{"title":"Advancements and challenges in biomarker testing for tumors of the luminal gastrointestinal tract: current practice guidelines and emerging markers","authors":"Ashley Lauren Hein, Erika Hissong","doi":"10.1016/j.mpdhp.2025.03.011","DOIUrl":"10.1016/j.mpdhp.2025.03.011","url":null,"abstract":"<div><div>Gastrointestinal tract tumors represent a major cause of morbidity and mortality world-wide. With recent technological advancements, the emergence of new biomarkers that offer diagnostic or prognostic information, monitor disease burden, and guide therapy has drastically enhanced our ability to provide effective and timely personalized medicine. Herein, we discuss the array of biomarkers which are currently recommended for clinical use in tumors of the luminal gastrointestinal tract and discuss several recently discovered biomarkers that have shown promising results.</div></div>","PeriodicalId":39961,"journal":{"name":"Diagnostic Histopathology","volume":"31 6","pages":"Pages 340-351"},"PeriodicalIF":0.0,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144138316","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}
{"title":"Beyond the mucosa: unveiling selected mesenchymal lesions of the gastrointestinal tract","authors":"Domenika Ortiz Requena, Elizabeth A Montgomery","doi":"10.1016/j.mpdhp.2025.03.013","DOIUrl":"10.1016/j.mpdhp.2025.03.013","url":null,"abstract":"<div><div>Although rare in everyday practice, the gastrointestinal tract is the most common visceral site of mesenchymal neoplasms. The clinical presentation, layer involved and some histological features of these neoplasms in the gastrointestinal system can overlap among each other and can generate challenging diagnostic problems for surgical pathologists. Additionally, misdiagnoses on initial biopsy can result in misguided patient management and preoperative treatment. Herein, we offer a review of the morphologic and immunophenotypic features of selected mesenchymal neoplasms arising from the submucosa, muscularis propria, and mesentery with emphasis on the inherent diagnostic pitfalls and differential diagnoses of these entities to aid surgical pathologists in their accurate recognition which is imperative for patient clinical management, syndromic associations, and treatment.</div></div>","PeriodicalId":39961,"journal":{"name":"Diagnostic Histopathology","volume":"31 6","pages":"Pages 369-381"},"PeriodicalIF":0.0,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144138204","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}
Daniel T Field, Christopher OC Bellamy, Timothy J Kendall
{"title":"Dysplastic lesions of the liver: two cases demonstrating the key pathological principles","authors":"Daniel T Field, Christopher OC Bellamy, Timothy J Kendall","doi":"10.1016/j.mpdhp.2025.03.016","DOIUrl":"10.1016/j.mpdhp.2025.03.016","url":null,"abstract":"<div><div>Two cases of steatohepatitis-associated cirrhosis containing high grade dysplastic nodules are discussed, one with hepatocellular carcinoma arising within. The spectrum of dysplastic hepatocellular lesions is explored in addition to the possible diagnostic pitfalls and strategies that may be deployed by the pathologist, particularly when differentiating malignancy from non-malignant lesions.</div></div>","PeriodicalId":39961,"journal":{"name":"Diagnostic Histopathology","volume":"31 6","pages":"Pages 401-404"},"PeriodicalIF":0.0,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144137673","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}
{"title":"Novel anal lesions not to overlook","authors":"Ozlem Kulak, Jacqueline E Birkness-Gartman","doi":"10.1016/j.mpdhp.2025.03.014","DOIUrl":"10.1016/j.mpdhp.2025.03.014","url":null,"abstract":"<div><div>Although the anal canal comprises only a small portion of the gastrointestinal tract, it can be affected by a variety of inflammatory and neoplastic processes. Inflammation of the anal mucosa can result from trauma, infections, and inflammatory bowel disease. Non-neoplastic lesions such as inflammatory cloacogenic polyps, hemorrhoids, and fibroepithelial polyps are relatively common, but may harbor other lesions, necessitating careful histologic assessment. The anogenital mammary-like glands and perianal skin can give rise to neoplasms including hidradenoma papilliferum