Annals of Diagnostic Pathology最新文献

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Expression of CD25, mast cell markers and T-cell markers in eosinophilic esophagitis 嗜酸性粒细胞食管炎中 CD25、肥大细胞标记物和 T 细胞标记物的表达
IF 2 4区 医学
Annals of Diagnostic Pathology Pub Date : 2024-03-01 DOI: 10.1016/j.anndiagpath.2024.152287
Arkar Htoo , Cary M. Qualia , Rose George , Soe Htet Arker , Nusret Bekir Subasi , Hwajeong Lee , Lorene Chung , Anne Chen
{"title":"Expression of CD25, mast cell markers and T-cell markers in eosinophilic esophagitis","authors":"Arkar Htoo ,&nbsp;Cary M. Qualia ,&nbsp;Rose George ,&nbsp;Soe Htet Arker ,&nbsp;Nusret Bekir Subasi ,&nbsp;Hwajeong Lee ,&nbsp;Lorene Chung ,&nbsp;Anne Chen","doi":"10.1016/j.anndiagpath.2024.152287","DOIUrl":"10.1016/j.anndiagpath.2024.152287","url":null,"abstract":"<div><p>While eosinophilic esophagitis (EOE) is defined by histologic presence of eosinophils, a few studies have established the presence of mast cells in EOE and even shown their correlation with symptom persistence despite resolution of eosinophils. Expression of aberrant mast cell markers CD25 and CD2 have not been studied in EOE. This study quantifies the number of hotspot cells per high power field expressing CKIT/CD117, tryptase, CD25, CD2 and CD3 by immunohistochemical stains in endoscopic esophageal biopsies of the following three cohorts: (1) established and histologically confirmed EOE, (2) suspected EOE with biopsies negative for eosinophils, and (3) no history of or suspicion for EOE with histologically unremarkable biopsies. In this study, mast cells were highlighted by CKIT and tryptase in EOE, and not seen in other clinically mimicking cases. There were also significantly higher densities of CD25 and pan-T-cell marker staining in EOE cases. These findings suggest an inflammatory cellular milieu in EOE, beyond just eosinophils, that can be demonstrated by immunohistochemistry, and that invite further study into the role that these cells may play in EOE.</p></div>","PeriodicalId":50768,"journal":{"name":"Annals of Diagnostic Pathology","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140047057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Epstein-Barr virus latency patterns in polymorphic lymphoproliferative disorders and lymphomas in immunodeficiency settings: Diagnostic implications 免疫缺陷情况下多形性淋巴组织增生性疾病和淋巴瘤中的 Epstein-Barr 病毒潜伏模式:诊断意义
IF 2 4区 医学
Annals of Diagnostic Pathology Pub Date : 2024-02-29 DOI: 10.1016/j.anndiagpath.2024.152286
Ashley K. Volaric , Atif Saleem , Sheren F. Younes , Shuchun Zhao , Yasodha Natkunam
{"title":"Epstein-Barr virus latency patterns in polymorphic lymphoproliferative disorders and lymphomas in immunodeficiency settings: Diagnostic implications","authors":"Ashley K. Volaric ,&nbsp;Atif Saleem ,&nbsp;Sheren F. Younes ,&nbsp;Shuchun Zhao ,&nbsp;Yasodha Natkunam","doi":"10.1016/j.anndiagpath.2024.152286","DOIUrl":"https://doi.org/10.1016/j.anndiagpath.2024.152286","url":null,"abstract":"<div><p>Epstein-Barr virus (EBV) is responsible for many B cell lymphoproliferative disorders (LPD) spanning subclinical infection to immunodeficiency-related neoplasms. EBV establishes a latent infection in the host B cell as defined histologically by the expression of EBV latent membrane proteins and nuclear antigens. Herein, we characterize the latency patterns of immunodeficiency-related neoplasms including post-transplant lymphoproliferative disorders (PTLD) and therapy-related LPD (formerly iatrogenic) with latent membrane protein-1 (LMP-1) and EBV nuclear antigen-2 (EBNA-2) immunohistochemistry. The latency pattern was correlated with immunodeficiency and dysregulation (IDD) status and time from transplant procedure. 38 cases of EBV+ PTLD in comparison to 27 cases of classic Hodgkin lymphoma (CHL) and diffuse large B cell lymphoma (DLBCL) arising in either the therapy-related immunodeficiency setting (<em>n</em> = 12) or without an identified immunodeficiency (<em>n</em> = 15) were evaluated for EBV-encoded small RNAs by <em>in situ</em> hybridization (EBER-ISH) and for LMP-1 and EBNA-2 by immunohistochemistry. A full spectrum of EBV latency patterns was observed across PTLD in contrast to CHL and DLBCL arising in the therapy-related immunodeficiency setting. Polymorphic-PTLD (12 of 16 cases, 75 %) and DLBCL-PTLD (9 of 11 cases, 82 %) showed the greatest proportion of cases with latency III pattern. Whereas, EBV+ CHL in an immunocompetent patient showed exclusively latency II pattern (13 of 13 cases, 100 %). The majority of EBV+ PTLD occurred by three years of transplant procedure date and were enriched for latency III pattern (21 of 22 cases, 95 %). Immunohistochemical identification of EBV latency by LMP-1 and EBNA-2 can help classify PTLD in comparison to other EBV+ B cell LPD and lymphomas arising in therapy-related immunodeficiency and non-immunodeficiency settings.</p></div>","PeriodicalId":50768,"journal":{"name":"Annals of Diagnostic Pathology","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1092913424000236/pdfft?md5=f229eca5994188f202e7c076af63b067&pid=1-s2.0-S1092913424000236-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140042747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Esophageal adenocarcinoma heterogeneity in clinicopathology and prognosis: A single center longitudinal study of 146 cases over a 20-year period 食管腺癌在临床病理学和预后方面的异质性:20 年间 146 个病例的单中心纵向研究
