{"title":"Infectious diseases of the male and female urogenital tract: a review of the histology of selected entities","authors":"Alexander Polson","doi":"10.1016/j.mpdhp.2024.07.003","DOIUrl":"10.1016/j.mpdhp.2024.07.003","url":null,"abstract":"<div><div>This review will describe histological features of infectious diseases involving the urogenital tract, and is organized by organ or location. Emphasis is placed on selected parasitic, viral and bacterial infections that either occur more frequently in the urogenital tract than elsewhere (schistosomiasis), or are of particular importance to the pathologist because of their common occurrence and relation to malignancy (human papillomavirus), or relationship to pelvic inflammatory disease (actinomycosis). Detailed discussions of the life cycle of schistosomiasis and the characteristics of human papillomavirus are included because knowledge of their interactions with the human host is important in order to understand the histological features seen in these infections. The histological features of these infections will be discussed, as well as selected inflammatory conditions that may mimic infection. Only brief comments will be made of bacterial and other viral infections, many of them sexually transmitted, that occur in the urogenital tract and are more commonly diagnosed by means other than histological examination, or may involve the urogenital tract as part of a systemic infection. Cervical cytology is not discussed.</div></div>","PeriodicalId":39961,"journal":{"name":"Diagnostic Histopathology","volume":"30 10","pages":"Pages 546-553"},"PeriodicalIF":0.0,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142310862","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":"Histopathological assessment for opportunistic infections in the iatrogenically immunosuppressed","authors":"Gerald Langman","doi":"10.1016/j.mpdhp.2024.07.005","DOIUrl":"10.1016/j.mpdhp.2024.07.005","url":null,"abstract":"<div><div>The use of medication to alter the normal function of the immune system treads the fine balance between the body’s ability to fend off foreign or aberrant antigens and increased susceptibility to opportunistic infections as well as decreased cancer immunosurveillance. The expanding array of immunosuppressive drugs, targeting specific mediators or pathways in the immune system, has improved patient outcome both for transplantation and autoimmune disease, but opportunistic infections remain a serious risk. Whilst many of these infections are successfully treated without any histopathological input, pathology plays a significant role by excluding mimics of infection, identifying viral, bacterial, fungal and parasitic infection even before their clinical suspicion, and in the diagnosis of malignancy. In a field which spans all pathogens and every organ system, this paper addresses the more commonly encountered organisms at their usual site of infection with emphasis on establishing a diagnosis and highlighting potential diagnostic traps. Malignancy is also discussed, including recently described lymphoproliferative processes. In recent years immune therapy for the treatment of a range of cancers is becoming routine practice. This too is associated with an increased risk of infection which needs to be differentiated from the spectrum of changes seen in immune therapy related disease.</div></div>","PeriodicalId":39961,"journal":{"name":"Diagnostic Histopathology","volume":"30 10","pages":"Pages 564-575"},"PeriodicalIF":0.0,"publicationDate":"2024-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141839298","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":"A histopathological approach to diagnosis and classification of invasive fungal infections","authors":"Vivek Sekhawat","doi":"10.1016/j.mpdhp.2024.07.004","DOIUrl":"10.1016/j.mpdhp.2024.07.004","url":null,"abstract":"<div><div>The spectrum of invasive fungal diseases is wide and accurate subclassification has important epidemiological, prognostic and therapeutic implications. Fungi are commonly encountered in histopathological practice, and it is important for trainees and pathologists to have an awareness of the major categories and also to know of the limitations of histomorphological assessment and potential pitfalls in diagnostic assessment. This article focuses on invasive infections as categorized into thermally dimorphic, septate and pauciseptate hyaline mould and pigmented/dematiaceous fungi with discussion of morphology and tinctorial staining characteristics along with some necessary discussion of clinical and epidemiological factors and additional diagnostic methods including molecular techniques.</div></div>","PeriodicalId":39961,"journal":{"name":"Diagnostic Histopathology","volume":"30 10","pages":"Pages 554-563"},"PeriodicalIF":0.0,"publicationDate":"2024-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141851978","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}
