中华病理学杂志Pub Date : 2025-04-08DOI: 10.3760/cma.j.cn112151-20240901-00585
X J Li, L B Tang, Y Y Liu, X J Wang, Y P Chen
{"title":"[Composite diffuse large B-cell lymphoma and CD5-negative mantle cell lymphoma: report of a case].","authors":"X J Li, L B Tang, Y Y Liu, X J Wang, Y P Chen","doi":"10.3760/cma.j.cn112151-20240901-00585","DOIUrl":"10.3760/cma.j.cn112151-20240901-00585","url":null,"abstract":"","PeriodicalId":35997,"journal":{"name":"中华病理学杂志","volume":"54 4","pages":"397-399"},"PeriodicalIF":0.0,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
中华病理学杂志Pub Date : 2025-04-08DOI: 10.3760/cma.j.cn112151-20241029-00711
J Liu, X S Fan, R Q Wang
{"title":"[Metastatic type A thymoma of the kidney tumor as the initial symptom: report of a case].","authors":"J Liu, X S Fan, R Q Wang","doi":"10.3760/cma.j.cn112151-20241029-00711","DOIUrl":"10.3760/cma.j.cn112151-20241029-00711","url":null,"abstract":"","PeriodicalId":35997,"journal":{"name":"中华病理学杂志","volume":"54 4","pages":"409-411"},"PeriodicalIF":0.0,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
中华病理学杂志Pub Date : 2025-04-08DOI: 10.3760/cma.j.cn112151-20250122-00048
Q Y Liu, C X Li
{"title":"[Reunderstanding \"intramuscular hemangioma\"].","authors":"Q Y Liu, C X Li","doi":"10.3760/cma.j.cn112151-20250122-00048","DOIUrl":"10.3760/cma.j.cn112151-20250122-00048","url":null,"abstract":"","PeriodicalId":35997,"journal":{"name":"中华病理学杂志","volume":"54 4","pages":"415-418"},"PeriodicalIF":0.0,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
中华病理学杂志Pub Date : 2025-04-08DOI: 10.3760/cma.j.cn112151-20240729-00480
Q X Xu, T T Ma, L Q Xiang, Y Y Hou, S H Lu, W Yuan
{"title":"[Clinical and molecular characteristics of bronchial adenoma: an analysis of 88 cases].","authors":"Q X Xu, T T Ma, L Q Xiang, Y Y Hou, S H Lu, W Yuan","doi":"10.3760/cma.j.cn112151-20240729-00480","DOIUrl":"10.3760/cma.j.cn112151-20240729-00480","url":null,"abstract":"<p><p><b>Objective:</b> To investigate the clinicopathological features, gene mutations, and distribution of bronchial adenoma (BA). <b>Methods:</b> Eighty-eight cases of BA diagnosed via routine section diagnosis between May 2015 and February 2024 were collected at the Pathology Departments of Zhongshan Hospital Affiliated to Fudan University (71 cases), Shanghai, China and Jining No.1 People's Hospital (17 cases), Jining, China. Clinical data, image features, histopathological sections, immunohistochemical stains, and genetic testing results were reviewed. <b>Results:</b> Among the 88 patients with BA, there were 36 males and 52 females. The incidence of proximal-type BA was the same in both genders (50%, 28/56), while distal-type BA was more commonly found in females (75%, 24/32, <i>P=</i>0.022). BA predominantly affected middle-aged and elderly adults, with an age range of 30-78 years (median, 61 years). Clinically, BA generally presented without obvious symptoms. Radiologically it mainly manifested as peripheral lung ground-glass nodules, mixed ground-glass nodules, or solid nodules, primarily located in the lower lobes of the lungs (72.7%, 64/88). Proximal-type BA was characterized by solid nodules (53.6%, 30/56), while distal-type BA by ground-glass nodules (56.3%, 18/32), with a statistically significant difference between the two types (<i>P<</i>0.01). The tumor was non-encapsulated, with a gray-white cut surface, and some areas were gray-brown. In 18.2% (16/88) of cases, the cut surface was slippery, with soft to medium-firm consistency and poorly defined margins. The smooth texture was predominantly found in proximal-type BA (14/16), whose tumor diameters ranged from 0.2 to 4.6 cm. Microscopically, the lesions exhibited glandular, papillary, or relatively flat patterns, with the main cellular components consisting of basal cells, ciliated columnar cells, mucinous cells, and alveolar epithelial cells in various proportions. Proximal-type BA resembled the morphology of proximal bronchioles and commonly contained mucinous and ciliated cells, while distal-type BA typically lacked mucinous and ciliated cells. The