Cardiovasc Pathol. Mandatory Second Opinion Surgical Pathology at a Large Referral Hospital Joseph D. Kronz, M.D. Johns Hopkins Medicine. For a second opinion on the results of your prostate biopsy, there is no place better to get one than from the well known prostate pathologist, Dr. Jonathan Epstein at Johns Hopkins. The Johns Hopkins Hospital has been a leader in advancing the current knowledge of the optimal treatments for bile duct cancers. With the explosion in knowledge of basic neurobiology and the advances in understanding of the genetic, molecular and cellular bases of diseases, there has been no time of greater promise for discovering how to treat patients suffering from conditions affecting the nervous system. Cases were collected prospectively over a 21-month period from April 1995 to December 1996. The first pathology report is probably going to be useful, but it becomes brilliantly useful when compared to a second opinion from a pathologist at a If you are in the midst of dealing with biliary cancer, you have a lot on your mind and you may have difficulty knowing where to start. Mandatory second opinion surgical pathology at a large ... Henrietta Lacks (born Loretta Pleasant; August 1, 1920 - October 4, 1951) was an African-American woman whose cancer cells are the source of the HeLa cell line, the first immortalized human cell line and one of the most important cell lines in medical research. Contact Us: Urology Medical Second Opinion Program at ... We can help with your case. Department of Pathology. Other labs for second . The Johns Hopkins Hospital Pathology Send Out Office is responsible for handling a variety of patient medical records and testing requests for Johns Hopkins Hospital patients and some aspects of Johns Hopkins Bayview and Howard County General Hospital surgical pathology cases: Second opinions requested by a physician or patient Confirming cases for patients treated outside […] Get a Second Opinion - Johns Hopkins Pathology 1 William H. Westra, M.D. At the suggestion of Virginianorthern I had my biopsy slides sent to John Hopkins for a second opinion. Benefits Offered by the Johns Hopkins Pathology Consultation Services. Halushka MK, van der Wal AC. Second opinions can be valuable tools to help you: Select the best treatment option Noninflammatory degenerative diseases - nomenclature and diagnostic criteria. Our expert physicians provide second opinions for several neurological or neurosurgical conditions and disorders. One tested at Gleason 3+3=6 for less than 5% and the other at Gleason 3+4=7, involving 60%. At the Breast Cancer Program at the Johns Hopkins Kimmel Cancer Center in Baltimore, MD, a second opinion requires only that you or your doctor send us your pathology slides, key medical records and signed paperwork requesting the opinion. Johns Hopkins provides comprehensive world-class care for all conditions related to the breast for optimal breast health. Despite numerous studies evaluating second-opinion surgical programs, we are unaware of work evaluating the cost effectiveness of a second opinion for pathology prior to surgery. 3. An immortalized cell line reproduces indefinitely under specific conditions, and the HeLa cell line continues to be a source of . The first pathology report is probably going to be useful, but it becomes brilliantly useful when compared to a second opinion from a pathologist at a Netto says patients should be proactive in requesting that doctors take another look. In recent years, Johns Hopkins All Children's has also led several multicenter studies nationally or multinationally focused on treatments and outcomes in a variety of pediatric diseases. Upper tract urothelial cancer (UTUC) is a subset of urothelial cancer that is found in the renal pelvis of the ureter. Methods: The authors reviewed the impact of mandatory second opinion surgical pathology at The Johns Hopkins Hospital. . Detailed information on labor and delivery. 1,2 Jonathan I. Epstein, M.D. We offer two options for urology second opinion - in person visits and remote opinions. Follow-up information supported the second opinion diagnosis in 41 of 43 cases (95%). Below is the link with instructions and the authorization form for you to use with your doctor. One of six pathologists reviewed the pathology of the outside needle biopsies of 535 consecutive men referred to Johns Ho … If you're living in the U.S. and would like an in-person visit, call 410-955-6100. features offered by the johns hopkins pathology consultation services. - Watch this short video to learn more about UTUCs. For a second opinion on the results of your prostate biopsy, there is no place better to get one than from the well known prostate pathologist, Dr. Jonathan Epstein at Johns Hopkins. Get a Second Opinion. Consensus statement on surgical pathology of the aorta from the Society for Cardiovascular Pathology and the Association For European Cardiovascular Pathology: II. At the Breast Cancer Program at the Johns Hopkins Kimmel Cancer Center in Baltimore, MD, a second opinion requires only that you or your doctor send us your pathology slides, key medical records and signed paperwork requesting the opinion. Mandatory Second Opinion