Seattle Breast Pathology Consultants has joined forces with another breast pathologist to form Pacific Breast Pathology. In addition to our existing second opinion consultation service, we will now be providing services to radiologists and surgeons for primary diagnostic interpretation of breast core biopsies and surgical specimens performed in California. We also will have full service [...]
I wrote a blog article a couple of years ago about how there is a lot of misinformation given out by many websites where patients can write in and ask questions related to breast pathology issues.
Unfortunately, in the past few years nothing seems to have changed. There are still many sites out there where [...]
A recent news release from Genomic Health, Inc. indicates preliminary data shows that the Oncotype DX® test can provide a score predicting risk of local recurrence in patients with a diagnosis of ductal carcinoma in situ (DCIS).
DCIS is a very heterogeneous disease and there is disagreement in the breast care community as to how to [...]
I recently posted a pdf version of our course on “Controversies on the Management of High Risk Breast Lesions on Core Biopsy” that my Radiology colleague and I gave in San Diego last year. The diagnoses we are referring to as “high risk” on core biopsy include atypical lobular hyperplasia/lobular carcinoma in situ, papilloma, radial [...]
I have uploaded a pdf version of our course on high risk lesions on breast core biopsy that we gave last year in San Diego. We used an audience response system so if you follow through the slides you’ll see the questions we asked of the audience and the responses that we received in real [...]
Our image gallery is back up and running with a whole new set of images of a variety of breast pathology diagnoses. If you hold your computer’s mouse over an image the diagnosis will appear. Each diagnosis is also at the bottom left of each full-sized image when clicked on. If you have any suggestions [...]
I did a study with nine breast pathology colleagues of mine on how breast pathologists distinguish cellular fibroadenomas from phyllodes tumor. Our abstract was accepted at the 100th annual USCAP meeting in San Antonio this year. I have attached a pdf version of our poster below:
FEL_poster
Please feel free to comment or ask questions about this [...]
I recently gave a talk in Mexico City on lobular neoplasia (alh/lcis) which is now available here as a pdf:
Lobular_neoplasia
The talk covers the difference between ALH and LCIS and the new variants of LCIS such as pleomorphic LCIS and LCIS with necrosis. We also talk about the possibility that LCIS is a precursor to invasive [...]
I recently gave a talk on second opinions in breast pathology at the 21st Annual Conference of the National Consortium of Breast Centers in Las Vegas. A modified version of that talk is available here as a pdf:
Second_Opinion_Pathology
The first part of the talk covers some of the data in the literature and the second part [...]
In a recent issue of the journal Cancer there are two interesting articles looking at two types of radiation therapies vs. no radiation for a subset of patients with DCIS.
This has long been a controversy amongst breast care specialists. Does all DCIS following lumpectomy need to be treated by radiation? Or is there a subset [...]