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Future trends in pathology:Artificial intelligence 病理学的未来趋势:人工智能
Pub Date : 2024-01-15 DOI: 10.18231/j.achr.2023.052
DR DHIRAJ B NIKUMBH
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引用次数: 0
Spectrum of intestinal lesion: A clinicopathological study in a tertiary care centre 肠道病变的范围:一家三级医疗中心的临床病理学研究
Pub Date : 2024-01-15 DOI: 10.18231/j.achr.2023.053
S. Usman, Zoha Khan, R. Khan, N. Afroz, S. Harris
Intestine has wide spectrum of diseases comprising neoplastic and non-neoplastic lesions. Inflammatory bowel diseases are showing increasing trend and intestinal neoplasms are the most frequently observed and leading cause of death in India. This study aims to find the occurrence of various intestinal lesions, classify them as neoplastic and non-neoplastic and to correlate the histopathological findings with clinical profile of patient in tertiary care hospital of north India. 1129 biopsies and resection specimens of intestinal lesions were examined over a period of two years. Sections were fixed, paraffin embedded and stained by H&E. Immunohistochemistry was applied wherever required. Nearly two third patients were males in their second decade who presented with abdominal pain as the most common complaint and majority were diagnosed with non-neoplastic diseases. Among non-neoplastic lesions non-specific inflammation was predominant in small intestine (47.04% cases) and appendicitis (55.0%) in large intestine. Adenocarcinoma was predominant in both small and large intestine with 80.77% and79.45% of neoplastic cases respectively. This work gives a panoramic view of different intestinal pathologies and emphasises on the need of planning accurate diagnostic and screening strategies along with effective treatment plans both for neoplastic as well as non-neoplastic diseases.
肠道疾病种类繁多,包括肿瘤性和非肿瘤性病变。在印度,炎症性肠病呈上升趋势,肠道肿瘤是最常见的疾病,也是导致死亡的主要原因。本研究旨在了解各种肠道病变的发生情况,将其分为肿瘤性和非肿瘤性病变,并将组织病理学结果与印度北部三甲医院患者的临床特征进行关联分析。在两年时间里,共对 1129 份肠道病变活检和切除标本进行了检查。切片经固定、石蜡包埋和 H&E 染色。必要时还进行了免疫组化。近三分之二的患者为二十岁左右的男性,最常见的主诉是腹痛,大多数被诊断为非肿瘤性疾病。在非肿瘤性病变中,小肠以非特异性炎症为主(47.04%),大肠以阑尾炎为主(55.0%)。腺癌在小肠和大肠中均占主导地位,分别占肿瘤病例的 80.77% 和 79.45%。这项研究对不同的肠道病症进行了全景式的分析,并强调有必要针对肿瘤性和非肿瘤性疾病制定准确的诊断和筛查策略以及有效的治疗方案。
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引用次数: 0
Metastatic ovarian high grade serous carcinoma with intestinal and omental deposits and marked clinicopathological treatment response in right ovary: A rare case report 右侧卵巢转移性卵巢高级别浆液性癌伴肠和网膜沉积,临床病理治疗反应明显:罕见病例报告
Pub Date : 2024-01-15 DOI: 10.18231/j.achr.2023.064
Kafil Akhtar, Z. Hashmi, Sara Fatima Aslam, Adiba Khan
High grade serous ovarian cancer is the most common form of ovarian cancer which is frequently fatal, as it is commonly diagnosed after substantial metastasis has already occurred. The present study reports a 65 years old woman with postmenopausal bleeding for 3 months. CE-MRI revealed malignant right ovarian lesion with broad ligament fibroid with malignant degeneration. Histopathological examination was consistent with high grade serous carcinoma of right ovary. Patient then received 6 cycles of chemotherapy. After 4 months, she developed abdominal discomfort and backache for which a repeat CE-MRI was performed which showed a heterogeneity in the right adnexa with no markedly appreciable abnormal foci in the right ovary. Subsequently the patient underwent transabdominal hysterectomy with bilateral salpingo-oophorectomy with right hemicolectomy and omentectomy. Microscopic examination of intestine and omentum showed infiltration by tumor cells. A final diagnosis of metastatic high grade carcinoma of ovary with intestinal and omental deposits was given.