Ludovica Pepe , Vincenzo Fiorentino , Cristina Pizzimenti, Antonio Ieni, Maria Lentini, Giovanni Tuccari, Guido Fadda, Vincenzo Ficarra, Maurizio Martini
{"title":"Leydig-Sertoli collision sex-cord stromal tumor of the testis: a case report of an unusual entity","authors":"Ludovica Pepe , Vincenzo Fiorentino , Cristina Pizzimenti, Antonio Ieni, Maria Lentini, Giovanni Tuccari, Guido Fadda, Vincenzo Ficarra, Maurizio Martini","doi":"10.1016/j.mpdhp.2024.07.007","DOIUrl":"10.1016/j.mpdhp.2024.07.007","url":null,"abstract":"<div><div>Testicular tumors are extremely rare, representing 1–1.5% of all neoplasms in men, and sex cord-stromal tumors account for about 5% of them. Histopathological diagnosis of such entities poses several challenges, mainly related to the fact that they can present in mixed forms and that immunohistochemical analyses can only be of partial help. We herein report a unique case of a collision sex cord-stromal tumor and discuss all the challenges faced in the diagnosis of such an entity. An accurate morphological examination of the entire lesion and a suitable immunohistochemical panel are essential for a correct diagnosis.</div></div>","PeriodicalId":39961,"journal":{"name":"Diagnostic Histopathology","volume":"30 10","pages":"Pages 592-595"},"PeriodicalIF":0.0,"publicationDate":"2024-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141846462","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":"Obituary: Professor Naveena Singh, 7 December 1964–5 October 2023","authors":"Asma Z Faruqi","doi":"10.1016/j.mpdhp.2024.06.005","DOIUrl":"10.1016/j.mpdhp.2024.06.005","url":null,"abstract":"","PeriodicalId":39961,"journal":{"name":"Diagnostic Histopathology","volume":"30 9","pages":"Page 529"},"PeriodicalIF":0.0,"publicationDate":"2024-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141701651","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":"Molecular basis of uterine mesenchymal tumours","authors":"Zarius Ferozepurwalla, Angela Ralte","doi":"10.1016/j.mpdhp.2024.06.002","DOIUrl":"10.1016/j.mpdhp.2024.06.002","url":null,"abstract":"<div><p><span><span>Uterine mesenchymal tumours present significant management challenges due to their varied histological subtypes and clinical behaviours. This review explores the recent advances in the molecular pathology of uterine mesenchymal tumours. </span>Leiomyosarcoma<span><span>, the most common malignant uterine mesenchymal tumour, exhibits complex genomic alterations, with subtypes including spindled, myxoid, epithelioid and the emerging lipoleiomyosarcoma. Smooth Muscle Tumours of Uncertain Malignant Potential (STUMP) and low-grade </span>endometrial stromal sarcomas (LGESS) show diverse morphologies and molecular profiles. High-grade endometrial stromal sarcomas (HGESS) are distinguished by molecular subtypes like </span></span><em>YWHAE</em>:: <em>NUTM2</em>, <em>BCOR</em> rearrangements and <em>BCOR</em><span> internal tandem duplications (ITDs). Rarer tumours, including inflammatory myofibroblastic tumours (IMT) with </span><em>ALK</em> rearrangements, <em>NTRK</em><span><span>-rearranged spindle cell tumours, and </span>perivascular epithelioid cell tumours with </span><em>TSC1</em>/<em>TSC2</em> alterations and <em>TFE3</em><span> rearrangements, expand the spectrum of uterine mesenchymal neoplasms. Newer fusion sarcomas, such as </span><em>MEIS1</em>::<em>NCOA2/1</em>, <em>COL1A1</em>::<span><em>PDGFB</em></span>, <em>KAT6B/A</em>::<em>KANSL1</em> and <em>RAD51B</em><span><span> fusion sarcoma further our understanding of the various tumour types. Molecular diagnostics are crucial for identifying targetable pathways, accurate </span>tumour classification, and guiding treatment decisions. Understanding these molecular alterations is essential for advancing therapeutic strategies and improving prognosis for patients with uterine mesenchymal tumours.</span></p></div>","PeriodicalId":39961,"journal":{"name":"Diagnostic Histopathology","volume":"30 9","pages":"Pages 487-498"},"PeriodicalIF":0.0,"publicationDate":"2024-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141690888","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":"An overview of molecular testing in malignancies of the female genital tract","authors":"Matthew Evans","doi":"10.1016/j.mpdhp.2024.06.004","DOIUrl":"10.1016/j.mpdhp.2024.06.004","url":null,"abstract":"<div><p><span>Management of cancers in the twenty-first century has been defined by personalization. This has involved making more fine-grained distinctions between otherwise similar cancers on the basis of their genomic alterations, and providing more personalized therapies based on the presence or absence<span> of particular biomarkers. This precision testing came relatively late to gynecological cancers<span>, but we are now seeing an explosion in the number and variety of these tests. This review provides a practical overview of molecular and biomarker testing in solid cancers