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Endoscopic resection: a pathologist's point of view! What affects specimen quality?
Michael Vieth1, William Sterlacci2
1Klinikum Bayreuth Institute of Pathology, Bayreuth, Germany.
Minerva Chirurgica
|May 26, 2018
Summary
Endoscopic resections are increasingly common, but specimen quality can suffer, impacting diagnosis. This guide offers practical tips for gastroenterologists and pathologists to improve specimen quality and diagnostic accuracy.
Area of Science:
- Gastroenterology
- Pathology
- Endoscopic Procedures
Background:
- Endoscopic resection techniques and indications have expanded significantly.
- Increased adoption by various institutions leads to wider distribution of specimens.
- A potential decline in diagnostic accuracy due to variable specimen quality and pathologist experience.
Purpose of the Study:
- To provide guidance for improving the quality of endoscopic resection specimens.
- To offer diagnostic advice for pathologists handling these specimens.
- To ensure accurate histopathological diagnosis despite evolving endoscopic practices.
Main Methods:
- Review of current endoscopic resection techniques and their impact on specimen integrity.
- Identification of factors that compromise specimen quality during endoscopic procedures.
- Development of best practice recommendations for specimen handling and preservation.
Main Results:
- Specimen quality is crucial for accurate histopathological diagnosis.
- Artificial changes can significantly hamper diagnostic interpretation.
- Quality is influenced by both the endoscopic method and the endoscopist's technique.
Conclusions:
- Collaboration between gastroenterologists and pathologists is essential.
- Adherence to standardized protocols can enhance specimen quality.
- Improved specimen handling will lead to more reliable diagnoses.