frequency of ciliated cell micropapillae in proximal-type BA (64.3%, 36/56) was significantly higher than that in distal-type BA (31.3%, 10/32, <i>P=</i>0.003). The morphological manifestation of glandular duct dilation was more commonly noted in proximal-type BA (98.2%, 55/56) than that in distal-type BA (81.25%, 26/32, <i>P=</i>0.009). Overall, the disagreement rate between frozen-section and routine diagnoses was 19.5% (17/87). Immunohistochemistry for cytokeratin 5/6 (CK5/6) and p40 showed that basal cell continuity in proximal-type BA (82.1%, 46/56) was significantly higher than that in distal-type BA (56.2%, 18/32, <i>P</i>=0.009). Molecular testing showed an accumulative gene mutation rate of 60.5% (23/38) in BA, including mutations in BRAF V600E (34.2%, 13/38), KRAS (18.4%, 7/38), ALK (5.3%, 2/38), and EGFR (2.6%, 1/38). Pr","PeriodicalId":35997,"journal":{"name":"中华病理学杂志","volume":"54 4","pages":"368-374"},"PeriodicalIF":0.0,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
中华病理学杂志Pub Date : 2025-04-08DOI: 10.3760/cma.j.cn112151-20241126-00786
G P Wu, D G Liu, M L Jin
{"title":"[Advances in cytopathology in China over the past ten years: retrospect and prospect].","authors":"G P Wu, D G Liu, M L Jin","doi":"10.3760/cma.j.cn112151-20241126-00786","DOIUrl":"10.3760/cma.j.cn112151-20241126-00786","url":null,"abstract":"<p><p>For over a decade, Chinese cytopathologist has participated in the compilation of international reporting systems and subsequently promoted them widely in China; The clinical diagnostic level has significantly increased and has been widely recognized by clinical doctors in the industry; Dozens of clinical research papers have been published in international SCIE journals, among which the unique arrangement of cancer cell escape patterns was first discovered by Chinese cytology experts; Molecular detection methods are widely used in cytological specimens, and the differentiation between transient and persistent cervical HPV infection has achieved ideal results in the laboratory; The urgent need for standardized standards in clinical diagnosis has been resolved through expert consensus; Artificial intelligence assisted cervical cytology diagnosis has been applied in the screening of cervical cancer in a few hospitals and local areas.</p>","PeriodicalId":35997,"journal":{"name":"中华病理学杂志","volume":"54 4","pages":"341-347"},"PeriodicalIF":0.0,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
中华病理学杂志Pub Date : 2025-04-08DOI: 10.3760/cma.j.cn112151-20240722-00468
Y Zhang, L H Gong, W H Li, L N Gao, J L Mu, C Y Guo
{"title":"[Soft tissue aneurysm bone cysts: a clinicopathological analysis of two cases].","authors":"Y Zhang, L H Gong, W H Li, L N Gao, J L Mu, C Y Guo","doi":"10.3760/cma.j.cn112151-20240722-00468","DOIUrl":"10.3760/cma.j.cn112151-20240722-00468","url":null,"abstract":"","PeriodicalId":35997,"journal":{"name":"中华病理学杂志","volume":"54 4","pages":"394-396"},"PeriodicalIF":0.0,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
中华病理学杂志Pub Date : 2025-04-08DOI: 10.3760/cma.j.cn112151-20241105-00730
S Liu, J Wu, H H He, H L Yan, L Xu
{"title":"[Primary alveolar soft part sarcoma of the rectum with lymph node metastasis: report of a case].","authors":"S Liu, J Wu, H H He, H L Yan, L Xu","doi":"10.3760/cma.j.cn112151-20241105-00730","DOIUrl":"10.3760/cma.j.cn112151-20241105-00730","url":null,"abstract":"","PeriodicalId":35997,"journal":{"name":"中华病理学杂志","volume":"54 4","pages":"406-408"},"PeriodicalIF":0.0,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
中华病理学杂志Pub Date : 2025-04-08DOI: 10.3760/cma.j.cn112151-20241010-00665
Z H Zhang, L C Guo, W Y Zhang, Z Wang
