Large Format Histology May Aid in the Detection of Unsuspected Pathologic Findings of Potential Clinical Significance: A Prospective Multiyear Single Institution Study

Large format histology offers several unique advantages over traditional tissue processing. Over 12 years of experience with this technique provide insight into its limitations and benefits. We conducted a prospective multiyear analysis of the potential advantages of large format histology. 656 case...

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Main Authors: Matthew R. Foster, Lauren Harris, Karl W. Biesemier
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:International Journal of Breast Cancer
Online Access:http://dx.doi.org/10.1155/2012/532547
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author Matthew R. Foster
Lauren Harris
Karl W. Biesemier
author_facet Matthew R. Foster
Lauren Harris
Karl W. Biesemier
author_sort Matthew R. Foster
collection DOAJ
description Large format histology offers several unique advantages over traditional tissue processing. Over 12 years of experience with this technique provide insight into its limitations and benefits. We conducted a prospective multiyear analysis of the potential advantages of large format histology. 656 cases were examined prospectively over an eight-year period. In 172 cases the sign-out pathologist documented an unexpected finding of potential clinical significance as present only on the large format sections and not present on the accompanying standard format slides. These include closer margins, a change in size or extent of disease, and previously undocumented invasive and/or in situ carcinoma. Based on over a decade of experience and eight years of data, our results demonstrate that a quarter of cases had an unexpected finding of potential clinical significance that may not have been fully realized without the use of the large format technique.
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spelling doaj-art-76993f64eba24e53ac7304e10a6dfb6b2025-08-20T02:07:14ZengWileyInternational Journal of Breast Cancer2090-31702090-31892012-01-01201210.1155/2012/532547532547Large Format Histology May Aid in the Detection of Unsuspected Pathologic Findings of Potential Clinical Significance: A Prospective Multiyear Single Institution StudyMatthew R. Foster0Lauren Harris1Karl W. Biesemier2Department of Pathology, Centra Health and Pathology Consultants of Central Virginia, 1914 Thompson Drive, Lynchburg, VA 24501, USADepartment of Pathology, Centra Health and Pathology Consultants of Central Virginia, 1914 Thompson Drive, Lynchburg, VA 24501, USADepartment of Pathology, Centra Health and Pathology Consultants of Central Virginia, 1914 Thompson Drive, Lynchburg, VA 24501, USALarge format histology offers several unique advantages over traditional tissue processing. Over 12 years of experience with this technique provide insight into its limitations and benefits. We conducted a prospective multiyear analysis of the potential advantages of large format histology. 656 cases were examined prospectively over an eight-year period. In 172 cases the sign-out pathologist documented an unexpected finding of potential clinical significance as present only on the large format sections and not present on the accompanying standard format slides. These include closer margins, a change in size or extent of disease, and previously undocumented invasive and/or in situ carcinoma. Based on over a decade of experience and eight years of data, our results demonstrate that a quarter of cases had an unexpected finding of potential clinical significance that may not have been fully realized without the use of the large format technique.http://dx.doi.org/10.1155/2012/532547
spellingShingle Matthew R. Foster
Lauren Harris
Karl W. Biesemier
Large Format Histology May Aid in the Detection of Unsuspected Pathologic Findings of Potential Clinical Significance: A Prospective Multiyear Single Institution Study
International Journal of Breast Cancer
title Large Format Histology May Aid in the Detection of Unsuspected Pathologic Findings of Potential Clinical Significance: A Prospective Multiyear Single Institution Study
title_full Large Format Histology May Aid in the Detection of Unsuspected Pathologic Findings of Potential Clinical Significance: A Prospective Multiyear Single Institution Study
title_fullStr Large Format Histology May Aid in the Detection of Unsuspected Pathologic Findings of Potential Clinical Significance: A Prospective Multiyear Single Institution Study
title_full_unstemmed Large Format Histology May Aid in the Detection of Unsuspected Pathologic Findings of Potential Clinical Significance: A Prospective Multiyear Single Institution Study
title_short Large Format Histology May Aid in the Detection of Unsuspected Pathologic Findings of Potential Clinical Significance: A Prospective Multiyear Single Institution Study
title_sort large format histology may aid in the detection of unsuspected pathologic findings of potential clinical significance a prospective multiyear single institution study
url http://dx.doi.org/10.1155/2012/532547
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