A pathologist's survey on the reporting of sessile serrated adenomas/polyps

Runjan Chetty, Adrian C Bateman, Emina Torlakovic, Lai Mun Wang, Pelvender Gill, Adnan Al-Badri, Mark Arends, Leigh Biddlestone, Susan Burroughs, Frank Carey, David Cowlishaw, Stephen Crowther, Philip Da Costa, Mahomed A Dada, Charles d'Adhemar, Kaushik Dasgupta, Chandima de Cates, Vikram Deshpande, Roger M. Feakins, Bineeta ForiaVipul Foria, Clare Fuller, Bryan Green, Joel K. Greenson, Paul Griffiths, Sara Hafezi-Bakhtiari, James Henry, Eleanor Jaynes, Michael D. Jeffers, Philip Kaye, Robert Landers, Gregory Y. Lauwers, Maurice Loughrey, Nicholas Mapstone, Marco Novelli, Robert Odze, David Poller, Corwyn Rowsell, Scott Sanders, Patrick Sarsfield, John B. Schofield, Kieran Sheahan, Neil Shepherd, Ali Sherif, James Sington, Shaun Walsh, Namor Williams, Newton Wong

Research output: Contribution to journalArticlepeer-review


Aim: The purpose of this survey was to ascertain reporting habits of pathologists towards sessile serrated adenomas/polyps (SSA/P).

Methods: A questionnaire designed to highlight diagnostic criteria, approach and clinical implications of SSA/P was circulated electronically to 45 pathologists in the UK and North America.

Results: Forty-three of 45 pathologists agreed to participate. The vast majority (88%) had a special interest in gastrointestinal (GI) pathology, had great exposure to GI polyps in general with 40% diagnosing SSA/P at least once a week if not more, abnormal architecture was thought by all participants to be histologically diagnostic, and 11% would make the diagnosis if a single diagnostic histological feature was present in one crypt only, while a further 19% would diagnose SSA/P in one crypt if more than one diagnostic feature was present. The vast majority agreed that deeper sections were useful and 88% did not feel proliferation markers were useful. More than one-third did not know whether, or did not feel that, their clinicians were aware of the implications of SSA/P.

Conclusion: 98% of pathologists surveyed are aware that SSA/P is a precursor lesion to colorectal cancer, the majority agree on diagnostic criteria, and a significant number feel that there needs to be greater communication and awareness among pathologists and gastroenterologists about SSA/P.

Original languageEnglish
Pages (from-to)426-430
Number of pages5
JournalJournal of Clinical Pathology
Issue number5
Early online date7 Jan 2014
Publication statusPublished - 1 May 2014


  • adenoma
  • attitude of health personnel
  • awareness
  • biopsy
  • colonic polyps
  • colorectal neoplasms
  • communication
  • consensus
  • cooperative behavior
  • Great Britain
  • health care surveys
  • health knowledge, attitudes, practice
  • humans
  • North America
  • practice patterns, physicians'
  • predictive value of tests
  • prognosis
  • surveys and questionnaires
  • multicenter study


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