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C J Bark

Publications and source records attributed to C J Bark.

17 recordsLinked to original sources
PubMed1993

Surgical pathology sign-out. Routine review of every case by a second pathologist.

This article describes a 1-year study undertaken to evaluate the cost and effectiveness of a surgical pathology quality assurance system in which a second pathologist routinely reviews (before release of the report) all surgical pathology cases requiring microscopic sections. The study included 5,397 cases. Fourteen discrepancies of potential clinical significance were detected by the second observer, for an error rate of 0.26%. Consultation with the clinical physicians involved in these cases indicated that in seven of these cases, the error would have resulted in a different clinical intervention than actually occurred. This "checker" sign-out system added an estimated $7 to the cost of each case, or $2,700 for each discrepancy of potential clinical significance. The value of the dual pathologist sign-out system as described here requires confirmation, because there is a paucity of information in the literature relating to routine surgical pathology sign-out accuracy.

California↗
PubMed1976

Benign renal angiomyolipoma with regional lymph node involvement.

The 2 cases reported herein involve benign renal angiomyolipomas, showing the same angiomyolipoma changes in the regional lymph nodes. It is concluded that these lymph node changes are caused by a multicentric origin of the angiomyolipoma rather than true metastasis. A plea is made not to over treat these tumors since all evidence points to the fact that they are indeed benign.

Adult↗
PubMedDate not supplied

Mitochondrial creatine kinase. A poor prognostic sign.

A serum creatine kinase (CK) isoenzyme band cathodic to MM, thought to represent mitochondrial CK, was found in eight patients in shock, six of whom died within 12 days. Severe tissue damage appears to be required to release this isoenzyme to detectable levels in the serum.

Adult↗