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

Research output: Contribution to journalArticlepeer-review

  • 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 Foria
  • And 28 others
  • Vipul 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

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
Volume67
Issue number5
Early online date7 Jan 2014
DOIs
Publication statusPublished - 1 May 2014

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