref name=pmid19373907>{{cite journal |author=Layfield LJ, Morton MJ, Cramer HM, Hirschowitz S |title=Implications of the proposed thyroid fine-needle aspiration category of "follicular lesion of undetermined significance": A five-year multi-institutional analysis |journal=Diagn. Cytopathol. |volume=37 |issue=10 |pages=710–4 |year=2009 |month=October |pmid=19373907 |doi=10.1002/dc.21093 |url=}}</ref> | A '''waffle diagnosis''', also '''waffle category''', is something used to say "I don't know"; it is a type of equivocation. | ||
It is used when a pathologist cannot decide whether something is benign ''or'' suspicious for malignant.<ref name=pmid19373907>{{cite journal |author=Layfield LJ, Morton MJ, Cramer HM, Hirschowitz S |title=Implications of the proposed thyroid fine-needle aspiration category of "follicular lesion of undetermined significance": A five-year multi-institutional analysis |journal=Diagn. Cytopathol. |volume=37 |issue=10 |pages=710–4 |year=2009 |month=October |pmid=19373907 |doi=10.1002/dc.21093 |url=}}</ref> | |||
==Points to remember== | ==Points to remember== | ||
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#* The use of these diagnoses are often used as quality measures. | #* The use of these diagnoses are often used as quality measures. | ||
#** Pathologists that use 'em too often aren't doing a good job. | #** Pathologists that use 'em too often aren't doing a good job. | ||
#** Good pathologists use 'em when the findings are ambiguous after a diligent work-up. | |||
# Generally, they are not considered to have a distinct pathobiology.<ref name=pmid17378841>{{cite journal |author=Flury SC, Galgano MT, Mills SE, Smolkin ME, Theodorescu D |title=Atypical small acinar proliferation: biopsy artefact or distinct pathological entity |journal=BJU International |volume=99 |issue=4 |pages=780-5 |year=2007 |month=January |pmid= 17378841 |doi= |url=http://www3.interscience.wiley.com/journal/118508438/abstract}}</ref> | # Generally, they are not considered to have a distinct pathobiology.<ref name=pmid17378841>{{cite journal |author=Flury SC, Galgano MT, Mills SE, Smolkin ME, Theodorescu D |title=Atypical small acinar proliferation: biopsy artefact or distinct pathological entity |journal=BJU International |volume=99 |issue=4 |pages=780-5 |year=2007 |month=January |pmid= 17378841 |doi= |url=http://www3.interscience.wiley.com/journal/118508438/abstract}}</ref> | ||
Revision as of 14:38, 29 April 2012
A waffle diagnosis, also waffle category, is something used to say "I don't know"; it is a type of equivocation.
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.
- Good pathologists use 'em when the findings are ambiguous after a diligent work-up.
- 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 (AGC) - gynecologic cytopathology.
- Follicular lesion of undetermined 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.