• Title/Summary/Keyword: Surgical pathology

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Computerization of Surgical Pathology Work - A Study for Systemization of Surgical Pathology Work using Automatic Coding System and Simplification of Other Works in Pathology Department (병리업무의 전산화(I) - 자동코딩 방식을 이용한 진단병리 업무의 체계화 및 기타 병리제반 업무의 간소화에 대한 연구)

  • Kim, Dong-Sug;Choi, Won-Hee;Lee, Tae-Sook
    • Journal of Yeungnam Medical Science
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    • v.7 no.1
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    • pp.215-219
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    • 1990
  • The authors developed a comfortable program for routine work of surgical pathology. We used IBM PC(80386) and Foxbase plus program. The main function of this program was automatic coding and concurrent surgical report printing. During gross printing, previous biopsy number and its diagnosis were automatically searched and printed below gross description. The reported datas were stored during surgical report printing simultaneously, and thus the typist's workload became considerably reduced. Search for specific cases could be performed by patient's name, surgical number, hospital number, diagnostic code numbers(SNOMED code microglossary), and certain disease entities on very short duration.

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Errors in Surgical Pathology Reports: a Study from a Major Center in Pakistan

  • Ahmad, Zubair;Idrees, Romana;Uddin, Nasir;Ahmed, Arsalan;Fatima, Saira
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.4
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    • pp.1869-1874
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    • 2016
  • Background: Errors in surgical pathology diagnosis can have serious consequences for the patient. Since the final product of a surgical pathology lab is the report, errors can be picked by reviewing reports of cases. Aim: To determine the frequency and types of error in surgical pathology reports of cases signed out in 2014 in a laboratory in Karachi, Pakistan. Materials and Methods: All surgical pathology reports in which changes were made in the original report after sign out and an amended report was issued were included. Errors included: (1) misinterpretations; (2) missing critical information; (3) erroneous critical information; (4) misidentification; and (5) typographic errors. Results: Errors were identified in 210 cases (0.37%). These comprised 199 formalin fixed specimens and 11 frozen sections. The latter represented 3.8% of a total of 2,170 frozen sections. Of the 11 frozen section errors, 10 were misinterpretations. Of the 199 permanent specimens, 99 (49.7%) were misinterpretations, 65 (32.7%) belonged to missing critical information category, 8 (4%) belonged to erroneous critical information category, 8(4%) were misidentifications, 16(8%) were typographic errors while 3 cases (1.5%) were other errors. Most misinterpretations occurred in the gastro intestinal, liver and pancreato biliary tract (23.2%) and breast (13.1%). Another 87 cases were reviewed on the clinicians' request. However diagnosis after review remained the same as the original diagnosis. In 49 out of these (56.3%), additional workup was performed at the time of the review. Conclusions: Our findings were similar to other published studies. We need to develop documented procedures for timely review of cases to detect errors.

Robotic Surgery for Lung Cancer

  • Ambrogi, Marcello C.;Fanucchi, Olivia;Melfi, Franco;Mussi, Alfredo
    • Journal of Chest Surgery
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    • v.47 no.3
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    • pp.201-210
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    • 2014
  • During the last decade the role of minimally invasive surgery has been increased, especially with the introduction of the robotic system in the surgical field. The most important advantages of robotic system are represented by the wristed instrumentation and the depth perception, which can overcome the limitation of traditional thoracoscopy. However, some data still exist in literature with regard to robotic lobectomy. The majority of papers are focused on its safety and feasibility, but further studies with long follow-ups are necessary in order to assess the oncologic outcomes. We reviewed the literature on robotic lobectomy, with the main aim to better define the role of robotic system in the clinical practice.

Descriptive Epidemiology of Thyroid Cancers in Togo

  • Darre, Tchin;Amana, Bathokedeou;Pegbessou, Essobozou;Bissa, Harefeteguena;Amegbor, Koffi;Boko, Essohanam;Kpemessi, Eyawelohn;Napo-Koura, Gado
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.15
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    • pp.6715-6717
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    • 2015
  • Background: The purpose of this study was to provide epidemiological and histological data of thyroid cancers in Togo. Materials and Methods: This was a retrospective cross-sectional study of cases of thyroid cancers diagnosed from 2000 to 2014 (15 years) at the pathology laboratory of the Sylvanus Olympio Teaching Hospital of $Lom{\acute{e}}$. All cases of review of a thyroid sample (biopsies, surgical specimens) were collected from the data records of that laboratory. Results: Thyroid cancers represented 1.1% (7930cases) of all cancers registered during the study period. Mean age was $45.4{\pm}0.3$ years and the proportion of females was 78.3%. We identified 92.4% carcinomas and 7.6% lymphomas. Carcinomas were well differentiated in 80 cases and were dominated by the papillary type (47 cases). Metastasis was observed in 13% of patients. The pTNM classification evaluated in 18 cases showed a predominance of grade I (13 cases). Lymphomas were dominated by lymphoma diffuse large B-cell (5 cases). Conclusions: This study is the first global standard for thyroid cancer pathology in Togo. The high frequency of follicular form suggests an unrecognized iodine deficiency. The improvement of the technical platform of the LAP (immunohistochemistry) will increase the diagnosis of rare forms of thyroid cancer.

