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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 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> | ||