Difference between revisions of "Pathology for medical students"
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Line 34: | Line 34: | ||
*[[Definition of cancer|Cancer]]. | *[[Definition of cancer|Cancer]]. | ||
**Pathologic definitions of cancer. | **Pathologic definitions of cancer. | ||
*[[Tumour]]. | *''[[Tumour]]'': not necessarily cancer. | ||
**Locally aggressive, e.g. [[desmoid tumour]]. | **Locally aggressive tumours, e.g. [[desmoid tumour]]. | ||
**Benign tumours. | |||
Pitfalls: | Pitfalls: |
Revision as of 14:43, 9 January 2013
This article is an introduction to pathology for family doctors.
Compentencies
Describing injuries
Pre-autopsy
- Filling in a death certificate.
- Difference between manner of death and cause of death.
- Difference between manner of death and mechanism of death.
- World Health Organization standard for death certificates.
Autopsy
- Identifying medical examiner cases/coroner's cases.
- Getting an autopsy consent.
- Understanding the hierarchy.
- Knowing the difference between executer of the estate and power of attorney for health care decisions.
- Providing important clinical information.
- Clinical history - past medical history.
- Events leading-up to death.
- Provisional/suspected cause of death.
- Value of doing an autopsy.
- Interpretation of autopsy reports.
- Negative autopsy.
- Inherited diseases, e.g. MEN 2A, ARVC.
Surgical pathology
- Ordering biopsies and laboratory tests.
- Infectious cases - role of culture.
- Interpreting pathology reports.
Cancer diagnoses
Definitions:
- Cancer.
- Pathologic definitions of cancer.
- Tumour: not necessarily cancer.
- Locally aggressive tumours, e.g. desmoid tumour.
- Benign tumours.
Pitfalls:
Implication of not otherwise specified:
Prognostic factors:
- Stage & grade.
- Lymphovascular invasion.
- Perineural invasion.
- Margin status.
- Tumour size.
Techniques
- Immunohistochemical stains.
- Targeted therapies.
- Receptors in breast cancer.