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. 2021 Jan 23;12:4. doi: 10.4103/jpi.jpi_55_20

Table 4.

Dermatopathology discrepant cases

Subspecialty GS diagnosis DP diagnosis Third pathologist/multiheader diagnosis GT Number of repeats
Skin Lichenoid inflammation and moderate dysplasia Lichenoid inflammation. No dysplasia seen Lichenoid inflammation and moderate dysplasia GS Undercall of dysplasia on DP, ×12
Skin Compound melanocytic naevus Skin showing dysplastic naevus Compound melanocytic naevus GS Overcall of dysplasia on DP, ×4
Skin Dysplastic junctional naevus Lentgo maligna in situ Dysplastic junctional naevus GS None
Skin Lentigo maligna with early microinvasion Junctional melanocytic naevus Lentigo maligna with early microinvasion GS None
Skin Malignant Melanoma in situ in radial growth phase Severely dysplastic naevus. No evidence of melanoma Malignant melanoma in situ in radial growth phase GS None
Skin Spitz naevus Malignant melanoma Spitz naevus GS None
Skin Actinic keratosis with moderate squamous atypia Inflammed seborrheic keratosis Actinic keratosis with moderate squamous atypia GS ×3
Skin Irritated seborrhoeic keratosis Hypertrophic actinic keratosis Hypertrophic actinic keratosis DP ×2
Skin Skin biopsy showing fungal infection and reactive atypia Chronic nonspecific dermatitis. There is no atypia or malignancy Pseudo-epitheliomatous hyperplasia secondary to fungal infection GS None
Skin A and B: BCC, completely excised A: BCC, completely excised B: Scanned but not reported A: BCC, completely excised B: Scanned but not reported QC issues Similar QC issues on DP, ×7

GS: Glass slide, DP: Digital pathology, GT: Ground truth, BCC: Basal cell carcinoma, QC: Quality control