AGREE OF DIAGREE WITH “EDUCATION IS THE ABILITY TO LISTEN TO ALMOST ANYTHING WITHOUT LOOSING YOUR TEMPER OR YOUR SELF CONFIDENCE”-ROBERT FROST

Agree of Disagree with “Education is the ability to listen to almost anything without loosing your temper or your self confidence”-Robert Frost

Agree of Disagree with “Education is the ability to listen to almost anything without loosing your temper or your self confidence-Robert Frost

Thesis

LiVolsi, in an editorial titled “Can We Agree to Disagree? ,” asked “What, if anything, can be done when experts disagree so discordantly?” and then answered her own question in these words: “The cases used in studies of new technologies need to be classical examples of the entities being tested. Only in this way can we hope to acquire some information about the classical cases, and then reasonably apply these data to the 'borderline' lesions.” (Ackerman 1995)

Introduction

I see the matter differently and suggest that a more compelling answer to the question posed by LiVolsi can be found in the language that she uses to frame the editorial itself. Soulmates of these erroneous concepts, so much beloved by pathologists, are the terms “minimal deviation,” “neoplasm of uncertain biologic potential,” and “precursor lesion”/“precursor state.” All of these designations are impenetrable, and yet they are very much part of the accepted parlance of pathology. If the language of a discipline is undecipherable, then discordance in diagnosis is inevitable. (Kessler 2003)

Background

In addition to terms such as "borderline lesions (no lesion is really borderline, a lesion is only marginally in the brain of a histopathologist), Livolsi" precancer "in which all the superficial malignant growths are called dysplasia, about which there is no consensus regarding the definition by the authors of textbooks of general pathology, or even among the same group of authors in the articles by them in the course of writing, but a few years ago, "prostatic intraepithelial neoplasia (PIN) as squamous intraepithelial neoplasia (SIN) , cervical intraepithelial neoplasia (CIN), melanocytic intraepithelial neoplasia (MIN), and so on, is a poor description and not a diagnosis with specificity, conveying nothing about whether the proliferation of cells under consideration is benign or malignant; lobular hyperplasia, "which is a fiction concept, because the definition of hyperplasia in the classic pathology is a proliferation of cells learns involution, when the stimulus responsible for it is withdrawn, but the stimulus lobular hyperplasia (such as by the vast majority of so- called "hyperplasia") is not ...