Tumor architecture exerts no bias on nuclear grading in breast cancer diagnosis.

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Etat: Public
Version: Final published version
ID Serval
serval:BIB_3A7F5DD5E37C
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Tumor architecture exerts no bias on nuclear grading in breast cancer diagnosis.
Périodique
Virchows Archiv : An International Journal of Pathology
Auteur⸱e⸱s
Mora B., Bombari D., Schaefer S.C., Schmidt M., Delaloye J.F., Mast F., Lehr H.A.
ISSN
1432-2307 (Electronic)
ISSN-L
0945-6317
Statut éditorial
Publié
Date de publication
2012
Volume
461
Numéro
4
Pages
399-403
Langue
anglais
Notes
Publication types: Journal ArticlePublication Status: ppublish
Résumé
We recently reported that nuclear grading in prostate cancer is subject to a strong confirmation bias induced by the tumor architecture. We now wondered whether a similar bias governs nuclear grading in breast carcinoma. An unannounced test was performed at a pathology conference. Pathologists were asked to grade nuclei in a PowerPoint presentation. Circular high power fields of 27 invasive ductal carcinomas were shown, superimposed over low power background images of either tubule-rich or tubule-poor carcinomas. We found (a) that diagnostic reproducibility of nuclear grades was poor to moderate (weighed kappa values between 0.07 and 0.54, 27 cases, 44 graders), but (b) that nuclear grades were not affected by the tumor architecture. We speculate that the categorized grading in breast cancer, separating tubule formation, nuclear pleomorphism, and mitotic figure counts in a combined three tier score, prevents the bias that architecture exerts on nuclear grades in less well-controlled situations.
Pubmed
Web of science
Open Access
Oui
Création de la notice
26/10/2012 19:08
Dernière modification de la notice
20/08/2019 14:30
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