Surgical Pathology at a Large Referral Hospital Joseph D. Kronz, M.D. You can call and speak with his assistant at: (410) 614-6330. "Anyone treated here—whether by surgery, radiation therapy or oncology—first has to have the outside pathology reviewed." Hopkins pathology administrator Al Valentine says his division taps 130 full-time faculty members to handle about 125 pathology reviews every day . Search the Health Library Get the facts on diseases, conditions, tests and procedures. The Johns Hopkins Neurosurgery Medical Second Opinion Program provides timely second opinions on neurological conditions and neurosurgery from leading experts without requiring you to spend time and money on traveling. Get a Second Opinion. Johns Hopkins Medicine. . Currently, tumors that involve both lobes of the liver, that involve . Home > Second Opinion An accurate diagnosis is essential to ensure the correct and most effective treatment is given. Some pathology reports are written by recent graduates who mean well but haven't developed the set of eyes that highly experienced pathologists have. 1,3 1 Department of Pathology, The Johns Hopkins Medical Institutions, Baltimore, Maryland. For men with prostate cancer and who live in the United States, there are some highly regarded pathology labs from which you can obtain your second opinion. Biopsy interpretation and pathology reporting varies in quality. To get ready for delivery, you may be moved into a birthing room or delivery room. Department of Pathology. 1 William H. Westra, M.D. The Johns Hopkins Gastroenterology and Hepatology Medical Second Opinion Program provides timely second opinions from leading experts on conditions and diseases related to the digestive system without requiring you to spend time and money on traveling. Call us with any questions: 410-955-2405, ext. Over 80,000 specimen cases are seen at Johns Hopkins each year. AB - Background. Biopsy interpretation and pathology reporting varies in quality. Our unique remote second opinion service allows patients to access Johns Hopkins urologists without spending time and money traveling here in person. Below is the link with instructions and the authorization form for you to use with your doctor. Cases were collected prospectively over a 21-month period from April 1995 to December 1996. Getting a second opinion on a diagnosis can reverse a diagnosis or alter the treatment plan. Our services include preventive and noncancerous surgical treatment, risk assessment, diagnostic screenings and treatment for breast cancer. Search the Health Library Get the facts on diseases, conditions, tests and procedures. The Division of Neuropathology at Johns Hopkins is committed to diagnosing and curing diseases affecting the brain. The mission of the Department of Pathology is to discover, disseminate and apply knowledge in the study of disease, to advance the field of human health, and to provide the highest quality of patient care. The review process normally takes several days, after which we will send your slides and other materials . Thesis Lab Decision; Thesis Committee Meeting Choose which option works best for you. 3. Upper tract urothelial cancer (UTUC) is a subset of urothelial cancer that is found in the renal pelvis of the ureter. Last year, Epstein's lab reviewed the pathology reports of 30,000 cases in which patients requested second opinions. At Johns Hopkins All Children's Hospital, we offer both in-person second opinions and virtual second opinions. For the purposes of this study, a changed diagnosis was defined as a discordant diagnosis resulting in a major modification in therapy or prognosis. Maureen Coyle, a clinical social worker at Johns Hopkins, has compiled the . Thesis/IDP Forms. Baltimore, MD 21287-6417. Conclusions. 2016 May-Jun;25(3):247-57 Mayo's pathology report indicated cancer on 2 samples. Getting a second opinion can change the initial diagnosis and may alter the treatment plan. At Johns Hopkins, we have a team of specialist in the Greenberg Bladder Cancer Institute who work together to treat and manage patients with this disease. Dr. Jonathan Epstein explains the benefits of getting a pathology second opinion. Seeking second opinions is becoming standard practice, and it is mandatory at Johns Hopkins. 2 Department of Otolaryngology-Head and Neck Surgery, The Johns Hopkins Medical Institutions, Baltimore . The review process normally takes several days, after which we will send your slides and other materials . 600 N. Wolfe Street, Carnegie 422. Second Opinions & Consultations. In a consequential number of cases, second opinion surgical pathology results in major therapeutic and prognostic modifications for patients sent to large referral hospitals for head and neck oncologic surgery. Home > Second Opinions An accurate diagnosis is essential to ensure that the correct and most effective treatment is given. 1,3 1 Department of Pathology, The Johns Hopkins Medical Institutions, Baltimore, Maryland. Request a second opinion from our pathology, radiology or surgery division. 2 Department of Otolaryngology-Head and Neck Surgery, The Johns Hopkins Medical Institutions, Baltimore . 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