There is such a group of doctors. They do not appear in the operating room, but directly determine the surgeon’s next operation plan; they are not detectives, but they are catching "clues" every day to find evidence for the conviction of "criminals"... They, Just a little-known pathologist. So, what are the misunderstandings in treating pathology reports?

　　Misunderstanding 1: The pathology department and the laboratory department are almost all engaged in laboratory tests

　　Most people may have this perceptual understanding, but pathologists are "unjust". Since the pathology department is the same as the laboratory department, the main task is to take samples from patients and conduct a series of examinations before issuing reports. But the biggest difference between the pathology department and the laboratory department is that the latter is to issue a series of project data through the operation of various instruments and equipment for the diagnosis of clinicians, and it does not make a clear diagnosis of a disease by itself; It is through a series of pathological examinations to finally issue a clear diagnosis report, which relies more on the brain of the pathologist rather than the instrument.

　　Misunderstanding 2: Pathology report is the "gold standard" and must not be wrong

　　Pathological examination has become the "gold standard" of medical diagnosis. Due to the subjective nature of pathological diagnosis, different experts in the same case may have different opinions. Even the same expert may give different opinions at different times. At the same time, due to the shortage of pathologists, general hospital pathologists are not divided into sub-specialties. A pathologist must be familiar with diseases of various parts and organs from head to toe. Moreover, different diseases may have similar morphological changes, and the same disease may have different morphologies. Therefore, when encountering rare, difficult, and rare cases, the pathologist should check the literature for information and seek consultation to avoid misdiagnosis.

　　Misunderstanding 3: Pathological diagnosis is very simple, just diagnose the benign and malignant tumor

　　When a patient suffers from a tumor, the most concerned thing is to judge the benign and malignant tumor. At this time, pathological examination is very urgent, but is pathological examination only to judge this? In fact, besides benign and malignant tumors, there is a "gray" area. Between benign and malignant, some tumors cannot be distinguished as benign or malignant under the current medical conditions. They can only be described by the degree of risk. The recurrence and metastasis rate with high risk is high, and vice versa.

　　Misunderstanding 4: Pathological diagnosis can be made accurately by just looking at the slice

　　Reading pathological slices is indeed an important part of pathological diagnosis. In order to make a correct pathological diagnosis, the pathologist must refer to detailed relevant information and carefully ask the medical history to confirm the diagnosis. The more detailed and reliable the materials provided by clinicians, the more accurate the pathological diagnosis will be. Advocating the combination of clinical, imaging, and pathological diagnosis is to abandon the outdated thinking that only looks at pathological slices without combining clinical practice.

　　Myth 5: Rapid pathology is equivalent to conventional pathology

　　"rapid pathology" is to perform rapid pathological examination on the patient's diseased tissue during the operation to determine the nature of the disease to determine the next surgical plan. Generally, it is completed within 30 minutes from obtaining the pathological specimen to issuing the report. Check the surgical margin for residual tumor tissue, understand the spread of tumor cells, and confirm the removed tissue.