Table 4.
Suggested Treatment Recommendations for Cases Interpreted as Conventional Spitz or Atypical Spitz by Pathologists’ Characteristics.
Conventional Spitz | Atypical Spitz | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
|
|
||||||||||
No. case readings | None | ≤ .5 | .5–1 | ≥ 1 | P-value | None | ≤ .5 | .5–1 | ≥ 1 | P-value | |
34 | 39 | 4 | 1 | 8 | 90 | 71 | 25 | ||||
| |||||||||||
Affiliation with academic medical center | |||||||||||
No | 6432 | 23 (43%) | 28 (53%) | 2 (4%) | 0 (0%) | 0.35 | 3 (2%) | 65 (45%) | 59 (40%) | 19 (13%) | 0.04 |
Yes | 2544 | 11 (44%) | 11 (44%) | 2 (8%) | 1 (4%) | 5 (10%) | 25 (52%) | 12 (25%) | 6 (13%) | ||
Fellowship or board certified in dermatopathology | |||||||||||
No | 5424 | 19 (42%) | 22 (49%) | 3 (7%) | 1 (2%) | 0.89 | 4 (4%) | 47 (46%) | 38 (37%) | 14 (14%) | 0.98 |
Yes | 3552 | 15 (45%) | 17 (52%) | 1 (3%) | 0 (0%) | 4 (4%) | 43 (47%) | 33 (36%) | 11 (12%) | ||
Years interpreting melanocytic skin lesions | |||||||||||
< 10 Years | 3552 | 8 (31%) | 17 (65%) | 1 (4%) | 0 (0%) | 0.24 | 2 (2%) | 41 (48%) | 32 (37%) | 11 (13%) | 0.78 |
10 years + | 5424 | 26 (50%) | 22 (42%) | 3 (6%) | 1 (2%) | 6 (6%) | 49 (45%) | 39 (36%) | 14 (13%) | ||
Percent of caseload is melanocytic skin lesions | |||||||||||
< 10 percent | 3792 | 18 (50%) | 15 (42%) | 2 (6%) | 1 (3%) | 0.34 | 2 (3%) | 32 (45%) | 27 (38%) | 10 (14%) | 0.9 |
≥ 10 percent | 5184 | 16 (38%) | 24 (57%) | 2 (5%) | 0 (0%) | 6 (5%) | 58 (47%) | 44 (36%) | 15 (12%) |