Papillary CA being overdiagnosed. Gee, who would have guessed

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WEBB PINKERTON

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It isn't that it is being "overdiagnosed" based on current diagnostic criteria. It's that it is a usually a low grade cancer with little clinical significance. If you get a slide with the appropriate features, you are not "overdiagnosing" it to call it papillary carcinoma. In fact you would be negligent if you didn't. It is that we either need to change the diagnostic criteria or change what we do with the diagnosis.
 
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A lot of what we do is unnecessary and leads to even more unnecessary procedures. Add Thyroid to Breast, Bladder, Cervical, Prostate screening/prevention.......

This country doesn't need probably half the pathologists out there once the waste is gone.
 
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