高级别浆液性卵巢癌是卵巢癌中最常见的一种,由于通常在发生实质性转移后才被诊断出来,因此常常是致命的。本研究报告了一名绝经后出血 3 个月的 65 岁女性。CE-MRI 显示右侧卵巢恶性病变,伴有恶性变性的阔韧带纤维瘤。组织病理学检查符合右卵巢高级别浆液性癌。患者随后接受了 6 个周期的化疗。4 个月后,她出现腹部不适和背痛,因此再次进行了 CE-MRI 检查,结果显示右侧附件存在异质性,右侧卵巢没有明显的异常病灶。随后,患者接受了经腹子宫切除术、双侧输卵管切除术、右半结肠切除术和卵巢切除术。肠道和网膜的显微镜检查显示肿瘤细胞浸润。最终诊断为卵巢转移性高级别癌伴肠道和网膜沉积。
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引用次数: 0
Invasive solid papillary breast carcinoma without neuroendocrine differentiation 无神经内分泌分化的浸润性实性乳头状乳腺癌
Pub Date : 2024-01-15 DOI: 10.18231/j.achr.2023.055
Priya Jayakumar, D. Chauhan
Solid papillary carcinoma (SPC) is considered a rare malignant breast tumor. This tumour can be either in situ or invasive .Both usually show excellent prognosis. Solid papillary carcinoma often shows neuroendocrine differentiation. 74-year-old lady an ulcerative retroareolar mass in the right breast. CECT Thorax revealed a large lobulated fungating ulceroproliferative mass lesion in the right breast with pectoral muscle involvement.without neuroendocrine differentiation. SPC with invasion is an uncommon variant of papillary carcinoma with frequent mucinous differentiation. Neuroendocrine differentiation although supports the diagnosis of solid papillary carcinoma may or may not be present.
实性乳头状癌(SPC)是一种罕见的乳腺恶性肿瘤。这种肿瘤既可以是原位癌,也可以是浸润癌,两者的预后通常都很好。实性乳头状癌通常表现为神经内分泌分化。74 岁的女士右侧乳房有溃疡性乳晕后肿块。胸部CECT显示右侧乳房有一个大的分叶状溃疡增生性肿块,胸肌受累,无神经内分泌分化。SPC伴浸润是乳头状癌的一种不常见变异,常伴有粘液分化。神经内分泌分化虽然支持实性乳头状癌的诊断,但可能存在也可能不存在。
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引用次数: 0
Huge renal oncocytoma with solid and cystic areas - A case report and review of literature 伴有实性和囊性区域的巨大肾肿瘤--病例报告和文献综述
Pub Date : 2024-01-15 DOI: 10.18231/j.achr.2023.058
J. Kalariya
This abstract presents a rare case of a huge renal oncocytoma, emphasizing its diagnostic challenges, clinical management, and unique characteristics. Oncocytomas are relatively uncommon benign neoplasms, typically found in various organs, including the kidneys, salivary glands, and thyroid. However, the occurrence of an exceptionally large renal oncocytoma poses distinct clinical considerations. We report the case of a patient who presented with a large palpable mass occupying almost whole abdomen with firm to hard in consistency. The diagnostic process involved an imaging studies, including computed tomography (CT) along with histopathological examination of specimen. The diagnostic challenges stemmed from the atypical size and radiological features. Surgical intervention was necessary due to the size of the renal oncocytoma. This case highlights the importance of considering renal oncocytomas in the differential diagnosis of large renal masses, even when their size exceeds typical dimensions. The management of huge oncocytomas involves a multidisciplinary approach, incorporating advanced imaging techniques, pathological assessment, and surgical expertise. Histology of renal oncocytoma in our case is also different as it is showing cystic areas. Immunohistochemistry confirmed the diagnosis of renal oncocytoma. Awareness of these rare cases is crucial for clinicians to guide appropriate diagnostic and therapeutic strategies, ensuring optimal patient outcomes.
