Difference between revisions of "Degenerative disc disease"
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| Micro = benign fibrous tissue, nests of chondrocytes | | Micro = benign fibrous tissue, nests of chondrocytes | ||
| Subtypes = | | Subtypes = | ||
| LMDDx = | | LMDDx = [[chondrocalcinosis]], [[synovial cyst]], malignancy (primary or metastasis) | ||
| Stains = | | Stains = | ||
| IHC = | | IHC = | ||
| Line 47: | Line 47: | ||
DDx: | DDx: | ||
*[[ | *[[Chondrocalcinosis]] (CPPD).<ref name=pmid16393686>{{Cite journal | last1 = Pytel | first1 = P. | last2 = Wollmann | first2 = RL. | last3 = Fessler | first3 = RG. | last4 = Krausz | first4 = TN. | last5 = Montag | first5 = AG. | title = Degenerative spine disease : pathologic findings in 985 surgical specimens. | journal = Am J Clin Pathol | volume = 125 | issue = 2 | pages = 193-202 | month = Feb | year = 2006 | doi = 10.1309/89FV-RT04-EGBV-EUD9 | PMID = 16393686 }}</ref> | ||
*[[Synovial cyst]]. | *[[Synovial cyst]]. | ||
*Malignancy - very rare if not suspected. | *Malignancy - very rare if not suspected. | ||
Revision as of 23:10, 23 December 2014
| Degenerative disc disease | |
|---|---|
| Diagnosis in short | |
 Degenerative disc disease. HPS stain. | |
|
| |
| LM | benign fibrous tissue, nests of chondrocytes |
| LM DDx | chondrocalcinosis, synovial cyst, malignancy (primary or metastasis) |
| Site | vertebral disc - see spine |
|
| |
| Symptoms | back pain |
| Prevalence | common |
| Radiology | disc herniation |
| Prognosis | benign |
| Treatment | surgical (e.g. discectomy) |
Degenerative disc disease, abbreviated DDD, is a common ditzel, typically generated in the course of a discectomy operation.
Vertebral disc and discectomy redirect here.
General
- Herniated disc cause back pain.
- May result in cauda equina syndrome.
- Composed of fibrous cartilage.[1]
Microscopic
Features:
- Benign fibrous tissue.
- Nests of chondrocytes (as in immature cartilage).
- +/-Synovium with or without proliferation.[2]
- +/-Neovascularization of disc material.[2]
DDx:
- Chondrocalcinosis (CPPD).[2]
- Synovial cyst.
- Malignancy - very rare if not suspected.
- Not reported in a series of 985 specimens.[2]
Images
Degenerative disc disease - intermed. mag. (WC)
Degenerative disc disease - high mag. (WC)
www:
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CERVICAL DISC, DISCECTOMY: - DISC WITH DEGENERATIVE CHANGES. - NO EVIDENCE OF MALIGNANCY.
LUMBAR DISC, DECOMPRESSION: - DEGENERATIVE DISC DISEASE.
See also
References
- ↑ URL: http://www.lab.anhb.uwa.edu.au/mb140/CorePages/Cartilage/Cartil.htm. Accessed on: 2 January 2010.
- ↑ 2.0 2.1 2.2 2.3 Pytel, P.; Wollmann, RL.; Fessler, RG.; Krausz, TN.; Montag, AG. (Feb 2006). "Degenerative spine disease : pathologic findings in 985 surgical specimens.". Am J Clin Pathol 125 (2): 193-202. doi:10.1309/89FV-RT04-EGBV-EUD9. PMID 16393686.
- ↑ Modic, MT.; Ross, JS. (Oct 2007). "Lumbar degenerative disk disease.". Radiology 245 (1): 43-61. doi:10.1148/radiol.2451051706. PMID 17885180.