diagnostic pathology

诊断病理学
  • 文章类型: Journal Article
    Veterinary pathology credentials serve as a concise means attesting to educational attainments and experiences indicating a readiness for professional practice. Given the cost, time, and stress associated with obtaining different qualifications, pathologists must consider what credentials enhance their readiness. In this commentary, the authors describe how their various degrees and certifications have facilitated their individual and organizational success. The minimum credentials for proficient veterinary pathology practice are a veterinary medical degree (DVM or equivalent) and advanced pathology training (residency and/or on-the-job \"apprenticeship\") ideally culminating in board certification in pathology (American College of Veterinary Pathologists [ACVP] diplomate status or equivalent). Graduate degrees (MS, PhD, MPH, etc) and/or other qualifications in allied biomedical fields (eg, board certification in internal medicine, laboratory animal medicine, poultry medicine, preventive medicine, or toxicology) may improve employability by affirming specialty knowledge in another complementary discipline. The authors note that pathology positions may be obtained without a long list of degrees or certifications, and that more credentials may provide occupational flexibility for some employers. However, a good work ethic, experience in the field, ability to adapt to changes, job satisfaction, good attitude, and demonstrated productivity are also important, and indeed, they are often the paramount criteria for career success as a veterinary pathologist.
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  • 文章类型: Journal Article
    单分子荧光原位杂交(smFISH)代表了用于临床组织样品中核酸生物标志物定量分析的有前途的方法。然而,在福尔马林固定石蜡包埋(FFPE)组织标本中使用基于smFISH的RNA成像时,低信号强度和高背景噪声是诊断病理学引起的并发症.此外,相关的复杂程序可能会产生不确定的结果和较差的图像质量。在这里,通过将分裂DNA探针的高特异性与ZnCdSe/ZnS量子点(QD)标记的高信号读出相结合,我们介绍QDsplit-FISH,高亮度smFISH技术,定量乳腺癌和肺鳞癌细胞系和临床FFPE组织样本中mRNA的表达。由于其高信噪比,QD分裂-FISH是一个快速,便宜,和定量FFPE肿瘤组织中mRNA表达的灵敏方法,使其适用于生物标志物成像和诊断病理学。
    Single-molecule fluorescence in situ hybridization (smFISH) represents a promising approach for the quantitative analysis of nucleic acid biomarkers in clinical tissue samples. However, low signal intensity and high background noise are complications that arise from diagnostic pathology when performed with smFISH-based RNA imaging in formalin-fixed paraffin-embedded (FFPE) tissue specimens. Moreover, the associated complex procedures can produce uncertain results and poor image quality. Herein, by combining the high specificity of split DNA probes with the high signal readout of ZnCdSe/ZnS quantum dot (QD) labeling, we introduce QD split-FISH, a high-brightness smFISH technology, to quantify the expression of mRNA in both cell lines and clinical FFPE tissue samples of breast cancer and lung squamous carcinoma. Owing to its high signal-to-noise ratio, QD split-FISH is a fast, inexpensive, and sensitive method for quantifying mRNA expression in FFPE tumor tissues, making it suitable for biomarker imaging and diagnostic pathology.
