Interobserver variability around pathologists from the category out-of histological grade and you can number of attack is highest
Komuta ainsi que al. 143 revealed that contract between educated gastrointestinal pathologists exactly who reviewed the newest glides out-of 88 cancerous polyps try high getting T-phase (k = 0.725) and you will depth out of intrusion (k = 0.682), in addition to resection margin reputation and Haggitt level. Contract between educated pathologists is poor regarding histological stages away from distinction as well as in the analysis out of lymphovascular attack (k = 0.017). Getting adenomatous polyps, van Putten et al. 144 presented, for the an examination of 444 polyps, one to moderate agreement are found ranging from general and you may expert pathologists, and you will ranging from pro pathologists to have categorization out-of adenomas given that nonadvanced or advanced (adenomas of at least 10 mm, that have villous histology otherwise with a high-grade dysplasia). Appointment between pathologists within the multidisciplinary cluster is actually necessary, is substaging and you can analysis regarding high-chance keeps having recurring state mean the need for surgical resection 131, 145 .
Histological investigations out of cancerous polyps was accessible to significant interobserver version, including regarding the important exposure factors regarding degree of distinction of your malignant parts and the exposure otherwise lack of lymphatic invasion (Top IIa). Read more