New guidelines may slightly increase reliability, accuracy of melanoma diagnoses

The BMJScan (at two resolutions) of a category 3 melanoma in situ.FINDINGSIn a new study, researchers have developed updated guidelines for classifying a serious form of skin cancer called invasive melanoma. The American Joint Committee on Cancer, an organization that provides information on “cancer staging,” or the severity of individual cases of cancer, recently updated its guidelines for melanoma. The researchers found that when pathologists used the new guidelines for cases of early stage invasive melanoma, they agreed with an expert-defined diagnosis 10 percent more often.METHODIn the study, researchers reviewed 4,342 analyses of 116 cases of invasive melanoma, made by a total of 187 pathologists from 10 U.S. states.The physicians ’ interpretations were compared with an expert consensus diagnosis to assess accuracy. The pathologists were unaware that they were interpreting the same set of cases twice; the second viewing occurred at least eight months after the first.BACKGROUNDEvery few years, the AJCC updates guidelines for categorizing cancers. Physicians use the guidelines to estimate patients ’ prognosis, determine surgical options, and evaluate whether they are candidates for other therapies or clinical trials. The guidelines should enable pathologists to provide an accurate diagnosis that would be the same as the diagnosis another pathologist would give.In a prior study, the same researchers showed that pathologists disagreed about the diagnosis of early-sta...
Source: UCLA Newsroom: Health Sciences - Category: Universities & Medical Training Source Type: news