首页 > 最新文献

Clinical and diagnostic pathology最新文献

英文 中文
Color standardization and optimization in whole slide imaging. 全幻灯片成像的色彩标准化与优化。
Pub Date : 2020-09-01 Epub Date: 2020-09-08 DOI: 10.15761/cdp.1000139
Takashi Inoue, Yukako Yagi

Whole slide imaging (WSI) has various uses, including the development of decision support systems, image analysis, education, conferences, and remote diagnostics. It is also used to develop artificial intelligence using machine learning methods. In the clinical setting, however, many issues have hindered the implementation of WSI. These issues are becoming more important as WSI is gaining wider use in clinical practice, particularly with the implementation of artificial intelligence in pathological diagnosis. One of the most important issues is the standardization of color for WSI, which is an important component of digital pathology. In this paper, we review the major factors of color variation and how to evaluate and modify color variation to establish color standardization. There are five major reasons for color variation, which include specimen thickness, staining, scanner, viewer, and display. Recognizing that the color is not standardized is the first step towards standardization, and it is difficult to ascertain whether the appropriate color of the WSI is displayed at the reviewers' end.

全幻灯片成像(WSI)有多种用途,包括决策支持系统的开发、图像分析、教育、会议和远程诊断。它还用于使用机器学习方法开发人工智能。然而,在临床环境中,许多问题阻碍了WSI的实施。随着WSI在临床实践中的应用越来越广泛,特别是人工智能在病理诊断中的应用,这些问题变得越来越重要。其中最重要的问题之一是WSI的颜色标准化,这是数字病理学的重要组成部分。本文综述了颜色变化的主要因素,以及如何评价和修正颜色变化以建立颜色标准化。颜色变化有五个主要原因,包括标本厚度、染色、扫描仪、查看器和显示。认识到颜色不标准化是标准化的第一步,很难确定审稿人最后是否显示了合适的WSI颜色。
{"title":"Color standardization and optimization in whole slide imaging.","authors":"Takashi Inoue,&nbsp;Yukako Yagi","doi":"10.15761/cdp.1000139","DOIUrl":"https://doi.org/10.15761/cdp.1000139","url":null,"abstract":"<p><p>Whole slide imaging (WSI) has various uses, including the development of decision support systems, image analysis, education, conferences, and remote diagnostics. It is also used to develop artificial intelligence using machine learning methods. In the clinical setting, however, many issues have hindered the implementation of WSI. These issues are becoming more important as WSI is gaining wider use in clinical practice, particularly with the implementation of artificial intelligence in pathological diagnosis. One of the most important issues is the standardization of color for WSI, which is an important component of digital pathology. In this paper, we review the major factors of color variation and how to evaluate and modify color variation to establish color standardization. There are five major reasons for color variation, which include specimen thickness, staining, scanner, viewer, and display. Recognizing that the color is not standardized is the first step towards standardization, and it is difficult to ascertain whether the appropriate color of the WSI is displayed at the reviewers' end.</p>","PeriodicalId":93086,"journal":{"name":"Clinical and diagnostic pathology","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7575208/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38517182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 7
Cytopathologic identification of circulating tumor cells (CTCs) in breast cancer: Application of size-based enrichment 乳腺癌循环肿瘤细胞(CTCs)的细胞病理学鉴定:基于大小的富集的应用
