Journal article
Global Cytopathology-Hematopathology Practice Trends A Cyto-Heme Interinstitutional Collaborative Practice Survey of Intradepartmental Collaboration and Challenges in Pathology
American journal of clinical pathology, Vol.157(2), pp.196-201
02/03/2022
DOI: 10.1093/ajcp/aqab111
PMCID: PMC9630120
PMID: 34508545
Abstract
Objectives Small-volume biopsy-fine-needle aspiration biopsy (FNAB) with or without core biopsy-is in increasing use in diagnosis and management of lymphoma patients. Our objective was to survey the current practice in small-volume biopsy diagnosis of lymphoma, focusing on the interaction among hematopathologists and cytopathologists and the integration of FNAB, core biopsy, and flow cytometry studies at sign-out. Methods This study used a cross-sectional survey design employing the RedCap database distributed via nine pathology professional society email listservs. The survey consisted of 25 multiple-choice questions and several free text fields. In total, 128 pathologists participated. Results Most respondents indicated that FNAB specimens in which lymphoma is a diagnostic consideration (FNAB-L) are seen daily or weekly (68/116; 58.6%). However, most institutions have separate hematopathology and cytopathology services (72/116; 62.1%) with inconsistent communication. When communication occurred, respondents were frequently inclined to reconsider their original diagnoses. Barriers identified included lack of communication, inadequate access to diagnostic studies, no formal subspecialty training, and various opinions regarding FNAB in diagnosing lymphoma. Conclusions This survey showed that FNAB-L specimens are common, with a lack of uniformity in how complementary fine-needle aspiration and core biopsy specimens or flow immunophenotyping results are shared across hematopathology and cytopathology services.
Details
- Title: Subtitle
- Global Cytopathology-Hematopathology Practice Trends A Cyto-Heme Interinstitutional Collaborative Practice Survey of Intradepartmental Collaboration and Challenges in Pathology
- Creators
- Sara L. Zadeh - Stanford UniversityRonald Balassanian - University of California, San FranciscoMatthew C. Cheung - University of TorontoLorenzo Falchi - Memorial Sloan Kettering Cancer CenterRobert Hasserjian - Massachusetts General HospitalOscar Lin - Memorial Sloan Kettering Cancer CenterSteven R. Long - University of California, San FranciscoAmy Ly - Massachusetts Gen Hosp, Dept Pathol, Boston, MA 02114 USAJoshua R. Menke - Stanford UniversityEric Mou - University of IowaYasodha Natkunam - Stanford UniversityRoberto Ruiz-Cordero - University of California, San FranciscoAshley K. Volaric - Stanford UniversityLinlin Wang - University of California, San FranciscoKwun Wah Wen - University of California, San FranciscoDita Gratzinger - Stanford University
- Resource Type
- Journal article
- Publication Details
- American journal of clinical pathology, Vol.157(2), pp.196-201
- Publisher
- Oxford Univ Press
- DOI
- 10.1093/ajcp/aqab111
- PMID
- 34508545
- PMCID
- PMC9630120
- ISSN
- 0002-9173
- eISSN
- 1943-7722
- Number of pages
- 6
- Grant note
- Stanford Pathology Department's Value-Based Care in Pathology Award
- Language
- English
- Date published
- 02/03/2022
- Academic Unit
- Hematology, Oncology, and Blood & Marrow Transplantation; Internal Medicine
- Record Identifier
- 9984359787702771
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