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Know the whole history

Department of Histopathology, Torbay Hospital, Lawes Bridge, Torquay TQ2 7AA, UK; desmond.farrell@nhs.net

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As histopathologists, we rely heavily on the clinical information provided with request forms to inform us of the patient’s current complaint and relevant medical history. This varies enormously between clinicians. We also build up a relationship with our clinicians who regularly send biopsy material. This is particularly relevant in gastrointestinal pathology—for example, in assessing the endoscopic appearance of inflammatory bowel disease and the subsequent interpretation of the histological findings. With time, we develop an understanding with the clinicians who we deal with regularly and learn to judge the accuracy of the proposed diagnosis, particularly with the more experienced endoscopists.

A 57 year old woman underwent endoscopy by an experienced gastroenterologist who noted a deep gastric ulcer and infiltrated looking duodenal cap carcinoma. The pathology data base showed that seven months previously she had a right hemicolectomy for a poorly differentiated Dukes’s B adenocarcinoma of the hepatic flexure, which was infiltrating . . . [Full text of this article]