"Medical Mishap" in Oregon

[Napoleon1801]

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Tenth lawsuit claims Oregon lab’s testing caused women harm from unneeded chemotherapy | The Lund Report

The 10 women who’ve sued Salem-based Pacific Pathology say inaccurate tests led to false diagnoses, grueling treatment and permanent injuries — and the firm is contesting their claims in court

www.thelundreport.org

 

[caffeinegirl]

Very interesting - calling Her2 positive when it isn't is actually more common than you may think....

 

[Med Director New England]

Tenth lawsuit claims Oregon lab’s testing caused women harm from unneeded chemotherapy | The Lund Report

The 10 women who’ve sued Salem-based Pacific Pathology say inaccurate tests led to false diagnoses, grueling treatment and permanent injuries — and the firm is contesting their claims in court

www.thelundreport.org

I doubt the pathologists will get into hot water over this - I assume this is over IHC scoring

Any 4 tiered scoring system is going to have a lot of 1 step discrepancies (the CAP PT challenges for her2neu IHC prove this).

Also the new recommendations for her2neu low (1+) benefiting from treatment ….lots of extremely iffy 1+ calls being made b/c the path is scared to undercall and deny potentially helpful therapeutic

 

[Alteran]

There is a lot to unpack here with this story. Was the discrepancy in scoring from (1) the original case material being reviewed in an institutional consult with a difference of opinion or (2) repeat IHC testing on the original specimen or subsequent IHC testing came to a different conclusion? I suspect it's a little of both.

I also agree with MDNE. Aren't we supposed to giving out Herceptin to any breast tumor that basically doesn't move out of way quick enough.

I really think this story makes the case to just go for FISH testing upfront and let it be the reference lab's problem.

 

[WEBB PINKERTON]

Leica is also one of the defendants it appears. Would be interesting to see the whole story.

Didn't realize Sonic had bought out Pacific coast. They been kind of buying up some scraps that labcorp and quest havent taken over.