Difference between revisions of "Gross pathology"

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===Gastrointestinal pathology===
===Gastrointestinal pathology===
Esophagus:
[[Esophagus]]:
*Squamous cell carcinoma - mid esophagus classically.
*Squamous cell carcinoma - mid esophagus classically.
*Adenocarcinoma - distal esophagus.
*Adenocarcinoma - distal esophagus.
*[[Barrett's esophagus]].
*[[Barrett's esophagus]].
*Esophageal varices.
*[[Esophageal varices]].
*Esophageal perforation.
*Esophageal perforation.


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*[[GIST]].
*[[GIST]].


Duodenum:
[[Duodenum]]:
*Peptic ulcer.
*Peptic ulcer.
*[[Duodenal adenocarcinoma]] - classically assoc. with [[FAP]].
*[[Duodenal adenocarcinoma]] - classically assoc. with [[FAP]].


Liver:
[[Liver]]:
*[[Cirrhosis]].
*[[Cirrhosis]].
*[[Hydatid cyst]].
*[[Hydatid cyst]].
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*Hepatic infarct - classically at the periphery, red and wedge-shaped.  
*Hepatic infarct - classically at the periphery, red and wedge-shaped.  


Gallbladder:
[[Gallbladder]]:
*[[Cholelithiasis]].
*[[Cholelithiasis]].
*[[Cholesterolosis of the gallbladder]].
*[[Cholesterolosis of the gallbladder]].
*Gallbladder polyp.
*Gallbladder polyp.


Pancreas:
[[Pancreas]]:
*[[Solid pseudopapillary neoplasm]] - with age & sex provided.
*[[Solid pseudopapillary neoplasm]] - with age & sex provided.
*[[Pancreatic adenocarcinoma]].
*[[Pancreatic adenocarcinoma]].
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*[[Chronic pancreatitis]].
*[[Chronic pancreatitis]].


Small bowel:
[[Small bowel]]:
*Ischemic small bowel.
*Ischemic small bowel.
*[[Meckel's diverticulum]].
*[[Meckel's diverticulum]].
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*Incarcerated hernia.
*Incarcerated hernia.


Appendix:
[[Appendix]]:
*[[Acute appendicitis]].
*[[Acute appendicitis]].
*Neuroendocrine tumour.
*Neuroendocrine tumour.
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*Bowel infarction.
*Bowel infarction.
*[[Ulcerative colitis]] - no skip lesions, no wall thickening.
*[[Ulcerative colitis]] - no skip lesions, no wall thickening.
*[[Crohn's disease]] - creeping fat, cobble stone pattern, skip lesions, fistulas.
*[[Crohn's disease]] - [[creeping fat]], cobble stone pattern, skip lesions, fistulas.
*[[Pseudomembranous colitis]].
*[[Pseudomembranous colitis]].



Revision as of 10:04, 4 July 2013

Gross pathology, also simply gross, refers to the macroscopic pathology, and the macroscopic assessment of pathology specimens. It may include preparation of tissue for a microscopic examination. It is an essential part of pathologic assessments.

Gross only

Which specimens are "gross only" typically depends on institutional policy.[1]

Common gross only specimens

Gross spot diagnosis

Heart

Heart valve:

Heart - other:

Cardiovascular

Lungs

Gastrointestinal pathology

Esophagus:

Stomach:

Duodenum:

Liver:

Gallbladder:

Pancreas:

Small bowel:

Appendix:

Large bowel:

Gynecologic pathology

Ovary:

Uterine tube:

Uterus:

Uterine cervix:

Dermatopathology

Tumour:

Possible syndromic:

Neuropathology

Bleeds:

Tumours:

Non-tumour:

Neurodegenerative:

Genitourinary pathology

Kidney:

Testis:

Paratesticular:

Placenta

Membranes:

Disc:

Cord:

  • Two vessel umbilical cord.
  • False knot.
  • True knot.
  • Membranous insertion (AKA velamentous insertion).
  • Furcate insertion - vessels separate before inserting.

Fetal

Genetic:

See also

References

  1. Zarbo, RJ.; Nakhleh, RE. (Feb 1999). "Surgical pathology specimens for gross examination only and exempt from submission: a College of American Pathologists Q-Probes study of current policies in 413 institutions.". Arch Pathol Lab Med 123 (2): 133-9. doi:10.1043/0003-9985(1999)1230133:SPSFGE2.0.CO;2. PMID 10050786.
  2. Rose, Alan G. (2008). Atlas of Gross Pathology with Histologic Correlation (1st ed.). Cambridge University Press. pp. 447. ISBN 978-0521868792.

External links