generally. It lays out the different types of alteration and the techniques used to test for them, comparing their strengths and weaknesses<span>. It then explores how pathologists can ensure that the material which they submit for testing is optimized to provide the best results possible, including issues of </span></span></span></span>ischemia<span>, formalin fixation<span><span><span>, decalcification and sample assessment. Finally, it explains how a genomic report should be interpreted with a particular focus on potential causes of misleading results. The second part of this review applies the general principles of molecular and biomarker testing to the specific cases of lower gynecological tract neoplasms: specifically PD-L1 immunohistochemical testing in </span>cervical cancer and genomic testing of gynecological </span>melanomas.</span></span></p></div>","PeriodicalId":39961,"journal":{"name":"Diagnostic Histopathology","volume":"30 9","pages":"Pages 511-528"},"PeriodicalIF":0.0,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141689453","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}
Sarah Bell, Claire McKeeve, Patricia Roxburgh, C. Simon Herrington
{"title":"An overview of the molecular pathology of ovarian carcinomas","authors":"Sarah Bell, Claire McKeeve, Patricia Roxburgh, C. Simon Herrington","doi":"10.1016/j.mpdhp.2024.06.001","DOIUrl":"10.1016/j.mpdhp.2024.06.001","url":null,"abstract":"<div><p>Ovarian cancer is the 6th most common cancer in women. The main epithelial subtypes of ovarian cancer include high grade serous carcinoma, low grade serous carcinoma, endometrioid ovarian carcinoma, clear cell ovarian carcinoma and mucinous ovarian carcinoma. Our knowledge of the molecular basis of ovarian cancer has exponentially increased in the last few decades such that each subtype is now regarded as a distinct disease with specific morphological, immunohistochemical and molecular characteristics that allow for more personalized treatment. This article provides a comprehensive overview of the molecular pathology of the commonest types of epithelial ovarian carcinomas. This includes discussion of the scope of current molecular testing available in diagnostic practice and future avenues for testing as a result of translational studies. We also discuss the importance of pathologist involvement in molecular testing pathways, tumour board discussion and trial conduct with respect to ovarian cancer.</p></div>","PeriodicalId":39961,"journal":{"name":"Diagnostic Histopathology","volume":"30 9","pages":"Pages 477-486"},"PeriodicalIF":0.0,"publicationDate":"2024-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141707426","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}
Katherine Elizabeth Quiohilag, Carol Kwon, Jonathan GN. Davey, David Andrew Dorward
{"title":"A morphology-based approach to mesenchymal tumours of the thorax","authors":"Katherine Elizabeth Quiohilag, Carol Kwon, Jonathan GN. Davey, David Andrew Dorward","doi":"10.1016/j.mpdhp.2024.04.005","DOIUrl":"https://doi.org/10.1016/j.mpdhp.2024.04.005","url":null,"abstract":"<div><p>Primary mesenchymal tumours of the thorax are rare lesions that can pose significant diagnostic difficulties, particularly given the morphological overlap with carcinomas and mesotheliomas that occur much more commonly at these sites. In this article we will discuss a morphology-based approach to assist pathologists when confronted with a possible mesenchymal neoplasm. This will be combined with an overview of the key immunohistochemical and molecular studies that aid diagnosis of the more commonly encountered neoplasms that arise in the thorax.</p></div>","PeriodicalId":39961,"journal":{"name":"Diagnostic Histopathology","volume":"30 7","pages":"Pages 386-397"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141487053","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}
Ka Wing Eric Wong, Charlotte Flynn, Terence Gordon Smith, Richard Bishop
{"title":"Cytomorphological assessment of small cell lung carcinoma in a malignant pleural effusion","authors":"Ka Wing Eric Wong, Charlotte Flynn, Terence Gordon Smith, Richard Bishop","doi":"10.1016/j.mpdhp.2024.04.007","DOIUrl":"https://doi.org/10.1016/j.mpdhp.2024.04.007","url":null,"abstract":"<div><p>Malignant pleural effusions are uncommon in small cell lung carcinoma (SCLC). We report a case of this in an elderly female patient. Her previous history of ductal breast carcinoma, ovarian serous carcinoma, and non-small cell lung carcinoma prompted several possible differential diagnoses. We discuss the importance of cytology specimens in the diagnosis of lung carcinomas, and the cytomorphological features of SCLC with their nuances and subtleties.</p></div>","PeriodicalId":39961,"journal":{"name":"Diagnostic Histopathology","volume":"30 7","pages":"Pages 398-401"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141487058","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}