导读：紫色字体是本博所写，黑字是引用的原文。

《一份病理报告里的中美医疗差别》编辑可能不懂病理，也不懂乳腺外科，因此可能被忽悠了。那么，始作俑者应该是何刚。

简评：这次是将甲状腺癌误诊为良性。他签发的报告是"no evidence of malignancy identified."，译文是“未见恶性证据”。此文详细内容不再翻译。

以下内容来自国外网站原文。

何刚是谁？（2）

Cancer patient loses trust in health tests

（癌症患者对健康检查失去信心）

Among dozens whose diagnoses were wrong

By: Larry Kusch

Posted: 02/24/2012 1:00 AM

Pam Carriere had surgery at St. Boniface Hospital to deal with an enlarged thyroid last March. The goiter in her neck had been causing her discomfort.

At the same time, a biopsy was done to check for cancer. The test came back negative. Carriere thought she was in the clear.

 Pam Carriere was told a March 2011 test showed she had no cancer -- but on Aug. 31, she was told a mistake had been made and she needed further surgery.

JOE BRYKSA / WINNIPEG FREE PRESS

Pam Carriere was told a March 2011 test showed she had no cancer -- but on Aug. 31, she was told a mistake had been made and she needed further surgery. Photo Store

Then came a bombshell. On Aug. 31, she received a phone call from her surgeon, Dr. Alok Pathak, informing her there had been a mistake in her tests.

"He says, 'Ms. Carriere, I have bad news. We have to go back in. You have cancer.' "

Carriere's was one of 137 cases flagged in a recently completed review of the work of a Winnipeg pathologist employed by Diagnostic Services of Manitoba between October 2010 and June 2011.

The pathologist, a Chinese-trained professional recruited from Ohio, was placed on leave when problems in his work were detected. Altogether, 3,006 cases the pathologist signed off on were reviewed by DSM, a not-for-profit corporation with 77 labs across the province. He was placed on leave on June 3 and no longer works for DSM.

Of the 137 cases, five were determined to be critical incidents, meaning a patient's prognosis or treatment was significantly affected.

Carriere had further surgery Oct. 7 to remove the rest of her thyroid and her lymph nodes. She is to undergo further tests in March to ensure the disease has not spread elsewhere.

But what angers her is neither the pathologist nor DSM has ever said to her that they were sorry for the mistake.

"I really think they should have apologized," said Carriere, a manager at the Norwood Hotel. She said she has contemplated taking legal action against DSM.

Carriere said her surgeon apologizes on behalf of his colleagues in pathology every time she meets him, but he wasn't the cause of her distress.

She said she recalls reading a Free Press report in July that indicated problems with 38 cases handled by the pathologist. At that time, DSM had audited a little more than half of the specialist's cases.

"I remember reading your article in the paper...thinking those poor doctors have to tell their patients they have cancer," Carriere said. She didn't know she would be one of them.

DSM won't identify the pathologist whose work was reviewed. However, Carriere's medical records show Dr. Gang He signed off on the test, stating "no evidence of malignancy identified." The Free Press has learned he worked at the Ohio State University Medical Center before moving to Manitoba in the fall of 2010.

Dr. Obiajulu Hans Iwenofu, a former colleague who still works at OSU, said by phone he doesn't know what prompted He's move to Manitoba. The two worked together for about three years.

"Did anything go bad?" Iwenofu asked, when he realized he was talking to a reporter. Asked for his impressions of He, Iwenofu said: "People liked him very much here. He worked hard."

A check with Ohio's State Medical Board website shows, as of Feb. 2, He was still listed as a licensed physician there.

Meanwhile, Carriere, who says she is not a skeptical person by nature, is now concerned about results of other lab tests she has had in the last year. She was also checked for breast cancer and ovarian cancer after the discovery of cysts. She wonders whether those tests were accurate.

"I can't be the only one that's asking (that question)," she said Thursday.

Jim Slater, DSM's chief executive officer, said the corporation would be happy to explain test results to any patient who has concerns. All they need to do is to call the agency's patient inquiry line at 1-866-633-1787. DSM would also be prepared to review any case a patient brings to its attention, he said.

Slater said DSM is sorry for the grief the pathology errors have caused, and the organization has learned it needs to be more "proactive" in communicating with patients.

"We do take this seriously and we are very sorry," he said.

larry.kusch@freepress.mb.ca

3,006

The number of cases handled by a former Diagnostic Services of Manitoba pathologist that were subject to a recent review.

137

The number of cases in which an error was detected that resulted in an amended report to the patient's doctor.

5

The number of "critical incidents" reported as a result of the review -- meaning patients required a significant change in treatment and there was a significant change in their prognosis. In two of these cases, patients were told they did not have cancer but in fact did. In the other three cases, they were determined to have cancer but the review indicated the disease was at a different stage than first thought.

Republished from the Winnipeg Free Press print edition February 24, 2012 A4