Observer variability in the histopathological reporting of abnormal rectal biopsy specimens
| Autor: | A J Robertson, S R Howatson, George Davey Smith, F D Lee, S M Moss, K M McLaren, R A Burnett, A M Lessells, J G Simpson, J S Beck |
|---|---|
| Rok vydání: | 1994 |
| Předmět: |
medicine.medical_specialty
Biopsy Rectum Inflammatory bowel disease Gastroenterology Pathology and Forensic Medicine Diagnosis Differential Crohn Disease Internal medicine medicine Humans Enterocolitis Pseudomembranous Ulcer Observer Variation medicine.diagnostic_test business.industry General Medicine Pseudomembranous colitis Inflammatory Bowel Diseases medicine.disease Ulcerative colitis Solitary rectal ulcer syndrome digestive system diseases Rectal Diseases medicine.anatomical_structure Colitis Ulcerative Differential diagnosis Abnormality business Research Article |
| Zdroj: | Journal of Clinical Pathology. 47:48-52 |
| ISSN: | 0021-9746 |
| DOI: | 10.1136/jcp.47.1.48 |
| Popis: | AIMS--To study the consistency of reporting of abnormal rectal biopsy specimens, especially in the differentiation of inflammatory bowel disease from other causes of abnormality. METHODS--Sixty rectal biopsy specimens were identified from patients presenting with bloody diarrhoea. These were then circulated to the 11 consultant pathologists in the study who filled in a proforma with a list of 12 diagnostic categories and 22 features. RESULTS--Forty one of the 60 cases were examples of inflammatory bowel disease. In 33 of these cases nine or more pathologists had made the diagnosis. Further categorisation into ulcerative colitis and Crohn's disease showed better recognition of ulcerative colitis. In the 19 cases of non-inflammatory bowel disease recognition of pseudomembranous colitis and solitary rectal ulcer syndrome was good, but the results were poorer in the case of infective colitis. CONCLUSION--The findings suggest that a group of consultant pathologists can differentiate between inflammatory bowel disease and other causes of an abnormal rectal biopsy specimen and can also recognise pseudomembranous colitis and solitary rectal ulcer syndrome satisfactorily. |
| Databáze: | OpenAIRE |
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