Telepathological evaluation of paediatric histological specimens in support of a hospital in Tanzania.

Abstract:

Background/Objective:In a project of telepathology (TP) between German pathologists and a hospital in Tanzania, trained technical assistants have uploaded digital histological images onto the internet-based platform ipath. The diagnoses from 486 paediatric specimens were analysed. Methods:The investigation included diagnoses, either primarily done via TP or secondarily after a further workup of the paraffin-embedded tissue, which was sent to Germany for cases which could not be solved via TP. In the latter, the initial TP-diagnoses were compared with the results after re-evaluation. Results:The median age was 11 years. The cohort comprised 390 benign diseases (80.2%) and 96 malignant diseases (19.8%). For benign diseases, the most frequent anatomic sites were lymph nodes, skin, and soft tissue, breast, and head&-neck. Frequent diagnoses were non-specific inflammations and benign tumors. In malignant diseases, the most sites were lymph nodes, skin, soft tissue, head&neck, and ovary and the most frequent diseases sarcomas and lymphomas. The paraffin embedded tissue of 179 cases (36.3%) was shipped to Germany. With the concordance analysis, we could discover the mandatory necessity for the possibility of second opinion in difficult cases. Conclusion:An exclusively TP-support cannot meet all requirements of modern medical diagnostics. The education of local pathologists is imperative.

journal_name

Afr Health Sci

journal_title

African health sciences

authors

Voelker HU,Poetzl L,Strehl A,Mueller-Hermelink HK,Stuefe A,Stauch G

doi

10.4314/ahs.v20i3.37

subject

Has Abstract

pub_date

2020-09-01 00:00:00

pages

1313-1321

issue

3

eissn

1680-6905

issn

1729-0503

pii

jAFHS.v20.i3.pg1313

journal_volume

20

pub_type

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