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PATHOLOGY STUDY. Anatomical pathology (morbid anatomy) General pathology Special / system-organ pathology Clinical pathology (laboratory medicine) Hematopathology Transfusion and transplantation pathology Chemical pathology Clinical immunology Clinical microbiology.
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PATHOLOGY STUDY • Anatomical pathology (morbid anatomy) • General pathology • Special / system-organ pathology • Clinical pathology (laboratory medicine) • Hematopathology • Transfusion and transplantation pathology • Chemical pathology • Clinical immunology • Clinical microbiology
Anatomical Pathology Units • Autopsy Pathology • Surgical Pathology • Cytopathology • Immunopathology • Histochemistry
Methods used in Pathology study • Gross Examination • Microscopic study • Special techniques
Autopsy = see through oneself Disseminated cancer
Tissue processing steps Fixation - formalin Dehydration- alcohols Clearing - xylenes Infiltration - paraffin
PATHOLOGY(Greek : pathos = disease +logos) • A branch of medicine which treats of the essential nature of disease, especially of the structural and functional changes in tissue and organs of the body which cause or are caused by disease. • The structural and functional manifestations of disease.
Histotechnology embedding
Histotechnology Paraffin sectioning
Routine Staining Hematoxylin & Eosin
Cryostat sectioning (frozen section)
Microtome in refrigerator minus 20-25 deg.Celcius
Aetiology Pathogenesis Morphologic changes Clinical manifestation Cause Mechanism Structural alteration Functional consequence The cores of Pathology study
Mechanisms of Diseases • Genetic disorders • Biochemical (metabolic) disorders • Physical injury • Toxicology • Immunology • Infectious agents
Category of the Disease • Congenital • Traumatic • Mechanical • Inflammation • Metabolic / endocrine • Degenerative • Growth disturbances/ Neoplasia
Infectious diseases Congenital Syphilis Opisthorchis viverini Acid fast bacilli
Trisomy 21 Mongolism (Down syndrome)
Crushed injury Trauma
Atlas Book of maps Atlas One of the Titans who bore the earth on his shoulders. A volume of plates illustrative of subject.
Systems/Organs to be concentrated • Head / Jaw & Neck • Thyroid / Parathyroid & Adrenal gland • Lung & Mediastinum • Breast • Gastrointestinal tract • Hepatobiliary system including Pancreas • Genitourinary tract • Skin / Soft tissue mass lesion
Head/Jaw & Neck • Salivary gland tumors • Mixed tumoradenoid cystic carcinoma • Mucoepidermoid carcinoma • Warthin’s tumor • Jaw (mainly odontogenic) tumor: Ameloblastoma • Lymph node lesions • Tuberculosis • Lymphoid malignancy • Metastatic carcinoma
Thyroid Parathyroid • Graves disease • Hashimoto disease • DeQuervain disease • Follicular adenoma • Follicular carcinoma • Papillary carcinoma • Medullary carcinoma • Adenoma • Hyperplasia
Lung & Mediastium: mass lesions • Non-neoplastic • Granuloma • Tuberculosis: tuberculoma • Non-tuberculous: fungal granuloma • Hamartoma • Neoplastic • Adenocarcinoma • Squaous cell carcinoma • Small cell carcinoma • Thymoma • Germ cell tumor
Breast • Fibrocystic disease • Fibroadenoma • Phyllodes tumor • DCIS • Comdeocarcinoma • Paget disease • Invasive ductal CA • Colloid carcinoma • Invasive lobular CA
Gastrointestinal tract: Esophagus & Stomach • Esophageal cancer: squamous cell carcinoma • Peptic ulcer • Gastric neoplasm • Adenocarcinoma • Lymphoma • Stromal neoplasm: myoma & GIST
Small intestines • Meckel diverticulum • Carcinoma • Lymphoma • Tuberculosis • Crohn disease
Appendix and Large bowels • Appendicitis • Mucocele • Carcinoid tumor • Amoebiasis • Ulcerative colitis • Polyp / Polyposis coli • Diverticulum / Diverticulosis • Colonic carcinoma
Hepatobiliary system • Liver • Hepatocellular carcinoma • Cholangiocarcinoma • Gallbladder / Bile duct • Acute / chronic cholecystitis • Cholesterolosis • Carcinoma • Extrahepatic bile duct carcinoma • Ampullary carcinoma
Pancreas • Pancreatitis: acute / chronic • Pseudocyst • Benign tumor • Microcystic adenoma • Mucinous cystadenoma • Malignant tumor • Carcinoma: ductal & acinic • Islet cell neoplasm
Adrenal cortex Adrenal medulla • Cortical adenoma • Cortical hyperplasia • Conn syndrome • Cushing syndrome • Carcinoma • Phaeochromocytoma
Genitourinary tract • Renal mass • Angiomyolipoma • Transitional cell carcinoma • Renal cell carcinoma • Bladder tumor: Transitional cell CA • Testicular tumor: Seminoma
Skin • Epidermal cancer • Basal cell carcinoma • Squamous cell carcinoma • In situ sqaumous carcinoma • Melanotic lesion • Nevus • Malignant melanoma
Soft Tissue Tumors • Malignant • Liposarcoma • Angiosarcoma • Leiomyosarcoma • Rhabdomyosarcoma • Malignant fibrous histiocytoma • Malignant nerve sheath tumor Benign • Lipoma • Hemangioma • Leiomyoma • Rhabomyoma • Fibrous histiocytoma • Neurofibroma • Neurilemmoma