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  • 文章类型: Editorial
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  • 文章类型: Case Reports
    与鼻相关的临床表现,总结了3岁的比利布尔山羊的皮肤和全身性镰刀菌病。临床特征,治疗,在小反刍动物真菌病的现有知识的背景下,报告和讨论了验尸结果和实验室诊断。山羊主要表现为呼吸体征(吸气性呼吸困难),伴有单侧左侧粘液脓性鼻腔分泌物,多灶性可变溃疡性和坏死性皮肤结节。鼻和皮肤活检的组织病理学显示,坏死性脓性肉芽肿性炎症伴有与尖孢镰刀菌培养相关的病灶内间隔菌丝元素。患者在使用土霉素和美洛昔康治疗期间继续临床恶化,加入碘化钠和碘化钾,被人道地安乐死。尸检显示整个肾脏有多灶性结节性病变,腹部淋巴结和肺。这些病变与培养尖孢酵母的生前鉴定的病变一致。虽然治疗不成功,根据作者的知识,没有镰刀菌属的鼻面部或全身性山羊感染的实例。已经记录在兽医文献中,使其成为小反刍动物物种中这种感染形式的第一个公认实例。
    The clinical findings associated with nasal, cutaneous and systemic fusariosis in a 3-year-old billy Boer goat are summarised. The clinical features, treatment, postmortem findings and laboratory diagnostics are reported and discussed in the context of existing knowledge on mycoses of small ruminants. The goat presented primarily for respiratory signs (inspiratory dyspnoea) with unilateral left-sided mucopurulent nasal discharge, and multifocal variably ulcerative and necrotic cutaneous nodules. Histopathology of nasal and cutaneous biopsies revealed necrotising pyogranulomatous inflammation with intralesional septate hyphal elements that correlated with culture of Fusarium oxysporum. The patient continued to deteriorate clinically during treatment with oxytetracycline and meloxicam, with the addition of sodium iodide and potassium iodide, and was humanely euthanased. Postmortem examination revealed multifocal nodular lesions throughout the kidneys, abdominal lymph nodes and lungs. These lesions were consistent with those identified antemortem from which F. oxysporum was cultured. Although treatment was unsuccessful, to the author\'s knowledge, no instance of rhinofacial or systemic caprine infection with Fusarium spp. has been documented in the veterinary literature, making this the first recognised instance of this form of infection in small ruminant species.
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  • 文章类型: Journal Article
    低收入和中等收入国家的病理诊断服务往往因缺乏专业知识而受阻,设备,和试剂。然而,还有教育,文化,和政治决定,为了成功提供这些服务,必须解决这些问题。在这次审查中,我们描述了一些必须克服的基础设施障碍,并提供了在卢旺达和洪都拉斯实施分子检测的3个例子,尽管最初缺乏资源。
    Diagnostic pathology services in low and middle-income countries are often hindered by lack of expertise, equipment, and reagents. However, there are also educational, cultural, and political decisions, which must be addressed in order to provide these services successfully. In this review, we describe some of the infrastructure barriers that must be overcome and provide 3 examples of implementing molecular testing in Rwanda and Honduras despite initial lack of resources.
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  • 文章类型: Case Reports
    cuniculatum(CC)在上颌骨中极为罕见。这里,我们报告了一例由口窦瘘(OAF)引起的CC病例。患者是一名70岁的日本男子,他接受了非封闭OAF的随访。尽管没有基于口内检查的发现,随访对比增强计算机断层扫描和磁共振成像显示,上颌骨靠近OAF处有22毫米的肿块。组织学上,鳞状上皮的囊性和内生乳头状增生,具有丰富的角质化,模仿兔洞穴占据了牙槽骨。该肿瘤与OAF覆盖上皮的非典型增殖直接相关。肿瘤细胞表现出轻度的细胞学异型性和少数有丝分裂。最后,患者被诊断为由OAF引起的CC。CC经常被误诊;尽管如此,独特的内生植物,分支,隧道状结构是这种肿瘤的标志。我们提出了第一个有据可查的由OAF引起的CC案例,讨论它的诊断特征,并强调其与其他常见良性和恶性病理实体的差异。
    Carcinoma cuniculatum (CC) is extremely rare in the maxilla. Here, we report a case of CC arising from an oroantral fistula (OAF). The patient was a 70-year-old Japanese man who was followed up for a non-closing OAF. Although there were no findings based on an intraoral examination, follow-up contrast-enhanced computed tomography and magnetic resonance imaging showed a 22-mm mass in the maxilla close to the OAF. Histologically, cystic and endophytic papillary proliferation of squamous epithelium with abundant keratinization mimicking rabbit burrows occupied the alveolar bone. This tumor was directly connected to the atypical proliferation of the covering epithelium of the OAF. The tumor cells showed mild cytological atypia and a few mitoses. Finally, the patient was diagnosed with CC arising from an OAF. CC is often misdiagnosed; nonetheless, the unique endophytic, branching, and tunnel-like structure is a hallmark of this tumor. We present the first well-documented case of CC arising from an OAF, discuss its diagnostic features, and highlight its differences from other common benign and malignant pathological entities.
