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Table 7 Concordance of the diagnosis of a needle biopsy between urological and general pathologists (Oct./07–Mar./08)

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

84

0

1

0

1

0

0

0

 

ASAP

1

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

21

3

0

0

 

3 + 4

0

0

0

0

1

9

3

0

 

4 + 3

0

0

0

0

0

0

12

2

 

8–10

0

0

0

0

0

0

2

6

 
 

85

1

1

0

24

12

17

8

148

% Exact concordance

98.8

100

0

0

87.5

75.0

70.6

75.0

89.9

% Undergrading by UPD vs GPD

    

8.3

25.0

17.6

25.0

16.4

% Overgrading by UPD vs GPD

    

4.2

0

11.8

0

4.9

  1. UPD Urological pathologist diagnosis, GPD General pathologist diagnosis, NM No malignancy, ASAP atypical small acinar proliferation suspicious, HGPIN High grade prostatic intraepithelial hyperplasia