title: A pathologist's survey on the reporting of sessile serrated adenomas/polyps.
abstract: OBJECTIVE
  The purpose of this survey was to ascertain reporting habits of pathologists towards sessile serrated adenomas/polyps (SSA/P).
  
  
  METHODS
  A questionnaire designed to highlight diagnostic criteria, approach and clinical implications of SSA/P was circulated electronically to 45 pathologists in the UK and North America.
  
  
  RESULTS
  Forty-three of 45 pathologists agreed to participate. The vast majority (88%) had a special interest in gastrointestinal (GI) pathology, had great exposure to GI polyps in general with 40% diagnosing SSA/P at least once a week if not more, abnormal architecture was thought by all participants to be histologically diagnostic, and 11% would make the diagnosis if a single diagnostic histological feature was present in one crypt only, while a further 19% would diagnose SSA/P in one crypt if more than one diagnostic feature was present. The vast majority agreed that deeper sections were useful and 88% did not feel proliferation markers were useful. More than one-third did not know whether, or did not feel that, their clinicians were aware of the implications of SSA/P.
  
  
  CONCLUSIONS
  98% of pathologists surveyed are aware that SSA/P is a precursor lesion to colorectal cancer, the majority agree on diagnostic criteria, and a significant number feel that there needs to be greater communication and awareness among pathologists and gastroenterologists about SSA/P.
authors.affiliation: University Health Network, , Toronto, Canada.
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authors.forename: Michael D
authors.initials: MD
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authors.lastname: Mapstone
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authors.lastname: Novelli
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authors.lastname: Poller
authors.forename: Corwyn
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authors.lastname: Sanders
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authors.forename: Ali
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authors.lastname: Sherif
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mesh_terms: D000236:Adenoma / Q000473:pathology*; D001291:Attitude of Health Personnel; D001364:Awareness; D001706:Biopsy; D003111:Colonic Polyps / Q000473:pathology*; D015179:Colorectal Neoplasms / Q000473:pathology*; D003142:Communication; D032921:Consensus; D003299:Cooperative Behavior; D019538:Health Care Surveys; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D009656:North America; D010818:Practice Patterns, Physicians'; D011237:Predictive Value of Tests; D011379:Prognosis; D011795:Surveys and Questionnaires; D006113:United Kingdom
keywords: Gastrointestinal Polyps; Serrated Polyp; Sessile Serrated Adenoma; Sessile Serrated Polyp