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Observer agreement in the diagnosis of serrated polyps of the large bowel
Author(s) -
Wong Newton A C S,
Hunt Linda P,
Novelli Marco R,
Shepherd Neil A,
Warren Bryan F
Publication year - 2009
Publication title -
histopathology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.626
H-Index - 124
eISSN - 1365-2559
pISSN - 0309-0167
DOI - 10.1111/j.1365-2559.2009.03329.x
Subject(s) - hyperplastic polyp , concordance , medicine , adenomatous polyps , adenoma , gastroenterology , tubular adenoma , colorectal polyp , colonoscopy , colorectal cancer , cancer
Aims: To assess observer agreement in the diagnosis of colorectal serrated polyps, in particular, serrated adenomas and admixed polyps (i.e. ‘polyps with admixed hyperplastic and adenomatous glands’). Methods and results: Sixty cases of large bowel polyps were assessed by four specialist gastrointestinal histopathologists and allocated into one of five categories: serrated adenoma, hyperplastic polyp, conventional adenoma, admixed polyp, and other polyps with serration. Complete agreement amongst all four assessors was seen with only two‐fifths of the cases. The overall κ value for all the assessors distinguishing between all five categories was 0.49. The κ values for diagnosing serrated adenoma versus all other polyps, and admixed polyp versus all other polyps were 0.38 and 0.3, respectively. Conclusions: Specialist gastrointestinal histopathologists show only moderate concordance when distinguishing between serrated colorectal polyps. There is only fair interobserver agreement in the diagnosis of serrated adenomas and admixed polyps of the large bowel.