PATHOLOGICAPub Date : 2025-02-01DOI: 10.32074/1591-951X-N824
Rodolfo Montironi, Antonio Lopez-Beltran, Alessia Cimadamore, Liang Cheng
{"title":"Digital and computational transition in the pathology lab: when did it start?","authors":"Rodolfo Montironi, Antonio Lopez-Beltran, Alessia Cimadamore, Liang Cheng","doi":"10.32074/1591-951X-N824","DOIUrl":"https://doi.org/10.32074/1591-951X-N824","url":null,"abstract":"","PeriodicalId":45893,"journal":{"name":"PATHOLOGICA","volume":"117 1","pages":"60-62"},"PeriodicalIF":4.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11983077/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144038992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PATHOLOGICAPub Date : 2025-02-01DOI: 10.32074/1591-951X-1075
Alberto Zanatta, Giovanni Magno, Cristina Basso
{"title":"The Morgagni Anatomical Theatre: 100 Years of Pathological Anatomy Education at the University of Padua (1924-2024).","authors":"Alberto Zanatta, Giovanni Magno, Cristina Basso","doi":"10.32074/1591-951X-1075","DOIUrl":"https://doi.org/10.32074/1591-951X-1075","url":null,"abstract":"<p><p>Between the 15<sup>th</sup> and 16<sup>th</sup> centuries, the medical school in Padua revolutionised the field of anatomy through a series of scientific discoveries and educational innovations, culminating in the construction of the world's first stable anatomical theatre. This theatre was inaugurated in 1595 within Bo Palace by Hieronymus Fabricius (1533-1619).</p><p><p>The anatomical theatre was used for lectures until March 7, 1874, and the structure was preserved as a museum at the request of Giampaolo Vlacovich (1825-1899), the last anatomy professor to use it. Soon after, new theatres were built under the direction of Lodovico Brunetti (1813-1899) at the former convent of San Mattia, where many disciplines relocated to stay close to the new Giustinianeo Hospital. Subsequently, in the early 20<sup>th</sup> century, under the leadership of Augusto Bonome (1857-1922) and Vittorio Rossi (1865-1938), the Rector of the University of Padua, it was decided to construct a new building for anatomical studies to replace the inadequate facilities at San Mattia. Construction of this ambitious project began in July 1920, starting with the autopsy room, called the Morgagni Theatre, which was completed in December 1922. Today, the theatre commissioned by Bonome just re-opened after a respectful restoration, with the aim of continuing the important educational activities in anatomical pathology as in the past.</p>","PeriodicalId":45893,"journal":{"name":"PATHOLOGICA","volume":"117 1","pages":"45-51"},"PeriodicalIF":4.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11983082/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144064904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PATHOLOGICAPub Date : 2025-02-01DOI: 10.32074/1591-951X-1005
Carlo Pescia, Marianna D'Ercole, Edoardo Olmeda, Antonio Brescia, Gennaro Musi, Stefano Luzzago, Francesco Alessandro Mistretta, Ottavio De Cobelli, Giuseppe Renne, Nicola Fusco
{"title":"Inflammatory cloacogenic polyp with low grade mucinous dysplasia in orthotopic neobladder: expect the unexpected.","authors":"Carlo Pescia, Marianna D'Ercole, Edoardo Olmeda, Antonio Brescia, Gennaro Musi, Stefano Luzzago, Francesco Alessandro Mistretta, Ottavio De Cobelli, Giuseppe Renne, Nicola Fusco","doi":"10.32074/1591-951X-1005","DOIUrl":"https://doi.org/10.32074/1591-951X-1005","url":null,"abstract":"","PeriodicalId":45893,"journal":{"name":"PATHOLOGICA","volume":"117 1","pages":"63-66"},"PeriodicalIF":4.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11983085/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143990336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PATHOLOGICAPub Date : 2025-02-01DOI: 10.32074/1591-951X-1070
Laura Avagliano, Francesca Monari, Beatrice Melis, Fabio Facchinetti, Gaetano Bulfamante
