Social significance of diagnostic pathology as a role of pathology clinic
Keywords:pathology clinic, pathologists, patients, cancer, explanation, compliance
The proper and effective implementation of a Diagnostic Clinic in Japan has been possible since April 2008, when the Japanese Government began allowing advertising. Pathologists that work in this centre should be able to guide patients throughout the complete arc of a disease, from diagnosis to treatment or ultimately to death. At each step, pathologists should be knowledgeable in the care of the patient and be able to impart information that the patient or the patient’s family can fully understand. This new center should be able to run independently in a hospital, but also benefit from the other departments therein, such as a pathology clinic and nursing staff. With proper diagnosis and treatment, the work of the clinic will gain social significance and be seen as a useful tool throughout the course of an illness. Diagnostic Pathology should be the baseline for performing integrated and sophisticated medicine, especially for neoplastic lesions, while the Pathology Clinic can be a focal point where patients can consult pathologists directly. Herein we describe the proper setup and roles for pathologists in a diagnostic clinic.
Baile,W.F., Buckman, R., Lenzi, R., Glober, G., Beale, E.A., & Kudelka, A.P. (2000). SPIKES-a six-step protocol for delivering bad news: application to the patient with cancer. Oncologist, 5: 302-311.
Fujimori, M., Akechi, T., Morita, T., et al. (2007). Preferences of cancer patients regarding the disclosure of bad news. Psychooncology, 16: 573-581.
Hashimoto, N. (2002). Communication. In: Principles of medical care and medical humanics. Takeuchi M., ed., Kobundo, Tokyo, 109-124. (in Japanese)
Kawada, S. (2002). Psychology and Philosophy of Human Comprehension. In: Principles of Medical Care and Medical Humanics. Takeuchi, M., ed., Kobundo, Tokyo, 39-51. (in Japanese)
Kitazawa, K. (2005). The University of Tokyo Hospital must change! – What are the Attributes of a Good Hospital. In: How Future Medical Care and Hospitals Ought to be. University of Tokyo Hospital planning office, ed., Kanehara publication, Tokyo, 11-26. (in Japanese)
Nishimaki, M., Taniyama, K., Kodama., K., et al. (2010). A study of relation among pathology informed consent, mental state and adjustment in patients with breast cancer. Hiroshima Medicine, 63: 151-155. (in Japanese)
Taniyama, K. (1997). In quest of new contact points between patients and their families and the pathologis –Explanation of the results of pathological diagnosis by the pathologist–.” Igaku No Ayumi, 1997, 182: 911-914. (in Japanese)
Taniyama, K. & Sasaki, N.(1998). Participation of the pathologist in the informed consent. Byori To Rinsho, 16: 639-643 (in Japanese).
Taniyama, K. (2006a) Practice of the Pathologic Clinic. Modern Media, 53: 241-244. (in Japanese)
Taniyama, K. Inai, K. & Kuroda, M. (2006b). Adequate distribution of pathologists in Japan- (1) an analysis of the current situations. Byori To Rinsho, 2006, 24: 877-884. (in Japanese with English abstract)
Taniyama, K., Inai, K. & Kuroda, M. (2006c). Adequate distribution of pathologists in Japan- (2) a new formula for 2005 for the number of certified pathologists in Jpapan, and a proposal for the future. Byori To Rinsho, 2006, 24: 995-1001. (in Japanese with English abstract)
Taniyama, K. (2006d). Demands of family members for autopsy reporting. Iryo,
: 106-111. (in Japanese with English abstract)
Taniyama, K. (2006e). Medical Service Law Article 21 and autopsy in Japan- what pathologists now have to do -. Iji Shinpo, 4300: 66-70. (in Japanese)
Taniyama, K., Motoshita, J., Sakane, J., et al. (2006f) Combination analysis of a whole lymph node by one-step nucleic acid amplification and histology for intraoperative detection of micrometastasis. Pathobiology, 2006, 73: 183-191.
Taniyama, K. (2008a) Legal and ethical issues in surgical pathological diagnostics. Byori To
Rinsho, 26 (Supplement): 124-131. (in Japanese)
Taniyama, K. (2008b). The appropriate state of the Pathologic Clinic. Byori To Rinsho, 26: 746-748. (in Japanese)
Taniyama, K., Ishida, K., Toda, T., et al. (2008c). Tyrosine1248-phosphorylated HER2 expression and HER2 gene amplification in female invasive ductal carcinomas. Breast Cancer, 15: 231-240.
Taniyama, K. (2008d). Needle necropsy in Japan. Iji Shinpo, 4390: 93-94. (in Japanese)
Taniyama, K. (2008e) Pathologist as a member of team oncology. Shuyonaika, 2: 307-313. (in Japanese)
Taniyama, K., Oshita, S., Saito, A. & Kuraoka, K.(2009a). Practice of the Pathology Clinic. Rinshokensa, 53: 357-359. (in Japanese)
Taniyama, K. (2009b). Management of the Pathology. Rinsho Byori, 57: 687-694. Pathology Clinic and Diagnostic (in Japanese with English abstract)
Taniyama, K., Morii, N., & Kuraoka, K., et al. (2011) Topoisomerase II-alpha index predicts the efficacy of anthracycline-based chemotheraphy for breast cancers. In: HER2 and Cancer, Williams SI et al., ed., New York, USA: Nova Science Publishers,
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