本摘要介绍了一例罕见的巨大肾肿瘤细胞瘤病例,强调了其诊断难题、临床管理和独特特征。肿瘤细胞瘤是一种比较少见的良性肿瘤,通常发生在肾脏、唾液腺和甲状腺等多个器官。然而,特大肾肿瘤细胞瘤的发生会带来不同的临床考虑。我们报告了一例患者的病例,患者出现了一个可触及的巨大肿块,几乎占据了整个腹部,质地坚硬。诊断过程涉及影像学检查,包括计算机断层扫描(CT)和标本的组织病理学检查。非典型的大小和放射学特征给诊断带来了挑战。由于肾肿瘤细胞瘤的大小,必须进行手术治疗。该病例强调了在鉴别诊断巨大肾肿块时考虑肾肿瘤细胞瘤的重要性,即使其大小超过了典型的尺寸。巨大肾肿瘤细胞瘤的治疗涉及多学科方法,包括先进的成像技术、病理评估和外科专业知识。我们病例中的肾肿瘤细胞瘤组织学也与众不同,因为它显示出囊性区域。免疫组化证实了肾肿瘤细胞瘤的诊断。认识这些罕见病例对临床医生指导适当的诊断和治疗策略至关重要,可确保患者获得最佳治疗效果。
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引用次数: 0
Role of immunohistochemistry in clinicohistopathology-A rare case study 免疫组化在临床组织病理学中的作用--罕见病例研究
Pub Date : 2024-01-15 DOI: 10.18231/j.achr.2023.063
Shashikala G. Hiremani, Renuka Patil, Aayesha, Srushti
Disease affecting Lymph nodes form wide range of spectrum from simple to malignant pathology. Such cases are an important element to rule out malignancy in early stages. However Generalised Lymphedenopathy diagnosis become huge challenge. Hence, an insight into clinocohistopathological correlation with help of IHC markers becomes highly important to decide morphologic differential diagnosis.: To study lymph node lesions with clinicohistopathological correlation with the help of IHC study. This is a combined observational and prospective study held in District hospital Vijayapur during August 2022 to September 2023. Patient details were taken with the questionnaires. During his first visit clinical examinations and investigations, CBC, PS study, FNAC of left lower cervical region, Urine routine, chest X-ray & USG of abdomen performed and patient was analyzed & diagnosed as Chronic appendicitis and treated. During patient’s second visit, clinical examinations and investigations CBC, PS study, FNAC of left Axillary swelling, Urine routine, chest X-ray, USG of neck & abdomen, CT Neck & abdomen, USG guided FNAC of Liver, Bone marrow aspiration study, Biopsy of left lower Cervical lymph node for Histopathology study & IHC study performed. Case was studied using routine H&E, PAP stain slides of Biopsy material were evaluated by light microscopy. And for IHC, patient biopsy material referred to higher center, using specific monoclonal or polyclonal antibodies, paraffin sections were stained immunohistochemically (IHC) using a Peroxidase antiperoxidase (PAP) technique in referred higher center. Patient was diagnosed as B-cell Lymphoma as per WHO guidelines with the help of IHC markers.: From this study, concluded that IHC plays a significant role clinicopathology and helped in the definitive diagnosis and typing of tumours and appropriate treatment can be planned.
影响淋巴结的疾病范围很广,从简单病变到恶性病变都有。这类病例是早期排除恶性肿瘤的重要因素。然而,全身性淋巴结病的诊断成为巨大的挑战。因此,在 IHC 标记的帮助下深入了解临床组织病理学相关性,对于确定形态学鉴别诊断非常重要:在 IHC 研究的帮助下,研究淋巴结病变与临床组织病理学的相关性。这是一项观察性和前瞻性相结合的研究,于 2022 年 8 月至 2023 年 9 月在维贾亚普尔地区医院进行。通过问卷调查了解了患者的详细信息。患者第一次就诊时接受了临床检查和检验、全血细胞计数、PS 研究、左下颈部 FNAC、尿常规、胸部 X 光检查和腹部 USG 检查,经分析诊断为慢性阑尾炎并接受了治疗。患者第二次就诊时,进行了临床检查和化验,包括全血细胞计数、PS检查、左腋窝肿物的 FNAC、尿常规、胸透、颈部和腹部 USG、颈部和腹部 CT、USG 引导下的肝脏 FNAC、骨髓穿刺检查、左下颈淋巴结活检以进行组织病理学研究和 IHC 研究。病例使用常规 H&E、PAP 染色切片对活检材料进行光镜评估。在进行 IHC 检测时,患者的活检材料被送往上级中心,使用特异性单克隆或多克隆抗体,在上级中心使用过氧化物酶抗过氧化物酶(PAP)技术对石蜡切片进行免疫组织化学染色(IHC)。在 IHC 标记的帮助下,根据世界卫生组织的指南,患者被诊断为 B 细胞淋巴瘤:从这项研究中得出的结论是,IHC 在临床病理学中发挥着重要作用,有助于肿瘤的明确诊断和分型,并可规划适当的治疗。
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引用次数: 0
Hemophagocytic lymphohistiocytosis: An overview 嗜血细胞淋巴组织细胞增多症:概述
Pub Date : 2024-01-15 DOI: 10.18231/j.achr.2023.069
Iffat Jamal
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引用次数: 0
Sinonasal malignant melanoma- Diagnostically hidden Gem 鼻窦恶性黑色素瘤--诊断隐藏的宝石
Pub Date : 2024-01-15 DOI: 10.18231/j.achr.2023.067
Kalpana Mangal, Alankrita Madhur, Ishita Bansal
Malignant melanoma is a prevalent form of skin cancer, but its occurrence as a sinonasal tumour is exceptionally uncommon, constituting less than 1% of nasal and sinonasal malignancies. Typically diagnosed in individuals aged 50 to 60, these tumours often manifest with symptoms such as nasal obstruction and recurrent, painless epistaxis. Despite their location, malignant melanoma cases generally have a bleak prognosis. Diagnosis primarily relies on Immunohistochemistry and histopathology.
