Medullary carcinoma of the breast. A multicenter study of its diagnostic consistency.

Abstract:

:Nine pathologists from different institutions reviewed in a double-blind study 16 breast tumors previously indexed as typical medullary carcinoma, atypical medullary carcinoma, or infiltrative ductal carcinoma. A set of 16 slides was circulated two times among the nine pathologists. The diagnoses of typical and atypical medullary carcinomas were based on a definition given by Ridolfi et al. The interobserver and intraobserver agreement was low, with a kappa value of less than .50. The only histological criterion that had more than 50% agreement was the presence or absence of an in situ component in the tumor, assuming that the disagreement of one pathologist is accepted. This study is a snapshot of the problems encountered in the diagnosis of typical medullary carcinoma in a routine context and it shows high levels of variations in diagnostic consistency.

journal_name

Arch Pathol Lab Med

authors

Rigaud C,Theobald S,Noël P,Badreddine J,Barlier C,Delobelle A,Gentile A,Jacquemier J,Maisongrosse V,Peffault de Latour M

subject

Has Abstract,Author List Incomplete

pub_date

1993-10-01 00:00:00

pages

1005-8

issue

10

eissn

0003-9985

issn

1543-2165

journal_volume

117

pub_type

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