Back to Authors

Chang, Oliver

https://orcid.org/0000-0002-1984-9552

Mayo Clinic

University of Washington

Citations 1

Impact of clinical photographs on the accuracy and confidence in the histopathological diagnosis of mycosis fungoides
Hadi, Rouba , Miller, Timothy Isaac , May, Caitlin , Lehman, Julia S. , Piliang, Melissa , Chang, Oliver , Lehman, Julia S , Bennett, Daniel D , Shinohara, Michi M.

Journal of Cutaneous Pathology | December 17, 2020 | Volume: 48 | Issue: 7 | Pages: 842-846

10.1111/cup.13938 Get It

AbstractBackgroundThe histopathological diagnosis of MF is challenging, and there is significant overlap with benign inflammatory processes. Clinical features may be relevant in the assessment of skin biopsies.MethodsWe provided photomicrographs to board‐certified dermatopathologists and one hematopathologist with and without accompanying clinical photographs and assessed accuracy and confidence in diagnosing MF.ResultsWe found that access to clinical photographs improved diagnostic accuracy in both MF and non‐MF (distractors); the degree of improvement was significantly higher in the non‐MF/distractor category. Across all categories, diagnostic confidence level was higher when clinical images were available.ConclusionThese findings suggest that clinical images are useful in making an accurate diagnosis of MF, and may be particularly helpful in ruling it out when an inflammatory disorder is clinically suspected.