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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 a type of equivocation. | A '''waffle diagnosis''', also '''waffle category''', is something used to say "I don't know"; it is a type of equivocation. | ||
In most cases it can be understood/used as a synonym for ''suspicious for malignancy''. | |||
In some classifications, it may be used when the 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> ''or'' dysplastic. | |||
==Points to remember== | ==Points to remember== | ||
# These diagnoses essentially say "I don't know"/"I cannot call it benign & I cannot call it | # These diagnoses essentially say "I don't know"/"I cannot call it benign & I cannot call it malignant". | ||
# Their use should be minimized. | # Their use should be minimized. | ||
#* The use of these diagnoses are often used as [[quality]] measures. | #* The use of these diagnoses are often used as [[quality]] measures. | ||
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===Surgical pathology=== | ===Surgical pathology=== | ||
*[[Atypical small acinar proliferation]] (ASAP) - [[prostate gland]] pathology. | *[[Atypical small acinar proliferation]] (ASAP) - [[prostate gland]] pathology. | ||
*[[Atypical intraductal proliferation]] - [[prostate gland]] pathology. | |||
*[[Indefinite for dysplasia]] - [[gastrointestinal pathology]]. | *[[Indefinite for dysplasia]] - [[gastrointestinal pathology]]. | ||
*[[Smooth muscle tumour of uncertain malignant potential]] (STUMP) - [[gynecologic pathology]]. | *[[Smooth muscle tumour of uncertain malignant potential]] (STUMP) - [[gynecologic pathology]]. | ||