2008 Summer Meeting - Leeds - The Pathological Society of Great ...

P143Streamed Internet Video for Pathology Research andEducation: The Pathology Video Journal www.PathLab.orgDN Poller 1 , BM Ljung 2 , P Gonda 11 Dept Pathology, Queen Alexandra Hospital, Portsmouth, 2 Dept Cytology,UCSF, San Francisco, California, USA, 3 Dept Pathology, QueenAlexandra Hospital, Cosham, PortsmouthIntroduction: The amount of internet information available in video format isexpanding rapidly. Most content is not peer reviewed or assessed for quality orveracity. No other pathology website currently publishes in pure video format.Methods: User generated content is submitted to the websitemoderator/editor and assessed with direct feedback to the author requestingvideo edits, or amendments. After approval by the website editor/peer reviewereach video clip has a written abstract posted on the website which can then beretrieved by searching Google. The video clip is uploaded onto the GoogleVideo server.Results: The 5 videos posted have already received a total of 468viewings and 81 downloads with very positive user feedback.. A single hourlongvideo describing how to take a FNA received 358 viewings and 76downloads. www.PathLab.org is now hypertext linked to RCSEngland, BSCCand BASO websites as the FNA video is also of interest to surgeons andradiologists.Discussion: Internet video-on-demand will be an increasingly importantmeans of teaching and training in biomedicine and science, particularly whendescribing a practical technique which is complex, difficult to apply or toreplicate, and which would traditionally be taught ‘hands-on’ in the laboratoryor clinic or by tutorials or seminars involving small groups of students or otherprofessionals. Caveats include suitability for public display, patient informedconsent, and a requirement to limit access via password protection for certainvideo footage.P145Gynecological malignancy referrals within the YorkshireCancer Network: An audit of diagnostic discrepanciesG Hutchins 1 , B Mathew 1 , N Wilkinson 11 Dept. Histopathology, Leeds Teaching Hospitals NHS Trust, Leeds, UKBackground. Yorkshire Cancer Network (YCN) Standard Operating Proceduresdictate most gynecological malignancies encountered by peripheral CancerUnits should be referred to the Leeds Cancer Centre gynecological MDT forspecialist management. As part of the referral process, histological diagnosesare reviewed by specialist gynecological pathologists to ensure diagnosticintegrity. To date, the degree of diagnostic correlation between the pathologydepartments of the Cancer Units and the Cancer Centre is unknown.Methods. Histopathology reports of 534 gynaecological malignancies ofCancer Unit origin were compared against corresponding review reports issuedby the Cancer Centre gynaecology MDT over a 5 year period (2002–2006).Diagnostic discrepancies were classified according to RCPath guidelines: C1–Diagnostic error with major clinical impact, C2–Diagnostic error with minorclinical impact, C3–Diagnostic error with no clinical impact, N–Nodiscrepancies.Results. Of the 534 reports assessed, 230 (43.1%) contained diagnosticerrors. 36 (6.7%) were classified as C1, 71 (13.3%) were classified as C2 and123 (23%) were classified as C3. Complete agreement was noted in 304(56.9%) cases. Of the 230 cases with diagnostic errors (C1,2,3), 63% occurredwithin cases of uterine malignancy (cervix / uterus).Conclusions. This audit highlights a significant level of diagnostic errorwithin Cancer Unit reporting of gynaecological malignancies. In the majority ofsuch cases, errors were of a minor nature. Only a very small minority of casesrevealed errors of potentially major clinical impact. In such cases the need forspecialist review of referred gynecological malignancies remains important foradequate patient care.P144Prostate biopsy workload: are Histopathologists workingharder?FFoss 1 , N Mayer 11 University Hospitals of LeicesterBackground: Extended prostate biopsy strategies have been shown to enhancediagnostic sensitivity for malignancy, compared with the classical sextantapproach, and have been incorporated into current guidelines for biopsysampling. Few studies to date have examined the workload implications ofthese changes in biopsy practice on Histopathology services.Materials and Methods: All needle core prostate biopsies submitted forhistological examination to Leicester University Hospitals NHS Trust over aten-year period from Jan 1998 - Dec 2007 were identified from the APEXcomputer system, using standard SNOMED codes. Chi-square and linearregression analyses were performed to examine temporal trends in studyvariables.Results: Results of preliminary analyses demonstrate positive linear trends innumber of biopsies reported (+272%; P < 0.001), paraffin blocks per case(+46%; P < 0.001), percentage of cases requiring additional work (+24%; P