A Case of Skull Base Hemangiopericytoma Presenting as Neck Mass (경부종괴 양상으로 나타난 뇌기저부 혈관주위세포종 1례)

  • Kim Young-Min;Moon You-Bo;Ahn Hae-Keong
    • Korean Journal of Head & Neck Oncology
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    • v.9 no.2
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    • pp.221-226
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    • 1993
  • Hamangiopericytoma, first described by Stout & Murray in 1942, is a rare vascular tumor composed of spindle-shaped or rounded cells proliferating around endothelial lined capillaries. These proliferating cells were belived to arise from the pericytes of Zimmerman. Histologically, this tumor demonstrates great variability and clinical course cannot be predicted from the histological appearance. Head and Neck hemangiopericytoma appears to have a lower grade malignancy with frequent local recurrency and metastasis, therefore, aggressive surgical therapy should be the treatment of choice. We experienced a case of hemangiopericytoma occurred in the right skull base at submastoideal and suboccipital area presenting as neck mass in upper occipital triangle in a 42 years old female patient and we report it with a review of literatures.

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Cyclin D1, Retinoblastoma and p16 Protein Expression in Carcinoma of the Gallbladder

  • Srivastava, Vineeta;Patel, Brijesh;Kumar, Mohan;Shukla, Mridula;Pandey, Manoj
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.5
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    • pp.2711-2715
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    • 2013
  • Background: Cancer of the gallbladder is a relatively rare neoplasm with a poor prognosis. The exact mechanisms of its genesis are not known and very little information is available on molecular events leading to labeling this as an orphan cancer. Materials and Methods: In this prospective case control study we evaluated the expression of p16, pRb and cyclin D1 by immunohistochemistry to study the G1-S cell-cycle check point and its possible role in gallbladder carcinogenesis. A total of 25 patients with gallbladder carcinoma (group I), 25 with cholelithiasis (group II) and 10 normal controls. were enrolled Results: Cyclin D1 expression was seen in 10 (40%) patients each with carcinoma and cholelithiasis while only in 2 (20%) of the normal gallbladders but differences were not statistically significant (p value=0.488). p16 was expressed in 12% patients of carcinoma of the gallbladder and 28% of cholelithiasis, however this difference was not statistically significant (p value=0.095). Retinoblastoma protein was found to be expressed in 50% of normal gallbladders and 6 (24%) of carcinoma and 8 (32%) of gallstones. The present study failed to demonstrate any conclusive role of cyclin D1/RB/ p16 pathway in carcinoma of the gallbladder. Conclusions: The positive relation observed between tumor metastasis and cyclinD1 expression and p16 with nodal metastasis suggested that higher cyclin D1/p16 expression may act as a predictive biomarker for aggressive behavior of gallbladder malignancies.

A case of hepatic anisakidosis caused by Anisakis pegreffii mimicking liver cancer

  • Minoru Yamada;Fumi Murakoshi;Hisashi Ikoma;Osamu Inamori;Akio Yanagisawa;Eiichi Konishi
    • Parasites, Hosts and Diseases
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    • v.61 no.3
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    • pp.292-297
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    • 2023
  • Extra-gastrointestinal anisakidosis is rare. We herein report an Anisakis pegreffii infection in a patient with hepatic anisakidosis diagnosed based on its molecular identification. A 71-year-old male patient had a hepatic tumor presenting as a low-density area of 20 mm in diameter in segment 6 of the liver on abdominal ultrasonography, computed tomography, and magnetic resonance imaging. The surgically resected pathological specimen revealed a necrotizing eosinophilic granuloma containing nematode larvae, possibly an Anisakis larva. Molecular and phylogenetic analysis demonstrated Anisakis larvae belonging to A. pegreffii. The present results will help identify and characterize unknown Anisakis species in histological sections.