Surgical pathology in cancer diagnosis: implications for quaternary prevention
Surgical pathology is the medical specialty in charge of cancer diagnosis. Although very important since oncology development, its link with overdiagnosis and overtreatment remains understudied. Despite big mediatisation, molecular biology has not brought much progress to tumour classifications. On...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Medicina de Família e Comunidade
2015-06-01
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| Series: | Revista Brasileira de Medicina de Família e Comunidade |
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| Online Access: | https://www.rbmfc.org.br/rbmfc/article/view/1057 |
| _version_ | 1797935512527306752 |
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| author | Matthieu Yver |
| author_facet | Matthieu Yver |
| author_sort | Matthieu Yver |
| collection | DOAJ |
| description | Surgical pathology is the medical specialty in charge of cancer diagnosis. Although very important since oncology development, its link with overdiagnosis and overtreatment remains understudied. Despite big mediatisation, molecular biology has not brought much progress to tumour classifications. On the contrary, the silent apparition of immunohistochemistry at the end of the 1980's improved much of tumour classifications so significantly that it could cast doubts in some trials’ results of that period. This article discusses how the booming and abuse of immunohistochemistry might have led to overdiagnosis. It also highlights that the ISO 15189 standardization, as well as the tumour classification complexity, might function to induce overtreatment. In summary, critical reading and understanding of pathology reports by general practitioners are essential. Therefore, family doctors should not hesitate to discuss the cancer diagnosis with the pathologist, and in some cases also question the oncologist decision. This approach can be considered a quaternary prevention action which can prevent overtreatment. |
| first_indexed | 2024-04-10T18:15:28Z |
| format | Article |
| id | doaj.art-101b88246c9c4456ac1b0192e96ed7b1 |
| institution | Directory Open Access Journal |
| issn | 1809-5909 2179-7994 |
| language | English |
| last_indexed | 2024-04-10T18:15:28Z |
| publishDate | 2015-06-01 |
| publisher | Sociedade Brasileira de Medicina de Família e Comunidade |
| record_format | Article |
| series | Revista Brasileira de Medicina de Família e Comunidade |
| spelling | doaj.art-101b88246c9c4456ac1b0192e96ed7b12023-02-02T08:46:01ZengSociedade Brasileira de Medicina de Família e ComunidadeRevista Brasileira de Medicina de Família e Comunidade1809-59092179-79942015-06-01103510.5712/rbmfc10(35)1057570Surgical pathology in cancer diagnosis: implications for quaternary preventionMatthieu Yver0Marne La Vallée Public HospitalSurgical pathology is the medical specialty in charge of cancer diagnosis. Although very important since oncology development, its link with overdiagnosis and overtreatment remains understudied. Despite big mediatisation, molecular biology has not brought much progress to tumour classifications. On the contrary, the silent apparition of immunohistochemistry at the end of the 1980's improved much of tumour classifications so significantly that it could cast doubts in some trials’ results of that period. This article discusses how the booming and abuse of immunohistochemistry might have led to overdiagnosis. It also highlights that the ISO 15189 standardization, as well as the tumour classification complexity, might function to induce overtreatment. In summary, critical reading and understanding of pathology reports by general practitioners are essential. Therefore, family doctors should not hesitate to discuss the cancer diagnosis with the pathologist, and in some cases also question the oncologist decision. This approach can be considered a quaternary prevention action which can prevent overtreatment.https://www.rbmfc.org.br/rbmfc/article/view/1057Quaternary PreventionPathologySurgicalUterine Cervical NeoplasmsConflict of Interest. |
| spellingShingle | Matthieu Yver Surgical pathology in cancer diagnosis: implications for quaternary prevention Revista Brasileira de Medicina de Família e Comunidade Quaternary Prevention Pathology Surgical Uterine Cervical Neoplasms Conflict of Interest. |
| title | Surgical pathology in cancer diagnosis: implications for quaternary prevention |
| title_full | Surgical pathology in cancer diagnosis: implications for quaternary prevention |
| title_fullStr | Surgical pathology in cancer diagnosis: implications for quaternary prevention |
| title_full_unstemmed | Surgical pathology in cancer diagnosis: implications for quaternary prevention |
| title_short | Surgical pathology in cancer diagnosis: implications for quaternary prevention |
| title_sort | surgical pathology in cancer diagnosis implications for quaternary prevention |
| topic | Quaternary Prevention Pathology Surgical Uterine Cervical Neoplasms Conflict of Interest. |
| url | https://www.rbmfc.org.br/rbmfc/article/view/1057 |
| work_keys_str_mv | AT matthieuyver surgicalpathologyincancerdiagnosisimplicationsforquaternaryprevention |