1 Laboratory of Cytopathology and Anatomic Pathology, Tangier-Alhoceima University Hospital, Tangier, Morocco; 2 Faculty of Medicine and Pharmacy, Abdelmalek Essaadi University, Tangier, Morocco.
2 Faculty of Medicine and Pharmacy, Abdelmalek Essaadi University, Tangier, Morocco; 3 Laboratory of Histology, Embryology, and Cytogenetics, Faculty of Medicine and Pharmacy, Abdelmalek Essaadi University, Tangier, Morocco.
Acta Biomed. 2023 Feb 13;94(1):e2023006. doi: 10.23750/abm.v94i1.13566.
Sarcoma diagnosis is a challenge for laboratories of cytopathology and anatomic pathology. We conducted this survey-based study to better elucidate real-world practices and challenges of sarcoma diagnosis. Methods: This was a cross-sectional study using an anonymous questionnaire. The survey was distributed among pathologists using snowball sampling. Descriptive statistics were used to report the finding of this survey.
A total of 144 Moroccan pathologists were surveyed. Most respondents were from academic institutions (41.7%) and those with a specialization in sarcoma diagnosis represented 57%, through training using post-graduate fellowships followed by internships abroad and inter-university diplomas. Remarkably, 36.8% of participants reported no training on sarcoma pathology during their career. Regarding frequency of sarcoma diagnosis, 64.6% of pathologists reported having received less than one case of sarcoma per week and more than 70% did not receive sufficient information from referring clinicians. The majority of pathologists reported their nonattendance in multidisciplinary meetings. Morphology and immunohistochemistry were the most frequently used diagnostic tools, while fluorescence in situ hybridization and other molecular biology techniques were accessible for only 27% and 20.1% of pathologists, respectively. Response time during pathological diagnosis of sarcoma was 14 days according to 52.8% of surveyed participants. In addition, a second opinion was needed for 66% of pathologists.
Specialized training on sarcoma pathology in Morocco is lacking. A national working group on sarcoma pathology is needed to provide second opinions, and therefore, improve the management of this malignancy of poor prognosis. (www.actabiomedica.it).
肉瘤的诊断对于细胞病理学和解剖病理学实验室来说是一个挑战。我们进行了这项基于调查的研究，以更好地阐明肉瘤诊断的实际情况和挑战。
这是一项使用匿名问卷的横断面研究。该调查通过滚雪球抽样法分发给病理学家。使用描述性统计来报告这项调查的结果。
共调查了 144 名摩洛哥病理学家。大多数受访者来自学术机构（41.7%），其中 57%的人通过研究生奖学金培训、海外实习和校际文凭获得肉瘤诊断专业知识。值得注意的是，36.8%的参与者报告在其职业生涯中没有接受过肉瘤病理学培训。关于肉瘤诊断的频率，64.6%的病理学家报告每周收到的肉瘤病例少于 1 例，超过 70%的病理学家没有从转诊临床医生那里获得足够的信息。大多数病理学家报告他们没有参加多学科会议。形态学和免疫组织化学是最常使用的诊断工具，而荧光原位杂交和其他分子生物学技术仅分别可供 27%和 20.1%的病理学家使用。根据 52.8%的调查参与者的说法，肉瘤病理诊断的反应时间为 14 天。此外，66%的病理学家需要进行第二次病理诊断。
摩洛哥缺乏肉瘤病理学的专业培训。需要建立一个国家肉瘤病理学工作组，提供第二次病理诊断，从而改善这种预后不良的恶性肿瘤的管理。（www.actabiomedica.it）。
