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Editor's Correspondence
May 10, 1999

Is the Discordance Rate of Malignancy Still High?

Arch Intern Med. 1999;159(9):1013. doi:

Every month, we look forward to reading the "Autopsy and Medicine" series in the ARCHIVES because we believe in the benefits of autopsy, as defined in a recent editorial by Dalen.1 Another timely article described discrepancies between clinical and autopsy diagnoses, especially in cases of malignant neoplasm.2 The authors claimed that there was a high discordance rate (44%) between clinical diagnoses and autopsy findings in cases of malignancy, despite the technological advances in medicine. However, they could not perform sufficient workups because of patient mortality, thus, their data were not demonstrated on the basis of the diagnostic technology in medicine.

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