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Exhaustive leveling needed for diagnosis of colon adenomas


Key clinical point: Current methods of pathology miss between 9% and 16% of adenomas because a specific diagnosis cannot be made.

Major finding: Using exhaustive leveling allowed for a conversion of more than one-third (37%; n = 3,964) of nondiagnostic results to adenoma.

Data source: A retrospective review of the pathology findings of a large GI practice after implementation of exhaustive leveling.

Disclosures: Dr. Cole declared no relevant disclosures.




– A substantial number of adenomas may be missed by pathologists, but changes in the standard methodology can significantly decrease that amount, according to findings presented at Digestive Disease Week®.

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