{"title":"[Advances in haematolymphoid pathology in China over the past ten years: retrospect and prospect].","authors":"Z H Zhang, L C Guo, W Y Zhang, Z Wang","doi":"10.3760/cma.j.cn112151-20241010-00665","DOIUrl":"10.3760/cma.j.cn112151-20241010-00665","url":null,"abstract":"<p><p>In the past decade, significant progress has been made in the field of haematolymphoid pathology in China. Domestic experts have published nearly 100 articles in the <i>Chinese Journal of Pathology</i> and international authoritative journals. These achievements have deepened the fundamental theoretical research of haematolymphoid pathology and significantly improved the clinical pathological diagnosis level, providing valuable Chinese data for the pathological diagnosis and research of haematolymphoid diseases internationally. In addition, the domestic haematolymphoid pathological diagnosis and training system has been comprehensively optimized, with closer interaction and integration with clinical medicine, cultivating a large number of specialized pathologists, and driving innovation and development of the entire pathology discipline.</p>","PeriodicalId":35997,"journal":{"name":"中华病理学杂志","volume":"54 4","pages":"334-341"},"PeriodicalIF":0.0,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
中华病理学杂志Pub Date : 2025-04-08DOI: 10.3760/cma.j.cn112151-20241011-00670
Z Y Chen, P Z Ji, Q Q He, G W Gao, H T Zhu, Y L Yang
{"title":"[Research progress of different components of tertiary lymphoid structure on tumor immunity].","authors":"Z Y Chen, P Z Ji, Q Q He, G W Gao, H T Zhu, Y L Yang","doi":"10.3760/cma.j.cn112151-20241011-00670","DOIUrl":"10.3760/cma.j.cn112151-20241011-00670","url":null,"abstract":"","PeriodicalId":35997,"journal":{"name":"中华病理学杂志","volume":"54 4","pages":"419-424"},"PeriodicalIF":0.0,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
中华病理学杂志Pub Date : 2025-04-08DOI: 10.3760/cma.j.cn112151-20240716-00459
H R Chen, C X Li, D K Liu, Q Y Liu
{"title":"[Vascular malformation in head and neck: a clinicopathological analysis of 675 cases].","authors":"H R Chen, C X Li, D K Liu, Q Y Liu","doi":"10.3760/cma.j.cn112151-20240716-00459","DOIUrl":"10.3760/cma.j.cn112151-20240716-00459","url":null,"abstract":"<p><p><b>Objective:</b> To investigate the histopathological subtype and clinical characteristics of vascular malformations in the head and neck. <b>Methods:</b> All patients with head and neck vascular malformations referred to Henan Provincial People's Hospital between January 2021 and December 2023 were collected, and the clinicopathological features were analyzed by SPSS 26.0 statistical software. <b>Results:</b> A total of 675 patients were included, there were 293 male and 382 female patients with a mean onset age of (26.2±21.8)years and a mean diagnosis age of (31.8±20.6)years. Most vascular malformations were located in oral and maxillofacial region (52.1%, 352/675), with an average diameter of (28.0±19.8)mm. Venous malformations were the most common (71.4%, 482/675). There were 230 patients presented with simultaneous phenomenon, and of them the thrombus was most commonly noted (66.5%, 153/230). Venous malformations more frequently occurred in patients who were older than 20 years, extracranial in site, and mostly involved female patients with complications. Combined vascular malformation more frequently occurred in patients who were under 20 years old, extracranial in site, and mostly involved female patients. Capillary malformations more frequently occurred in patients under 20 years old, extracranial in site, and no complications occurred. Lymphatic vessel malformation more frequently occurred in patients who were under 20 years old, extracranial in site, female and with no complications. Arteriovenous malformations were more common in the intracranial and most of them were without any complications. Two cases (2/21) were associated with PIK3CA gene mutation. There were 109 patients with recurrence after initial treatment. <b>Conclusions:</b> Vascular malformations in the head and neck are more commonly found in the extracranial and maxillofacial regions, and venous malformations are the most common type; while arteriovenous malformations are more common in the intracranial site. Appropriate diagnosis is the premise of appropriate treatment.</p>","PeriodicalId":35997,"journal":{"name":"中华病理学杂志","volume":"54 4","pages":"387-393"},"PeriodicalIF":0.0,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}