Pub Date : 2019-01-01 DOI: 10.15761/cdp.1000136
M. Kamal, Macall Leslie, Crista E. Horton, N. Hills, Rachel Davis, R. Nguyen, M. Razaq, K. Moxley, P. Hofman, Roy Zhang, Takemi Tanaka
Circulating tumor cells (CTCs) are indicative of metastatic disease in multiple types of solid tumors. Technologic advances in CTC enrichment have yielded profound variability in both quantity and phenotypic characteristics of CTCs. While size-based exclusion methods have improved the sensitivity of CTC capture, their diminished specificity requires subsequent robust cytopathologic identification of CTCs. In this study, we compared CTC counts from Isolation by Size of Epithelial/Trophoblastic Tumor cells (ISET®) filters sequentially stained by May-Grünwald/Giemsa (MGG), immunocytochemistry (ICC)/hematoxylin, and ICC/hematoxylin/eosin, followed by corresponding CTC criteria. An immune and endothelial cell cocktail of CD45/CD11b/CD31 antibodies adequately ruled out immune and endothelial cells, yet a substantial number of atypical morphologies with nuclear irregularity (i.e., circulating non-hematological/endothelial cells; CNHCs) were detected in both breast cancer cases and non-cancerous controls following hematoxylin nuclear counterstain. Cytoplasmic staining with eosin, significantly diminished CNHC counts. In conclusion, detection of CTCs from ISET filters using chromogenic ICC is feasible in conjunction with identification criteria of nuclear irregularity, negative reactivity to immune and endothelial cell markers, and presentation of visible cytoplasm. *Correspondence to: Takemi Tanaka, Ph.D., Associate Professor, University of Oklahoma Health Sciences Center, School of Medicine, Dept. of Pathology, Stephenson Cancer Center at 975 NE 10th, BRC-W, Rm 1415, Oklahoma City, OK, 73104, USA, Tel: Office (405)-271-8260, E-mail: takemi-tanaka@ouhsc.edu Roy Zhang, MD., Associate Professor, University of Oklahoma Health Sciences Center, School of Medicine, Dept. of Pathology, 940 SL Young Blvd, Oklahoma City, OK 73104, USA, Tel: Office (405)-271-1794, E-mail: roy-zhang@ouhsc.edu Special Issue: Recent Advancements in Clinical and Diagnostic Pathology Rawhi Omar University of Louisville School of Medicine USA
循环肿瘤细胞(ctc)是多种类型实体瘤转移性疾病的指示性指标。CTC富集技术的进步使CTC的数量和表型特征都发生了深刻的变化。虽然基于大小的排除方法提高了CTC捕获的敏感性,但其特异性降低需要随后对CTC进行稳健的细胞病理学鉴定。在这项研究中,我们比较了上皮/营养层肿瘤细胞(ISET®)滤光片的CTC计数,这些滤光片分别用mai - grwald /Giemsa (MGG)、免疫细胞化学(ICC)/苏木精和ICC/苏木精/伊红染色,然后进行相应的CTC标准。CD45/CD11b/CD31抗体的免疫和内皮细胞混合物充分排除了免疫和内皮细胞,但仍有相当数量的非典型形态伴核不规则(即循环非血液/内皮细胞;苏木精核反染后在乳腺癌病例和非癌对照中均检测到cnhc。胞浆伊红染色,CNHC计数明显减少。综上所述,结合核不规则性、免疫和内皮细胞标志物的阴性反应性以及可见细胞质的鉴定标准,利用显色ICC检测ISET滤过器中的ctc是可行的。*通讯:Takemi Tanaka博士,副教授,俄克拉何马大学健康科学中心,医学院,病理学系,斯蒂芬森癌症中心975 NE 10th, BRC-W, Rm 1415,俄克拉何马市,OK 73104,美国,电话:办公室(405)-271-8260,E-mail: takemi-tanaka@ouhsc.edu,俄克拉何马大学健康科学中心,医学院,病理学系,940 SL Young Blvd,俄克拉何马市,OK 73104,美国,电话:办公室(405)-271-1794,E-mail: roy-zhang@ouhsc.edu特刊:临床和诊断病理学的最新进展美国路易斯维尔医学院Rawhi Omar大学