恶性黑色素瘤是一种常见的皮肤癌,但其鼻窦肿瘤的发病率却非常低,不到鼻腔和鼻窦恶性肿瘤的 1%。这些肿瘤通常在 50 至 60 岁的人群中确诊,通常表现为鼻塞和反复发作的无痛性鼻衄等症状。尽管恶性黑色素瘤发生在鼻腔,但其预后一般较差。诊断主要依靠免疫组化和组织病理学。
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引用次数: 0
Adenoid cystic carcinoma of breast: A rare case report 乳腺腺样囊性癌:罕见病例报告
Pub Date : 2024-01-15 DOI: 10.18231/j.achr.2023.065
Anjali D Goyal, Daksha Damor, Raj Shah, Foram Patel, Kajalba Jhala
Adenoid cystic carcinoma of breast is rare, accounting for less than 4% of all breast malignancy. We are presenting a case of 57 Year old Hindu female patient who presented with chief complaint of right breast swelling since 5 years associated with pain.USG report showed well defined isoechoic to hypoechoic lesion without internal vascularity, with a possibility of fibroadenoma of right breast. FNAC of the lesion was also suggestive of fibroadenoma. The wide local excision was done, tissue specimen was sent for histopathological examination which was diagnosed as adenoid cystic carcinoma of right breast after immunohistochemical characterization. Immunochemistry markers show ER, PR HER 2: negative, P -63: Positive for myoepithelial cells, Ki 67: <10%, CD 117/ c kit: Positive for ductal cells.
乳腺腺样囊性癌非常罕见,在所有乳腺恶性肿瘤中占比不到 4%。USG 报告显示,病变呈边界清晰的等回声至低回声,无内部血管,可能为右乳纤维腺瘤。病灶的 FNAC 也提示为纤维腺瘤。对病灶进行了广泛的局部切除,组织标本被送去进行组织病理学检查,经免疫组化鉴定,诊断为右乳腺腺样囊性癌。免疫化学标记显示 ER、PR HER 2:阴性,P -63:阳性:肌上皮细胞阳性,Ki 67:<10%,CD 117/ c试剂盒:导管细胞阳性。
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引用次数: 0
Hyalinizing trabecular tumor of thyroid (HTT) – A rare case report 甲状腺透明小梁瘤(HTT)--罕见病例报告
Pub Date : 2024-01-15 DOI: 10.18231/j.achr.2023.057
Anusha S, S. Bijjaragi, HR Chandrashekar, Veerendra Kumar HM
Hyalinizing Trabecular Tumour of the Thyroid (HTT) is a rare type of tumor that affects the thyroid gland. It was first discovered by Carney in 1987. This tumor is of follicular origin and has unique nuclear, architectural, and immunohistochemical features that differentiate it from other well-known thyroid abnormalities, such as Papillary Thyroid Carcinoma (PTC) and Medullary Thyroid Carcinoma (MTC). Although initially thought to be a subtype of PTC, several later reports showed that HTT is an independent entity. The incident rate of HTT ranges between 0.44% and 1.3%. This case report presents a 46-year-old male patient who complained of swelling in the front of his neck, more towards the left side, which had been observed for the past three months. FNAC (fine needle aspiration cytology) reported it as a follicular lesion of undetermined significance - Bethesda category III. Hemithyroidectomy was performed on the patient, and HTT was diagnosed through histopathological examination. As it is a benign neoplasm, PTC or other tumors had to be ruled out, and management varied accordingly. Based on its biological and clinical behavior, HTT should be considered as a benign neoplasm or as a neoplasm of extremely low malignant potential. This case report is presented for its unusual occurrence and unique behavior
甲状腺透明小梁瘤(HTT)是一种影响甲状腺的罕见肿瘤。它由卡尼于1987年首次发现。这种肿瘤起源于滤泡,具有独特的细胞核、结构和免疫组化特征,有别于其他著名的甲状腺异常,如甲状腺乳头状癌(PTC)和甲状腺髓样癌(MTC)。尽管最初认为 HTT 是 PTC 的一种亚型,但后来的一些报告显示 HTT 是一种独立的实体。HTT的发病率介于0.44%和1.3%之间。本病例报告的患者是一名 46 岁的男性,主诉颈部前方肿胀,左侧较多,已持续观察三个月。FNAC(细针穿刺细胞学)报告为意义不明的滤泡性病变--贝塞斯达分类 III。对患者进行了甲状腺半切除术,并通过组织病理学检查确诊为 HTT。由于这是一种良性肿瘤,因此必须排除 PTC 或其他肿瘤的可能性,并采取相应的治疗措施。根据其生物学和临床表现,HTT 应被视为良性肿瘤或恶性可能性极低的肿瘤。本病例报告的原因在于其不寻常的发生和独特的表现
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引用次数: 0
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IP archives of cytology and histopathology research
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