and basal cell carcinoma. Human papillomavirus (HPV) is an important cause of squamous dysplasia and squamous cell carcinoma, as well as several recently described non-squamous neoplasms. Adenocarcinoma of the anus is divided into intestinal, anal gland, and fistula-associated types, which have unique morphologic features. Anal Paget's disease can occur as a primary neoplasm, or may be secondary to underlying adenocarcinoma. Less common neoplasms of the anus include neuroendocrine neoplasms, mucosal melanoma, and mesenchymal neoplasms such as granular cell tumor and gastrointestinal stromal tumor (GIST). This review will cover the clinical presentation, key histologic features, differential diagnosis, and relevant ancillary studies to consider for each condition. Recognition of inflammatory and neoplastic diseases of the anus is essential to guide appropriate treatment of patients.</div></div>","PeriodicalId":39961,"journal":{"name":"Diagnostic Histopathology","volume":"31 6","pages":"Pages 382-397"},"PeriodicalIF":0.0,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144138205","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}
{"title":"Spindle cell mesenchymal tumours of the head and neck: emerging and recently described entities characterised by molecular findings","authors":"Marguerite Carter, Adrienne M Flanagan","doi":"10.1016/j.mpdhp.2025.02.002","DOIUrl":"10.1016/j.mpdhp.2025.02.002","url":null,"abstract":"<div><div>The classification of mesenchymal neoplasms is rapidly expanding, with a marked increase in entities defined not only by traditional morphological parameters, but according to the underlying molecular genetic alterations driving tumorigenesis. We aim to provide an overview of a selection of recently described and emerging entities relevant to the head and neck pathologist, with an emphasis on the morphological and immunohistochemical findings that can prompt consideration of referral for molecular testing. In this review we provide an overview of: 1) <em>TIMP3::ALK</em> rearranged tumour, 2) spindle cell/sclerosing rhabdomyosarcoma with emphasis on tumours harbouring rearrangements of <em>TFCP2</em>, 3) <em>EWSR1::POU2AF3</em> sarcoma, 4) sarcomas with <em>EWSR1::PATZ1</em> fusions and 5) <em>GLI1</em>-altered soft tissue tumour.</div></div>","PeriodicalId":39961,"journal":{"name":"Diagnostic Histopathology","volume":"31 4","pages":"Pages 204-209"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143791176","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}
{"title":"Macroscopy of oral and maxillofacial specimens","authors":"Adam V. Jones, Miranda Pring, Brendan Conn","doi":"10.1016/j.mpdhp.2025.02.006","DOIUrl":"10.1016/j.mpdhp.2025.02.006","url":null,"abstract":"<div><div>This article provides an overview of common oral and maxillofacial specimens submitted to pathology laboratories and highlights important macroscopic features that are crucial to diagnosis. The head and neck is complex and recognition of normal anatomical structures is essential for optimal dissection of specimens. Specimen orientation and sampling are critical for assessment and the importance of clinical and radiological correlation is emphasised.</div></div>","PeriodicalId":39961,"journal":{"name":"Diagnostic Histopathology","volume":"31 4","pages":"Pages 242-248"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143791180","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}
Monika Kondratowicz, Lucy Hamer, Sherin Jos Payyappilly
{"title":"Two rare primary tumours of the thymus with differential immunohistochemical characterisation and a potential new entity","authors":"Monika Kondratowicz, Lucy Hamer, Sherin Jos Payyappilly","doi":"10.1016/j.mpdhp.2025.02.008","DOIUrl":"10.1016/j.mpdhp.2025.02.008","url":null,"abstract":"<div><div>Adenoid cystic carcinoma (ACC) is a rare and aggressive biphasic malignant tumour with both ductal and myoepithelial components. Though mostly considered a tumour of the salivary gland (accounting for 10% of all salivary tumours) its exocrine origin means that it is rarely also described at other sites with exocrine glandular components such as the respiratory tract, breast, skin, and lacrimal glands. Thymic carcinoma with adenoid cystic carcinoma-like features (TCACC) is an extremely rare thymic adenocarcinoma variant that has been described nine times in the literature to date. Until now, primary ACC in the thymus is yet to be described. We present two recent cases for comparison - the first is a classic example of a primary ACC of the lung; the second is a proposed case of primary ACC of the thymus - and consider the morphological, immunohistochemical, and genetic similarities, differences, as well as difficulties in diagnosis.