{"title":"Cytopathologic identification of circulating tumor cells (CTCs) in breast cancer: Application of size-based enrichment","authors":"M. Kamal, Macall Leslie, Crista E. Horton, N. Hills, Rachel Davis, R. Nguyen, M. Razaq, K. Moxley, P. Hofman, Roy Zhang, Takemi Tanaka","doi":"10.15761/cdp.1000136","DOIUrl":"https://doi.org/10.15761/cdp.1000136","url":null,"abstract":"Circulating tumor cells (CTCs) are indicative of metastatic disease in multiple types of solid tumors. Technologic advances in CTC enrichment have yielded profound variability in both quantity and phenotypic characteristics of CTCs. While size-based exclusion methods have improved the sensitivity of CTC capture, their diminished specificity requires subsequent robust cytopathologic identification of CTCs. In this study, we compared CTC counts from Isolation by Size of Epithelial/Trophoblastic Tumor cells (ISET®) filters sequentially stained by May-Grünwald/Giemsa (MGG), immunocytochemistry (ICC)/hematoxylin, and ICC/hematoxylin/eosin, followed by corresponding CTC criteria. An immune and endothelial cell cocktail of CD45/CD11b/CD31 antibodies adequately ruled out immune and endothelial cells, yet a substantial number of atypical morphologies with nuclear irregularity (i.e., circulating non-hematological/endothelial cells; CNHCs) were detected in both breast cancer cases and non-cancerous controls following hematoxylin nuclear counterstain. Cytoplasmic staining with eosin, significantly diminished CNHC counts. In conclusion, detection of CTCs from ISET filters using chromogenic ICC is feasible in conjunction with identification criteria of nuclear irregularity, negative reactivity to immune and endothelial cell markers, and presentation of visible cytoplasm. *Correspondence to: Takemi Tanaka, Ph.D., Associate Professor, University of Oklahoma Health Sciences Center, School of Medicine, Dept. of Pathology, Stephenson Cancer Center at 975 NE 10th, BRC-W, Rm 1415, Oklahoma City, OK, 73104, USA, Tel: Office (405)-271-8260, E-mail: takemi-tanaka@ouhsc.edu Roy Zhang, MD., Associate Professor, University of Oklahoma Health Sciences Center, School of Medicine, Dept. of Pathology, 940 SL Young Blvd, Oklahoma City, OK 73104, USA, Tel: Office (405)-271-1794, E-mail: roy-zhang@ouhsc.edu Special Issue: Recent Advancements in Clinical and Diagnostic Pathology Rawhi Omar University of Louisville School of Medicine USA","PeriodicalId":93086,"journal":{"name":"Clinical and diagnostic pathology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67450871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
Monitoring of abusers by clinical laboratory tests and eye pupil examinations 通过临床实验室检查和瞳孔检查监测施虐者
Pub Date : 2019-01-01 DOI: 10.15761/cdp.1000137
Majid Rezaei Basiri, S. Alilou, Darya Alilou
In this study (n=500) fresh blood and urine samples of male abusers were recruited to distinguish abuse drugs and some treatment drugs. All the study population were male, and their age range was mean ±SD=41±21. They had often history consumption of the abuse drugs and take other medication too. All data were collected and analyzed by one-way ANOVA and t-test before and after detoxification. The rapid strip methods and their eye pupils’ variations determined abusers ‘treatment conditions. When comparing the test results p-value: 0≤0.05 was considered as significance level. Treatment duration follow-up of all abuser’s urine samples indicated negative results. According to the findings of this investigation rapid strip tests were useful in urine samples and eye pupils’ variations were accessible confirmation method.