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  • 文章类型: Journal Article
    世界卫生组织(WHO)第5版内分泌肿瘤分类于2022年发布。关于滤泡源性甲状腺肿瘤的命名和组织病理学诊断,已经介绍了一些新颖的事物。肿瘤类型已根据预后风险类别分为良性肿瘤,低危肿瘤和恶性肿瘤。已经实施了分化型甲状腺癌的分级系统,目的是改善肿瘤的分层。已特别注意分化良好的组织型的分子谱。在这次审查中,介绍了最新版本的世卫组织系统引入的主要变化。对甲状腺肿瘤病理诊断的实际效果,随着新分类方案的预期临床意义,进行了批判性讨论。
    The 5th edition of the World Health Organization (WHO) classification of endocrine tumors was released in 2022. Several novelties have been introduced concerning the nomenclature and histopathological diagnosis of follicular-derived thyroid neoplasms. Tumor types have been sharply classified according to prognostic risk categories into benign tumors, low-risk neoplasms and malignant neoplasms. A grading system for differentiated thyroid carcinomas has been implemented with the aim of improving the stratification of tumors. Particular attention has been paid to the molecular profile of well-differentiated histotypes. In this review, the main changes introduced by the latest edition of the WHO system are presented. The practical effects on the diagnostic pathology of thyroid tumors, along with the clinical implications expected with the new classification scheme, are critically discussed.
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  • 文章类型: Journal Article
    组织病理学仍然是反刍动物疾病诊断研究的重要工具。一些反刍动物疾病需要组织病理学才能做出明确的诊断。临床病史,适当的组织取样和处理,和适当的固定都增加了组织病理学检查的效率和准确诊断的可能性。本文讨论了反刍动物的一些主要器官系统,并重点介绍了诊断医师遇到的常见反刍动物疾病,其中组织病理学尤为重要。如果适用,相关总体病变,关于组织取样的特殊考虑,和组织学报告解释进行了讨论。
    Histopathology remains an important tool for ruminant disease diagnostic investigations. Some ruminant diseases require histopathology to make a definitive diagnosis. Clinical history, proper tissue sampling and handling, and proper fixation all increase the efficiency of a histopathologic examination and the likelihood of an accurate diagnosis. This article discusses some of the main organ systems of ruminants and highlights common ruminant diseases encountered by diagnosticians where histopathology is particularly important. Where applicable, correlative gross lesions, special considerations regarding tissue sampling, and histologic report interpretation are discussed.
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  • 文章类型: Journal Article
    恒河猴和食蟹猴是最常用的非人灵长类动物(NHP)物种,用于生物医学研究和新疗法的毒理学研究。近年来,由于各种竞争因素,实验室猕猴短缺。最近,应对严重急性呼吸道综合症(SARS)-冠状病毒2大流行所需的NHP研究激增加剧了这种情况。这些重要研究的持续支持需要使用更多不同的猕猴队列,包括不同起源的动物,增加对天然病原体的接触,和更广泛的年龄范围。腹泻和胃肠道疾病是所有起源和年龄的猕猴中最常见的自发发现。这篇综述的目的是提醒参与NHP研究的病理学家和科学家注意这些发现及其对动物健康和研究终点的影响,否则可能会混淆使用猕猴生成的数据的解释。
    Rhesus and cynomolgus macaques are the most frequently used nonhuman primate (NHP) species for biomedical research and toxicology studies of novel therapeutics. In recent years, there has been a shortage of laboratory macaques due to a variety of competing factors. This was most recently exacerbated by the surge in NHP research required to address the severe acute respiratory syndrome (SARS)-coronavirus 2 pandemic. Continued support of these important studies has required the use of more varied cohorts of macaques, including animals with different origins, increased exposure to naturally occurring pathogens, and a wider age range. Diarrhea and diseases of the gastrointestinal tract are the most frequently occurring spontaneous findings in macaques of all origins and ages. The purpose of this review is to alert pathologists and scientists involved in NHP research to these findings and their impact on animal health and study endpoints, which may otherwise confound the interpretation of data generated using macaques.
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  • 文章类型: Case Reports
    In 1979, the author in his younger days experienced an autobiographical case of idiopathic rhabdomyolysis. The heme casts in formalin-fixed, paraffin-embedded sections of the kidney were immunoreactive for myoglobin. In these days, the immunoperoxidase technique had been utilized as a research seed by using paraformaldehyde-fixed frozen sections. The precious experience prompted the young author of his younger days to apply the immunoperoxidase method to diagnostic pathology using formalin-fixed paraffin-embedded sections. A brief history of early development of chromogenic immunostaining in diagnostic pathology in Japan is summarized.
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