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It had its foot in the door early on and continues to succeed because it built the foundation for its community over three years ago, developing its own following and building up a huge competitive scene.įable Fortune, The Elder Scrolls: Legends, Gwent, and Artifact have all come three years too late. Hearthstone worked (and continues to work) because it took the genre and made it its own. And who wasn't impressed by the reveal of Artifact? You guessed it: Dota superfans. Who would buy tickets to attend a Dota tournament and watch professionals play the game they love? Dota superfans. The people who paid money to attend this year's Dota 2 International, where Artifact was revealed, proved this argument wrong. Once upon a time, you could have argued that superfans who are itching to play anything with their favorite game's name on it would have made this business model a viable one. There's room for card games, but we don't need every developer with a successful fantasy game creating a their own spin-off.Ĭollectible card games are heavy on the wallet as it is most of them encourage players to buy card packs, DLC, and other nonsense to have a chance at getting something worthwhile and keep up with the ever-changing meta. Magic: The Gathering perfected the art of competitive card games and brought them online, and then Hearthstone followed up with its own fantastic take on the genre. Just because you build it doesn't guarantee people will come. The crowd's groan-filled reaction to Valve's reveal of the Dota 2 card game, called Artifact, speaks to exactly how everyone else in the world feels about yet another online card game. CARD GAMES ONLINE SERIESThat's already more competitive card games based on existing fantasy video game series than anyone wanted. Within the past five months, The Elder Scrolls series has gotten a card game, the Fable series has gotten a card game, and The Witcher 3's card game Gwent has started its stand-alone open beta. 'Magic: The Gathering' session ends in stabbing Results of specialized marker studies are not typically A higher number means the tumor cells are more abnormal. Some tumors will be assigned a grade - often numbered from 1 to 3, corresponding to well, moderately, or poorly differentiated - that describes how abnormal the cells look under the microscope. Reports that include cancer in the specimen will classify the specific tumor type and any additional information, such as tumor distribution (stage), biomarker status, and molecular findings that may be useful in management. Specimen taken from the same margin is negative - which means that the final In the report that a margin is positive but may not realize that an additional “Read the diagnosis for all parts,” advises Schnitt. It is important to note that each specimen part has its own separateĭiagnosis. It is based on the gross description, microscopicĮxamination, and sometimes special biomarker studies. Or the end of the report and serves as a concise summary of information from Of a pathology report, according to Schnitt. This is the “take-home message”: the most important section The Diagnosis section, and may be a bit different from what was suspected The final assessment of tumor extent and margins appears in These measurements as recorded in the Gross Description are only preliminary, as the pathologist does not yet have the definitive microscopic preparations (slides) required to verify where the actual tumor cells are in the specimen. In the case of tumors, or localized lesions excised with adjacent tissues attached, visual inspection and measurement to nearest structures - like margins - may be included. “For example, with a colon biopsy, if only one specimen of several has cancer, the clinician needs to be able to relate that to an anatomical location in the patient,” explains DF/BWCC pathologist George L. Procedures that generate multiple specimens are labeled accordingly so the clinician knows where each sample came from. An index, or key, of samples prepared by the pathologist for microscopy is also included. Abbreviations are especially common in this section examples include “R” for right and “ESS” for entire specimen submitted. This section is a detailed description of what the tissue looks like, including the size and appearance of the sample on the outside and cut surface. “Gross” refers to what is apparent to the naked eye. Individual container labels are carefully recorded, including any specificĭesignation (such as “cervical biopsy at 3 o’clock position”) thatĪllows the pathologist to know where it is from. Letter or number is assigned to identify these different samples submitted. Submitted together to the pathologist in separate containers. Procedures often generate multiple specimens that are It also details clinical history, the type of biopsy or procedure, and the type of tissue being analyzed. This information includes the patient’s name, birth date, and other personal information. What are the different components of a pathology report? Your doctor will explain the results of your pathology report to you and can answer any questions you have. Google searches also often produce erroneous or misleading interpretations. In particular, be cautious about complicated abbreviations you do not understand, as their meaning may change with context. Oftentimes, the terminology of these reports can be difficult for patients to understand. Schnitt, MD, a pathologist at Dana-Farber/Brigham and Women’s Cancer Center (DF/BWCC). “Pathology is the hub around which oncology rotates it’s the center of patient management,” says Stuart J. The tissue is sliced very thin and stained on a glass slide for a pathologist to examine under a microscope to determine if there is disease present, and if so, what kind. Mutter, MDĪ pathology report describes the findings in a tissue sample (biopsy or excision), which are always submitted to a pathologist after being removed from a patient. |
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