在本研究中(n=500)采集了男性滥用者的新鲜血液和尿液样本,以区分滥用药物和一些治疗药物。所有研究人群均为男性,年龄范围为mean±SD=41±21。他们经常有滥用药物的历史,也服用其他药物。收集戒毒前后的所有数据,采用单因素方差分析和t检验进行分析。快速剥条法和他们瞳孔的变化决定了施虐者的治疗状况。比较检验结果时,以p值0≤0.05为显著水平。治疗期间所有施虐者尿样随访结果均为阴性。根据本研究的结果,快速试纸试验在尿样中是有用的,瞳孔变化是可获得的确认方法。
{"title":"Monitoring of abusers by clinical laboratory tests and eye pupil examinations","authors":"Majid Rezaei Basiri, S. Alilou, Darya Alilou","doi":"10.15761/cdp.1000137","DOIUrl":"https://doi.org/10.15761/cdp.1000137","url":null,"abstract":"In this study (n=500) fresh blood and urine samples of male abusers were recruited to distinguish abuse drugs and some treatment drugs. All the study population were male, and their age range was mean ±SD=41±21. They had often history consumption of the abuse drugs and take other medication too. All data were collected and analyzed by one-way ANOVA and t-test before and after detoxification. The rapid strip methods and their eye pupils’ variations determined abusers ‘treatment conditions. When comparing the test results p-value: 0≤0.05 was considered as significance level. Treatment duration follow-up of all abuser’s urine samples indicated negative results. According to the findings of this investigation rapid strip tests were useful in urine samples and eye pupils’ variations were accessible confirmation method.","PeriodicalId":93086,"journal":{"name":"Clinical and diagnostic pathology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67451035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Beliefs, attitude and knowledge of contact lens wear and care among Saudi Arabia population 沙特阿拉伯人口对隐形眼镜佩戴和护理的信念、态度和知识
Pub Date : 2019-01-01 DOI: 10.15761/cdp.1000134
A. Alharbi, J. Sarriyah
People wear contact lenses (CL) not only to correct the refractive errors of the eye, but also for cosmetic reasons. However, people who wear CL have little or no knowledge of the rules of proper handling of CL and of the complications they may cause. Our aim is to assess the awareness of CL wear and care in Saudi Arabia. This is a prospective cross-sectional study. A validated questionnaire was administered between June to July 2018. The age range of target participants was between 18 and 60 years. The invitation to participate in the study was sent to 900 individuals and the data was statistically analyzed using SPSS v24.0l. The study targeted 507 participants, with a mean age 25.03 SD (±7.79). The results indicate that 100 participants (29.5%) wear CL for refractive correction, 134 (39.5%) wear them for cosmetic reasons, while 105 (31%) wear them for both correction and cosmetic ends. Moreover, 498 (98%) of the participants report that wearing contact lens during sleep is harmful to eyes, and 90% of the participants believed that swimming with CL might have negative effects on the eyes. 67% of the participants believed the misuse of contact lenses may cause corneal ulcer, 67% of participants think the contact lenses cause blindness. The use of contact lenses in Saudi Arabia is mainly for cosmetic reasons. Accordingly, there is a need for health education program on how to use contact lenses for cosmetic reasons to minimize their risks. *Correspondence to: Abdulrahman Jazaa Alharbi, Doctor of optometry (OD), Qassim University, Saudi Arabia, E-mail: Abdulrhman426@hotmail.com
人们戴隐形眼镜不仅是为了矫正眼睛的屈光不正,也是为了美容。然而,戴CL的人很少或根本不知道CL的正确处理规则和它们可能引起的并发症。我们的目的是评估沙特阿拉伯对CL佩戴和护理的认识。这是一项前瞻性横断面研究。在2018年6月至7月期间进行了一份有效的问卷调查。目标参与者的年龄范围在18岁到60岁之间。向900人发出了参与研究的邀请,并使用SPSS v24.01对数据进行统计分析。该研究针对507名参与者,平均年龄25.03 SD(±7.79)。结果表明,100名参与者(29.5%)为屈光矫正而佩戴CL, 134名参与者(39.5%)为美容目的佩戴CL, 105名参与者(31%)为矫正和美容目的佩戴CL。此外,498名(98%)的参与者报告睡眠时戴隐形眼镜对眼睛有害,90%的参与者认为戴CL游泳可能对眼睛有负面影响。67%的参与者认为误用隐形眼镜会导致角膜溃疡,67%的参与者认为隐形眼镜会导致失明。在沙特阿拉伯,使用隐形眼镜主要是为了美容。因此,有必要开展健康教育计划,告诉人们如何出于美容目的使用隐形眼镜,以尽量减少其风险。*通讯:Abdulrahman Jazaa Alharbi,沙特阿拉伯卡西姆大学验光博士,E-mail: Abdulrhman426@hotmail.com
{"title":"Beliefs, attitude and knowledge of contact lens wear and care among Saudi Arabia population","authors":"A. Alharbi, J. Sarriyah","doi":"10.15761/cdp.1000134","DOIUrl":"https://doi.org/10.15761/cdp.1000134","url":null,"abstract":"People wear contact lenses (CL) not only to correct the refractive errors of the eye, but also for cosmetic reasons. However, people who wear CL have little or no knowledge of the rules of proper handling of CL and of the complications they may cause. Our aim is to assess the awareness of CL wear and care in Saudi Arabia. This is a prospective cross-sectional study. A validated questionnaire was administered between June to July 2018. The age range of target participants was between 18 and 60 years. The invitation to participate in the study was sent to 900 individuals and the data was statistically analyzed using SPSS v24.0l. The study targeted 507 participants, with a mean age 25.03 SD (±7.79). The results indicate that 100 participants (29.5%) wear CL for refractive correction, 134 (39.5%) wear them for cosmetic reasons, while 105 (31%) wear them for both correction and cosmetic ends. Moreover, 498 (98%) of the participants report that wearing contact lens during sleep is harmful to eyes, and 90% of the participants believed that swimming with CL might have negative effects on the eyes. 67% of the participants believed the misuse of contact lenses may cause corneal ulcer, 67% of participants think the contact lenses cause blindness. The use of contact lenses in Saudi Arabia is mainly for cosmetic reasons. Accordingly, there is a need for health education program on how to use contact lenses for cosmetic reasons to minimize their risks. *Correspondence to: Abdulrahman Jazaa Alharbi, Doctor of optometry (OD), Qassim University, Saudi Arabia, E-mail: Abdulrhman426@hotmail.com","PeriodicalId":93086,"journal":{"name":"Clinical and diagnostic pathology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67450660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Case Report: A fatal case of necrotizing myositis panniculitis from E.coli in a patient with alcohol cirrhosis and MGUS 病例报告:一个致命的病例坏死性肌炎panannicitis从大肠杆菌患者酒精性肝硬化和MGUS
Pub Date : 2019-01-01 DOI: 10.15761/cdp.1000135
A. Jensen, N. Smith
{"title":"Case Report: A fatal case of necrotizing myositis panniculitis from E.coli in a patient with alcohol cirrhosis and MGUS","authors":"A. Jensen, N. Smith","doi":"10.15761/cdp.1000135","DOIUrl":"https://doi.org/10.15761/cdp.1000135","url":null,"abstract":"","PeriodicalId":93086,"journal":{"name":"Clinical and diagnostic pathology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67450723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Growth of adenoid cystic carcinoma of the parotid during pregnancy: a case report 妊娠期腮腺腺样囊性癌生长1例报告
Pub Date : 2019-01-01 DOI: 10.15761/cdp.1000132
J. Davies, Gian-Marco Busato, A. Eskander, K. Higgins
Background: The association between pregnancy and growth of salivary gland malignancies has not been well elucidated due to the paucity of reports in the literature. Adenoid cystic carcinoma of the head and neck is known to share histologic characteristics with adenocarcinomas of the breast. A small number of studies have found varying degrees of positive expression of both estrogen and progresterone receptors within adenoid cystic carcinoma. While a few case reports have observed a link between pregnancy and salivary gland tumour growth, none have reported on growth of adenoid cystic carcinoma of the parotid gland under such circumstances. Case presentation: A 31-year-old Chinese woman presented with growth of a right parotid lesion during pregnancy that was associated with facial nerve palsy and neuropathy of the post-auricular skin. On MRI, the mass was adjacent to the stylomastoid foramen and there was evidence of perineural invasion of the facial and greater auricular nerves. A fine needle aspirate biopsy confirmed adenoid cystic carcinoma. She underwent right radical parotidectomy, ipsilateral neck dissection, temporal bone resection and primary neurorrhaphy of facial nerve branches with adjuvant radiotherapy. Conclusion: This article represents the third reported case of salivary gland malignancy growth during pregnancy and the first case of adenoid cystic carcinoma. With a focus towards adding to a body of literature examining an association between pregnancy and salivary gland tumors, our report may stimulate interest in better understanding the complex biological behavior of such tumors. *Correspondence to: Kevin Higgins, Sunnybrook Health Sciences Centre, 2075 Bayview Avenue, Room M1 102, Toronto, ON, M4N 3M5, Canada, E-mail: Kevin.Higgins@sunnybrook.ca
背景:由于文献报道的缺乏,妊娠与唾液腺恶性肿瘤生长之间的关系尚未得到很好的阐明。头颈部腺样囊性癌与乳腺腺癌具有相同的组织学特征。少数研究发现,在腺样囊性癌中,雌激素和孕激素受体均有不同程度的阳性表达。虽然有少数病例报告观察到妊娠与唾液腺肿瘤生长之间的联系,但没有报道在这种情况下腮腺腺样囊性癌的生长。病例介绍:一名31岁的中国女性在怀孕期间出现右侧腮腺病变的增长,并伴有面神经麻痹和耳后皮肤的神经病变。在MRI上,肿块位于茎突孔附近,有证据表明神经周围侵犯面神经和耳大神经。细针穿刺活检证实腺样囊性癌。患者行右侧腮腺根治性切除术、同侧颈部清扫术、颞骨切除术及面神经支原发神经吻合术,并辅以放疗。结论:本文是报道的第三例妊娠期唾液腺恶性肿瘤,也是首例腺样囊性癌。随着研究妊娠与唾液腺肿瘤之间关系的文献的增加,我们的报告可能会激发人们对更好地理解这类肿瘤的复杂生物学行为的兴趣。*收信人:Kevin Higgins, Sunnybrook健康科学中心,湾景大道2075号,M1 102室,加拿大多伦多市,M4N 3M5, E-mail: Kevin.Higgins@sunnybrook.ca
{"title":"Growth of adenoid cystic carcinoma of the parotid during pregnancy: a case report","authors":"J. Davies, Gian-Marco Busato, A. Eskander, K. Higgins","doi":"10.15761/cdp.1000132","DOIUrl":"https://doi.org/10.15761/cdp.1000132","url":null,"abstract":"Background: The association between pregnancy and growth of salivary gland malignancies has not been well elucidated due to the paucity of reports in the literature. Adenoid cystic carcinoma of the head and neck is known to share histologic characteristics with adenocarcinomas of the breast. A small number of studies have found varying degrees of positive expression of both estrogen and progresterone receptors within adenoid cystic carcinoma. While a few case reports have observed a link between pregnancy and salivary gland tumour growth, none have reported on growth of adenoid cystic carcinoma of the parotid gland under such circumstances. Case presentation: A 31-year-old Chinese woman presented with growth of a right parotid lesion during pregnancy that was associated with facial nerve palsy and neuropathy of the post-auricular skin. On MRI, the mass was adjacent to the stylomastoid foramen and there was evidence of perineural invasion of the facial and greater auricular nerves. A fine needle aspirate biopsy confirmed adenoid cystic carcinoma. She underwent right radical parotidectomy, ipsilateral neck dissection, temporal bone resection and primary neurorrhaphy of facial nerve branches with adjuvant radiotherapy. Conclusion: This article represents the third reported case of salivary gland malignancy growth during pregnancy and the first case of adenoid cystic carcinoma. With a focus towards adding to a body of literature examining an association between pregnancy and salivary gland tumors, our report may stimulate interest in better understanding the complex biological behavior of such tumors. *Correspondence to: Kevin Higgins, Sunnybrook Health Sciences Centre, 2075 Bayview Avenue, Room M1 102, Toronto, ON, M4N 3M5, Canada, E-mail: Kevin.Higgins@sunnybrook.ca","PeriodicalId":93086,"journal":{"name":"Clinical and diagnostic pathology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67450435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
A clinicopathological study of lesions of bone 骨损伤的临床病理研究
Pub Date : 2018-01-01 DOI: 10.15761/cdp.1000133
D. Kokode, A. Wilkinson
Introduction: Bone tumours are neoplasms originating in the skeletal system that are within or closely related to the bone tissue. A spectrum of pathological bone lesions can present in any form from inflammatory to neoplastic conditions. They account for 0.2% of all tumours in humans. Aims and objectives: To study the clinical and pathological spectrum of lesions of bone. Material and methods: This study was carried out in the Department of Pathology, in a Tertiary health care hospital. It was a hospital based cross sectional study. After obtaining detailed clinical history and examination, biopsies and resected specimen were received in 10% formalin, gross findings were noted and histopathological examination was done. Results: Histopathological evaluation was done in all 106 cases, obtained in a period of 2 years in the tertiary care hospital. In this study, non-neoplastic and benign neoplastic were the commonest bone lesions which accounted for 40.6% each, followed by malignant lesions 15.1% and metastatic lesions 3.7%. The maximum number of bone lesions occurred in second decade of life with a male to female ratio of 1.35:1. The most common presenting feature of all bone lesions was pain. The commonest site of all bone lesions in this study was lower end of femur followed by proximal end of tibia. The most common benign neoplatic neoplasms in this study was giant cell tumour followed by Osteochondroma. Among malignant neoplasm the most common was Osteosarcoma. Epithelial malignancies were the most common to metastasise to bone. Conclusion: Histopathology is the gold standard for the precise diagnosis of the vast number of bone lesions. Since the exact diagnosis of bone tumours is at times difficult, a joint approach integrating clinical, radiological and histopathological findings is necessary to increase accuracy. *Correspondence to: Dnyanada Kokode, Department of Pathology, NKP Salve Institute of Medical Sciences and Research Centre, Nagpur-440019, India, E-mail: dr.radhakokode@gmail.com Received: February 06, 2019; Accepted: February 20, 2019; Published: February 25, 2019 Introduction Bone tumours are neoplasms originating in the skeletal system that are within or closely related to the bone tissue [1,2]. A spectrum of pathological bone lesions can present in any form from inflammatory to neoplastic conditions [1,2]. These lesions are diverse in their clinical and morphological features and range in behaviour from innocuous to rapidly fatal [3]. Accurate diagnosis, proper staging and appropriate treatment are thus necessary to ensure maximum patient survival and maintain optimal function of the affected body parts [4]. Primary bone tumours are relatively uncommon lesions [5]. They account for 0.2% of all tumours in humans and some of these tumours display marked interand intranational variations in incidence, site and age distribution [6]. Some relevant demographic features like age, gender and skeletal site are important factors while ma
骨肿瘤是起源于骨骼系统的肿瘤,位于骨组织内部或与骨组织密切相关。病理性骨损伤的频谱可以呈现从炎症到肿瘤的任何形式。它们占人类肿瘤总数的0.2%。目的和目的:研究骨病变的临床和病理谱。材料和方法:本研究在某三级卫生保健医院病理科进行。这是一项基于医院的横断面研究。在获得详细的临床病史和检查后,在10%福尔马林中接受活检和切除标本,记录大体发现并进行组织病理学检查。结果:106例患者均在三级医院进行了2年的组织病理学检查。在本研究中,非肿瘤性和良性肿瘤是最常见的骨病变,各占40.6%,其次是恶性病变15.1%,转移性病变3.7%。骨病变最多发生在20岁左右,男女比例为1.35:1。所有骨病变最常见的表现为疼痛。本研究中所有骨病变最常见的部位是股骨下端,其次是胫骨近端。本研究中最常见的良性肿瘤是巨细胞瘤,其次是骨软骨瘤。在恶性肿瘤中最常见的是骨肉瘤。上皮恶性肿瘤最常转移到骨。结论:组织病理学是准确诊断大量骨病变的金标准。由于骨肿瘤的准确诊断有时是困难的,因此需要结合临床,放射学和组织病理学结果的联合方法来提高准确性。*通信:Dnyanada Kokode, NKP药液医学科学和研究中心研究所病理学部,印度那格浦尔440019,E-mail: dr.radhakokode@gmail.com录用日期:2019年2月20日;骨肿瘤是起源于骨骼系统的肿瘤,位于骨组织内部或与骨组织密切相关[1,2]。病理性骨病变可以表现为从炎症到肿瘤的任何形式[1,2]。这些病变在临床和形态特征上各不相同,行为范围从无害到迅速致命的[3]。因此,准确的诊断、适当的分期和适当的治疗是确保患者最大限度地生存和保持受影响身体部位最佳功能的必要条件。原发性骨肿瘤是相对罕见的病变。它们占人类所有肿瘤的0.2%,其中一些肿瘤在发病率、部位和年龄分布方面表现出明显的国际间和国内差异[10]。一些相关的人口统计学特征,如年龄、性别和骨骼部位是诊断时的重要因素[1,7,8]。病变主要发生在两个年龄组:40岁以上的成年人和生命的第一个和第二个十年的儿童。各种病因包括化疗、放疗、创伤、感染和先前存在的骨损伤。常见表现为进行性疼痛、肿胀、压痛、关节活动受限,部分病例出现病理性骨折[2,9]。在印度的一项研究中,最常见的骨头是股骨。在慢性骨髓炎和结核性病变;股骨和椎骨分别是已知的常见受累。然而,一些良性病变如骨髓炎可以模拟恶性肿瘤,一些恶性病变如转移瘤或骨髓瘤可以模拟良性肿瘤[3,4]。目的和目的研究骨病变的临床和病理谱。材料和方法本研究在获得机构伦理委员会的批准后,在一家三级卫生保健医院的病理学系进行。这是一项基于医院的横断面研究。所有年龄组和性别的骨骼病变患者都包括在研究中。记录了详细的临床病史、放射学逻辑学表现和其他检查结果。在可能的情况下进行FNAC。对2年内接受的所有骨活检和切除标本进行了研究。活检和切除标本在10%福尔马林中接受,并记录大体发现。组织处理后用常规的苏木精和伊红染色。光镜下进行组织病理检查。
