Skip to main content

Breast Cancer Litigation

  • Chapter
Book cover Medical Malpractice

Abstract

Breast cancer is the most common diagnosis in medical malpractice claims in the United States. This chapter analyzes 100 consecutive breast cancer claims from The Doctors Company, a large national medical malpractice insurer. Factors that contribute to this high claims frequency include patient discovery of the breast mass, delay in diagnosis, mammography communication errors, patient age, tumor size, and tumor stage. The potential for computer-aided detection to reduce mammography interpretation errors is discussed. Finally, pathology claims involving breast biopsy and fine needle aspiration are analyzed and strategies are presented to minimize diagnostic error.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Anderson R. Breast cancer lawsuits. The Doctors Advocate 2001; Second Quarter:1.

    Google Scholar 

  2. Anderson R. Breast cancer lawsuit outcomes. The Doctors Advocate 2002; First Quarter:1.

    Google Scholar 

  3. Anderson R. Breast cancer lawsuit outcomes, part II. The Doctors Advocate 2002; Second Quarter:1.

    Google Scholar 

  4. Anderson R. Breast cancer study conclusions. The Doctors Advocate 2002; Third Quarter:1.

    Google Scholar 

  5. The Doctors Company data on file. Napa, CA 2002.

    Google Scholar 

  6. Kerlkowske K, Grady D, Barclay J, et al. Likelihood ratios for modern screening mammography. JAMA 1996;276(1):39–43.

    Article  Google Scholar 

  7. Beam CA, Layde PM, Sullivan DC. Variability in the interpretation of screening mammograms by US radiologists. Arch Intern Med 1996;156(2):209–213.

    Article  PubMed  CAS  Google Scholar 

  8. Troxel DB. Breast biopsy and fine needle aspiration. The Doctors Advocate 2002; Third Quarter:2–10.

    Google Scholar 

  9. Troxel DB. Diagnostic errors in surgical pathology uncovered by a review of malpractice claims. Int J Surg Pathol 2000;8:335–337.

    Article  PubMed  Google Scholar 

  10. Troxel DB. Malpractice claims involving breast pathology. Pathol Case Reviews 1999; 4:224–228.

    Article  Google Scholar 

  11. Layfield LJ, Mooney EE, Glasgow B, et al. What constitutes an adequate smear in fine-needle aspiration cytology of the breast? Cancer (Cancer Cytopathology) 1997;81:16–21.

    CAS  Google Scholar 

  12. Boerner S, Sneige N. Specimen adequacy and false negative diagnosis rate in fine-needle aspirates of palpable breast masses. Cancer (Cancer Cytopathology) 1998; 84:344–348.

    CAS  Google Scholar 

  13. Abele J, Stanley MW, Miller TR, et al. What constitutes an adequate smear in fine needle aspiration cytology of the breast? Cancer (Cancer Cytopathology) 1998;84:57–61.

    CAS  Google Scholar 

  14. Jacobs T, Pliss N, Kouria G, et al. Carcinomas in situ of the breast with indeterminate features. Am J Surg Pathol 2001;25:229–236.

    Article  PubMed  CAS  Google Scholar 

  15. Maluf H, Swanson P, Koerner C. Solid low-grade in situ carcinoma of the breast. Am J Surg Pathol 2001;25:237–244.

    Article  PubMed  CAS  Google Scholar 

  16. Schnitt S, Connolly L, Tavassoli F, et al. Interobserver reproducibility in the diagnosis of ductal proliferative lesions using standardized criteria. Am J Surg Pathol 1992;16:1133–1143.

    Article  PubMed  CAS  Google Scholar 

  17. Palazzo J, Hyslop BS. Hyperplastic ductal and lobular lesions and carcinomas in situ of the breast: reproducibility of current diagnostic criteria among community-and academic-based pathologists. Breast J 1998; 4:230–237.

    Article  Google Scholar 

  18. Wells W, Carney P, Eliassen M, Grove M, Tosteson A. Pathololgists agreement with experts and reproducibility of breast ductal carcinoma-in-situ classification schemes. Am J Surg Pathol 2000;24:651–659.

    Article  PubMed  CAS  Google Scholar 

  19. Hoda S, Rosen P. Practical considertions in the pathologic diagnosis of needle core biopsies of breast. Am J Clin Pathol 2002;118:101–108.

    Article  PubMed  Google Scholar 

  20. Jacobs T, Connolly J, Schnitt S. Nonmalignant lesions in breast core needle biopsies. Am J Surg Pathol 2002;26(9):1095–1010.

    Article  PubMed  Google Scholar 

  21. Jackman R, Nowels K, Shepard M, et al. Stereotaxic large-core needle biopsy of 450 nonpalpable breast lesions with surgical correlation in lesions with cancer or atypical hyperplasia. Radiology 1994;193:91–95.

    PubMed  CAS  Google Scholar 

  22. Renshaw A, Cartagena N, Schenkman R, et al. Atypical duct hyperplasia in breast core needle biopsies. Am J Clin Pathol 2001;116:92–96.

    Article  PubMed  CAS  Google Scholar 

  23. Antley C, Mooney E, Layfield L. A comparison of accuracy rates between open biopsy, cutting-needle biopsy, and fine-needle aspiration biopsy of the breast: a 3-year experience. Breast J 1998;4:3–8.

    Article  Google Scholar 

  24. Burhenne LJW, Wood SA, D’Orsi CJ, et al. Potential contribution of computer-aided detection to the sensitivity of screening mammography. Radiology 2000; 215:554–562.

    Google Scholar 

  25. Chidley E. Assessing new mammography technologies. Radiology Today 2001;24.

    Google Scholar 

  26. Anderson R. Getting sued for breast cancer. The Doctors Advocate 2001; Third Quarter:1.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2005 Humana Press Inc., Totowa, NJ

About this chapter

Cite this chapter

Anderson, R.E., Troxel, D.B. (2005). Breast Cancer Litigation. In: Anderson, R.E. (eds) Medical Malpractice. Humana Press. https://doi.org/10.1007/978-1-59259-845-8_12

Download citation

  • DOI: https://doi.org/10.1007/978-1-59259-845-8_12

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-58829-389-3

  • Online ISBN: 978-1-59259-845-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics