Demonstration of an expedited breast care (EBC) clinic

• DOI: 10.1200/jco.2006.24.18_suppl.16023
• Publication Date: 2020-03-09T19:54:11Z
• Authors: A. Lopez; C. C. Venker; A. Howerter; G. P. Barker; A. Bhattacharyya; K. M. Scott; M. R. Descour; L. C. Richter; E. A. Krupinski; R. S. Weinstein
• Keywords: Telepathology; Breast biopsy; Tertiary care; Histopathology

16023 Background: Women report waiting for a breast biopsy result as time of psychological distress. Waiting also delays entry into definitive oncology care, and patients in underserved communities may be lost to follow up. In this proof-of-concept demonstration, an Expedited Breast Care (EBC) clinic was developed give the opportunity receive same-day results. Methods: Patients requiring core at community hospital were approached sequentially participate. Following surgical biopsy, tissue underwent ultra-rapid fixation processing. After paraffin sections prepared stained, glass histopathology slides imaged with virtual slide scanner. Digital images stored on server viewed Internet by telepathologist tertiary care center. Light microscopy review concurrently performed gold standard. telepathology light confirmation, presented telemedicine suite A teleoncologist center all pathology results patient, whether benign or malignant. Time patient satisfaction data collected. Results: Nine have participated. Within 2 hours from arrived laboratory, digital available telepathologist. The within 3–5 after procedure. reported service, stated they would seek EBC again event future biopsy. Many expressed relief receiving so promptly felt had avoided stress longer elapsed mammogram shorter compared control group not offering EBC, although did reach statistical significance (Mann-Whitney U: Z = −1.804, p 0.0713). Conclusions: These indicate can successfully accomplished. Current studies assess EBC’s role facilitating prompt are underway. By incorporating rapid processing teleoncology, improve access areas. [Table: see text]