</div></div>","PeriodicalId":39961,"journal":{"name":"Diagnostic Histopathology","volume":"31 4","pages":"Pages 253-256"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143791182","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}
{"title":"Head and neck mucosal manifestations of microbial infection: clinical presentation, histological features and diagnostic aids","authors":"Amrita Jay, Oluyori Adegun, Kirsty Young","doi":"10.1016/j.mpdhp.2025.02.005","DOIUrl":"10.1016/j.mpdhp.2025.02.005","url":null,"abstract":"<div><div>Manifestations of microbial infection in the head and neck mucosa present significant challenges in diagnosis, often due to their non-specific clinical, imaging and histological appearances. Their presentation as ulcerated or necrotic lesions, combined with lymphadenopathy mimic malignant processes, resulting in further challenges in diagnosis. Additionally, the need for a microbial infection diagnosis is overshadowed by the urgency to confirm or exclude a cancer diagnosis, resulting in ancillary investigations catering mostly to the latter. The necessity for accurate and timely diagnosis of microbial infections is emphasized, especially for acute necrotizing infections due to anatomical proximity to vital structures of the cranial cavity and neck. To enable this, a reasonable level of experience and knowledge of the clinical and histological appearances of a range of microbial infections presenting in the head and neck region is essential. Histological skills, together with emphasis on detailed clinical and imaging features, and history should enable accurate diagnosis and targeted management. The salient features of a selection of viral, fungal, bacterial and protozoan infections presenting in the head and neck mucosal sites, their differential diagnoses and investigative tools are discussed.</div></div>","PeriodicalId":39961,"journal":{"name":"Diagnostic Histopathology","volume":"31 4","pages":"Pages 228-241"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143791179","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}
{"title":"Inflammatory disorders of the sinonasal tract: a practical approach and recent updates","authors":"Umar A Hussain, Rajesh Rajendran, Guy Betts","doi":"10.1016/j.mpdhp.2025.02.003","DOIUrl":"10.1016/j.mpdhp.2025.02.003","url":null,"abstract":"<div><div>Sinonasal biopsies are common specimens in surgical pathology but samples are often limited showing non-specific and often overlapping features between differential diagnoses. This review will summarize the relevant diagnostic and clinical features of common and important sinonasal inflammatory pathologies with emphasis on recent developments and areas of diagnostic difficulty.</div></div>","PeriodicalId":39961,"journal":{"name":"Diagnostic Histopathology","volume":"31 4","pages":"Pages 210-220"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143791177","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}
{"title":"Head and neck tumours with neuroendocrine marker ‘expression’: pitfalls and learning points","authors":"Ella-Grace Kirton, Karwan Moutasim","doi":"10.1016/j.mpdhp.2025.02.004","DOIUrl":"10.1016/j.mpdhp.2025.02.004","url":null,"abstract":"<div><div>Poorly differentiated carcinomas can be a challenging area for histopathologists and frequently require ancillary tests to arrive at a definitive diagnosis. Neuroendocrine markers have the potential to be helpful in establishing a diagnosis but can also cause diagnostic dilemmas when aberrantly expressed. Here, we present three case examples to illustrate this issue and highlight relevant learning points in each case.</div></div>","PeriodicalId":39961,"journal":{"name":"Diagnostic Histopathology","volume":"31 4","pages":"Pages 221-227"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143791178","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}