{"title":"A clinicopathological study of lesions of bone","authors":"D. Kokode, A. Wilkinson","doi":"10.15761/cdp.1000133","DOIUrl":"https://doi.org/10.15761/cdp.1000133","url":null,"abstract":"Introduction: Bone tumours are neoplasms originating in the skeletal system that are within or closely related to the bone tissue. A spectrum of pathological bone lesions can present in any form from inflammatory to neoplastic conditions. They account for 0.2% of all tumours in humans. Aims and objectives: To study the clinical and pathological spectrum of lesions of bone. Material and methods: This study was carried out in the Department of Pathology, in a Tertiary health care hospital. It was a hospital based cross sectional study. After obtaining detailed clinical history and examination, biopsies and resected specimen were received in 10% formalin, gross findings were noted and histopathological examination was done. Results: Histopathological evaluation was done in all 106 cases, obtained in a period of 2 years in the tertiary care hospital. In this study, non-neoplastic and benign neoplastic were the commonest bone lesions which accounted for 40.6% each, followed by malignant lesions 15.1% and metastatic lesions 3.7%. The maximum number of bone lesions occurred in second decade of life with a male to female ratio of 1.35:1. The most common presenting feature of all bone lesions was pain. The commonest site of all bone lesions in this study was lower end of femur followed by proximal end of tibia. The most common benign neoplatic neoplasms in this study was giant cell tumour followed by Osteochondroma. Among malignant neoplasm the most common was Osteosarcoma. Epithelial malignancies were the most common to metastasise to bone. Conclusion: Histopathology is the gold standard for the precise diagnosis of the vast number of bone lesions. Since the exact diagnosis of bone tumours is at times difficult, a joint approach integrating clinical, radiological and histopathological findings is necessary to increase accuracy. *Correspondence to: Dnyanada Kokode, Department of Pathology, NKP Salve Institute of Medical Sciences and Research Centre, Nagpur-440019, India, E-mail: dr.radhakokode@gmail.com Received: February 06, 2019; Accepted: February 20, 2019; Published: February 25, 2019 Introduction Bone tumours are neoplasms originating in the skeletal system that are within or closely related to the bone tissue [1,2]. A spectrum of pathological bone lesions can present in any form from inflammatory to neoplastic conditions [1,2]. These lesions are diverse in their clinical and morphological features and range in behaviour from innocuous to rapidly fatal [3]. Accurate diagnosis, proper staging and appropriate treatment are thus necessary to ensure maximum patient survival and maintain optimal function of the affected body parts [4]. Primary bone tumours are relatively uncommon lesions [5]. They account for 0.2% of all tumours in humans and some of these tumours display marked interand intranational variations in incidence, site and age distribution [6]. Some relevant demographic features like age, gender and skeletal site are important factors while ma","PeriodicalId":93086,"journal":{"name":"Clinical and diagnostic pathology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48847373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Clinical and diagnostic pathology
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1