{"title":"The invisible killer: fetal vascular malperfusion in stillbirths without macroscopic cord abnormalities.","authors":"Laura Avagliano, Francesca Monari, Beatrice Melis, Fabio Facchinetti, Gaetano Bulfamante","doi":"10.32074/1591-951X-1070","DOIUrl":"https://doi.org/10.32074/1591-951X-1070","url":null,"abstract":"<p><strong>Objective: </strong>The aim was to evaluate the association between fetal vascular malperfusion (FVM) and the umbilical cord characteristics in stillbirth. FVM is a category of placental lesions consistent with restriction/interruption of fetal blood flow, frequently associated with a \"cord accident\". In some stillbirths, gross umbilical cord abnormalities unravel at birth, helping to elucidate the cause of death; however, other cases do not show any structural alterations and therefore these cases do not have an obvious cause of death.</p><p><strong>Methods: </strong>Retrospective histopathological evaluation of singleton antepartum stillbirths affected by of FVM. Clinical and histopathological findings were compared among cases with or without gross umbilical cord abnormalities.</p><p><strong>Results: </strong>One hundred and three cases were evaluated. Forty-eight cases (48/103; 46.6%) of stillbirth with FVM showed gross umbilical cord abnormalities, whereas 55/103 cases (53.4%) did not show any gross anomalies. Clinical risk factors for stillbirth were equally distributed between cases. Notably, the main histological lesion observed in cases without gross umbilical cord abnormalities was fatal thrombosis of the fetal vessels along the cord-placental vascular tree. This finding implies that the absence of macroscopic cord anomalies is not a sufficient criterion to exclude reduction/interruption of fetal blood flow and cord accidents as a potential cause of stillbirth.</p><p><strong>Conclusion: </strong>Knowing the cause of fetal death is paramount both for bereaved parents and clinicians, helping in stillbirth acceptance and future prevention strategies. Our findings show the occurrence of FVM in cases without macroscopic umbilical cord anomalies. Therefore, an in-depth placental histopathological examination is mandatory to unravel signs of fetal blood flow obstruction in cases in which umbilical cord looks grossly normal. This knowledge helps parents, and health care providers in the real identification of the pathogenesis of fetal death, as the first step for personalized future actions of stillbirth prevention.</p>","PeriodicalId":45893,"journal":{"name":"PATHOLOGICA","volume":"117 1","pages":"18-27"},"PeriodicalIF":4.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11983079/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Foetal cardiac rhabdomyoma due to paternal <i>TSC1</i> Mutation: a case report and literature review.","authors":"Eleonora Nardi, Angela Silvano, Oumaima Ammar, Francesca Gensini, Annabella Marozza, Lucia Pasquini, Francesca Castiglione, Viola Seravalli","doi":"10.32074/1591-951X-1099","DOIUrl":"https://doi.org/10.32074/1591-951X-1099","url":null,"abstract":"<p><p>Rhabdomyomas are the most common prenatal cardiac tumours, and are often associated with tuberous sclerosis complex (TSC). They have been shown to grow during foetal development, but may often regress or shrink in early childhood.</p><p><p>In the present case, ultrasonography at 20+2 gestational weeks identified two echogenic masses suspicious of rhabdomyomas in the foetal heart. Neither of these tumours caused significant haemodynamic instability. Genetic testing of DNA extracted from amniocytes revealed a pathogenic variant of the <i>TSC1</i> gene, supporting the diagnosis of tuberous sclerosis. The pregnancy was terminated at 21+1 weeks. Pathological examination confirmed the presence of two cardiac rhabdomyomas, histologically characterised by distinctive large vacuolated cells with central nuclei and radial cytoplasmic extensions.</p><p><p>Further research and a multidisciplinary approach are highly recommended to improve management and outcomes of prenatal tumours.</p>","PeriodicalId":45893,"journal":{"name":"PATHOLOGICA","volume":"117 1","pages":"33-38"},"PeriodicalIF":4.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11983078/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PATHOLOGICAPub Date : 2025-02-01DOI: 10.32074/1591-951X-964
