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Table 6 Concordance of the diagnosis of a needle biopsy between urological and general pathologists (Apr./07–Sep./07)

From: Review by urological pathologists improves the accuracy of Gleason grading by general pathologists

General pathologist diagnosis

Urological pathologist diagnosis

NM

ASAP

HGPIN

5

6

3 + 4

4 + 3

8–10

Overall

NM

115

0

2

0

0

0

0

0

 

ASAP

0

1

0

0

1

0

0

0

 

HGPIN

0

0

0

0

0

0

0

0

 

5

0

0

0

0

0

0

0

0

 

6

0

0

0

0

16

3

1

0

 

3 + 4

0

0

0

0

5

17

2

0

 

4 + 3

0

0

0

0

0

1

7

1

 

8–10

0

0

0

0

0

0

3

10

 
 

115

1

2

0

22

21

13

11

185

% Exact Concordance

100

100

0

0

72.3

80.9

53.8

90.9

89.7

% Undergrading by UPD vs GPD

    

4.5

14.3

23.1

9.1

11.9

% Overgrading by UPD vs GPD

    

22.7

4.8

23.1

0

14.1

  1. UPD urological pathologist diagnosis, GPD general pathologist diagnosis, NM no malignancy, ASAP atypical small acinar proliferation suspicious, HGPIN High grade prostatic intraepithelial hyperplasia