This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.
To the Editor.—
I read the COMMENTARY "A Radiologist's Point of View" by Marc J. Homer, MD (1981; 246:2581), and as a practicing pathologist in a busy community hospital I certainly share all of the problems and frustrations that he outlined. For example, a survey of one day's surgical tissue requisitions showed 61% without any preoperative or postoperative diagnoses.It is particularly frustrating to receive a specimen that has little useful clinical information. In many instances, the pathologist's examination is dictated by a knowledge of the clinical problem. Although examples to support this abound, one that highlights this issue quite well is related to the examination of a uterus. For nonneoplastic conditions the gross examination begins by taking a section from each cervical lip; however, in a case of suspected cervical in situ squamous carcinoma this is inadequate because the extent of the lesion would remain undetermined. Without knowing the
Jacobson W. A Pathologist's Point of View. JAMA. 1982;247(14):1935. doi:10.1001/jama.1982.03320390019010