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Under the microscope. Surgeons, pathologists, and melanocytic nevi.

Predicting the biologic behavior of melanocytic neoplasms (benign versus malignant) based on histology is one of the most difficult challenges in surgical pathology and dermatology. Success in the field of melanocytic neoplasia can be achieved by two means: performing excisions or biopsies that maximize the obtainable histologic information and providing sufficient history.

Biopsy↗

Staging: what makes sense? Can the pathologist help?

The staging of colorectal cancer continues to be an interesting and evolving process. Accurate staging can predict overall prognosis and helps to select appropriate treatment options. This article addresses the clinical and pathologic staging of colon and rectal cancer. The use of endorectal ultrasound in the preoperative clinical staging of rectal cancer is reviewed. The importance of surgical resection margins, lymph node retrieval rates, and tumor markers is discussed.

Biomarkers, Tumor↗

Policy development and strategy in the licensure of speech pathologists and audiologists.

This article presents an account of the licensure movement in the professions of speech pathology and audiology and the role of the American Speech and Hearing Association (ASHA) in that movement. The introductory section relates the evolution of ASHA's position on licensure from one of opposition in the 1960's to the current position of active support, whereas the body of the article delineates the processes by which three state speech and hearing associations initiated and brought to fruition their licensure efforts. The conclusion of the article summarizes the legislative recommendations made by ASHA members from the 25 states that have enacted licensure laws. These recommendations cover such areas as organizing a licensure effort, garnering support from professional and other groups, and managing the bill in the state legislature. The author concludes that, while the profession has benefited from its licensure achievements, efforts to protect present gains and secure new ones must continue.

Allied Health Personnel↗