Manuel Mazzucchelli, Giuseppe Angelico, Lucia Salvatorelli, Giada Maria Vecchio, Chiara Romano, Paolo Vigneri, Maria Paola Mariani, Gerardo Ferrara, Gaetano Giuseppe Magro
{"title":"Lipoblastoma-like tumor of the inguinal region: a close mimicker of myxoid liposarcoma.","authors":"Manuel Mazzucchelli, Giuseppe Angelico, Lucia Salvatorelli, Giada Maria Vecchio, Chiara Romano, Paolo Vigneri, Maria Paola Mariani, Gerardo Ferrara, Gaetano Giuseppe Magro","doi":"10.32074/1591-951X-964","DOIUrl":"https://doi.org/10.32074/1591-951X-964","url":null,"abstract":"<p><p>Lipoblastoma-like tumor is a rare mesenchymal neoplasm, typically arising in the vulvar region of young women. Although it is considered a benign tumor, rare local recurrences and exceptionally distant metastases have been reported. Histological examination reveals a well-circumscribed tumor with lobulated pattern, composed of a mixture of mature adipocytes, spindle cells and lipoblasts set in abundant myxoid stroma with numerous thin-walled capillary-like vessels. Due to the rarity of this neoplasm and its morphological resemblance with other benign and malignant lipomatous tumors, the diagnosis of <i>lipoblastoma-like tumor</i> is often challenging. Herein, we present a case occurring in the inguinal region of a 28-year-old woman. Histological examination showed a mixture of mature adipocytes, bland-looking spindle cells with fibrillary cytoplasm, and numerous univacuolated lipoblasts set in a prominent myxoid matrix containing numerous thin-walled branching vessels. Immunohistochemically, neoplastic cells showed diffuse immunostaining for CD34 and negativity for α-smooth muscle actin, desmin, Rb1, MDM2 and STAT6. The main differential diagnoses included myxoid liposarcoma, spindle cell lipoma and cellular angiofibroma. FISH was negative for <i>DDIT3</i>; moreover, no evidence of regional gain or loss of <i>RB1</i> was identified by FISH. Based on morphological, immunohistochemical and cytogenetic/molecular findings, a final diagnosis of \"<i>lipoblastoma-like tumor\"</i> of the inguinal region was rendered.</p>","PeriodicalId":45893,"journal":{"name":"PATHOLOGICA","volume":"117 1","pages":"39-44"},"PeriodicalIF":4.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11983084/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PATHOLOGICAPub Date : 2025-02-01DOI: 10.32074/1591-951X-1116
Albino Eccher, Viscardo Paolo Fabbri, Vincenzo L'Imperio, Angelo Paolo Dei Tos, Fabio Pagni, Massimo Dominici
{"title":"Pathology Laboratory Archive at the University and Hospital Trust of Modena/UNIMORE: \"Disaster Recovery\" frame by frame.","authors":"Albino Eccher, Viscardo Paolo Fabbri, Vincenzo L'Imperio, Angelo Paolo Dei Tos, Fabio Pagni, Massimo Dominici","doi":"10.32074/1591-951X-1116","DOIUrl":"https://doi.org/10.32074/1591-951X-1116","url":null,"abstract":"<p><p>The archive of any Pathology laboratory contains thousand of formalin-fixed and paraffin- embedded (FFPE) blocks and, as a result, serious space and management issues are created. Different authorities (with some variabilty) indicated that 10 years from the diagnosis is a congruous time before the disposal of stored tissues. Therefore, making room is not only a choice, but a necessity. Nowadays specific operating procedures exist, fully managed by human personnel. However, despite guidelines and recommendations, some accidents can occur: such events are often without any consequence but sometimes may cause serious damage for patients. In this paper we report an unwanted event that occurred in our archive in June 2024 during the collection of FFPE blocks from the year 2004 for elimination, which could have had dramatic consequences. We then highlight that innovation and automation of Pathology archives are the key of the custody of patient samples.</p>","PeriodicalId":45893,"journal":{"name":"PATHOLOGICA","volume":"117 1","pages":"52-54"},"PeriodicalIF":4.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11983075/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}