IF 2 4区 医学
Annals of Diagnostic Pathology Pub Date : 2024-02-27 DOI: 10.1016/j.anndiagpath.2024.152285
Qin Huang , Edward Lew , Yuqing Cheng , Shweta Shinagare , Vikram Deshpande , Jason S. Gold , Daniel Wiener , H. Christian Weber
{"title":"Esophageal adenocarcinoma heterogeneity in clinicopathology and prognosis: A single center longitudinal study of 146 cases over a 20-year period","authors":"Qin Huang ,&nbsp;Edward Lew ,&nbsp;Yuqing Cheng ,&nbsp;Shweta Shinagare ,&nbsp;Vikram Deshpande ,&nbsp;Jason S. Gold ,&nbsp;Daniel Wiener ,&nbsp;H. Christian Weber","doi":"10.1016/j.anndiagpath.2024.152285","DOIUrl":"10.1016/j.anndiagpath.2024.152285","url":null,"abstract":"<div><p>Recent genomic studies suggest that esophageal adenocarcinoma (EAC) is not homogeneous and can be divided into true (tEAC) and probable (pEAC) groups. We compared clinicopathologic and prognostic features between the two groups of EAC. Based on endoscopic, radiologic, surgical, and pathologic reports, tumors with epicenters beyond 2 cm of the gastroesophageal junction (GEJ) were assigned to the tEAC group (<em>N</em> = 63), while epicenters within 2 cm of, but not crossing the GEJ, were allocated to the pEAC group (<em>N</em> = 83). All 146 consecutive patients were male (age: median 70 years, range: 51–88) and White-predominant (98.6 %). There was no significant difference in gastroesophageal reflux disease, obesity, comorbidity, and the prevalence of Barrett's esophagus, and cases diagnosed during endoscopic surveillance. However, compared to the pEAC group, the tEAC group had significantly more cases with hiatal hernia (<em>P</em> = 0.003); their tumors were significantly smaller in size (<em>P</em> = 0.007), more frequently with tubular/papillary adenocarcinoma (<em>P</em> = 0.001), had fewer cases with poorly cohesive carcinoma (<em>P</em> = 0.018), and demonstrated better prognosis in stage I disease (<em>P</em> = 0.012); 5-year overall survival (34.9 months) was significantly longer (<em>versus</em> 16.8 months in pEACs) (<em>P</em> = 0.043). Compared to the patients without resection, the patients treated with endoscopic or surgical resection showed significantly better outcomes, irrespective of stages. We concluded that EACs were heterogeneous with two distinct tEAC and pEAC groups in clinicopathology and prognosis; resection remained the better option for improved outcomes.</p></div><div><h3>Condensed abstract</h3><p>Esophageal adenocarcinoma can be divided into true or probable groups with distinct clinicopathology and better prognosis in the former than in the latter. we showed that resection remained the better option for improved outcomes.</p></div>","PeriodicalId":50768,"journal":{"name":"Annals of Diagnostic Pathology","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140002035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
SALTT study: A retrospective analysis of 111 SAlivary gland tumors of Lung and Tracheobronchial Tree SALTT 研究:对 111 例肺和气管支气管树唾液腺肿瘤的回顾性分析
IF 2 4区 医学
Annals of Diagnostic Pathology Pub Date : 2024-02-24 DOI: 10.1016/j.anndiagpath.2024.152283
Nishtha Batra , Prabhashankar Mishra , Trupti Pai , Sabita Jiwnani , George Karimundackal , Virendra Tiwari , Nilendu Purandare , Amit Janu , Vanita Noronha , Amit Joshi , Kumar Prabhash , Anil Tibdewal , Jai Prakash Agarwal , C.S. Pramesh , Rajiv Kumar Kaushal
{"title":"SALTT study: A retrospective analysis of 111 SAlivary gland tumors of Lung and Tracheobronchial Tree","authors":"Nishtha Batra ,&nbsp;Prabhashankar Mishra ,&nbsp;Trupti Pai ,&nbsp;Sabita Jiwnani ,&nbsp;George Karimundackal ,&nbsp;Virendra Tiwari ,&nbsp;Nilendu Purandare ,&nbsp;Amit Janu ,&nbsp;Vanita Noronha ,&nbsp;Amit Joshi ,&nbsp;Kumar Prabhash ,&nbsp;Anil Tibdewal ,&nbsp;Jai Prakash Agarwal ,&nbsp;C.S. Pramesh ,&nbsp;Rajiv Kumar Kaushal","doi":"10.1016/j.anndiagpath.2024.152283","DOIUrl":"10.1016/j.anndiagpath.2024.152283","url":null,"abstract":"<div><h3>Introduction</h3><p>Primary pulmonary salivary gland-type tumours (PPSGT) are rare lung neoplasms arising from submucosal seromucinous glands in the central airway.</p></div><div><h3>Methods and results</h3><p>We retrospectively analysed the clinicopathological features of 111 PPSGTs diagnosed at our institute between 2003 and 2021. The mean age at diagnosis was 43.8 years(range 6–78 years) and a male-to-female ratio of 2:1. On imaging, 92 % of cases had centrally located tumours and 37.3 % were early stage. The histopathological types included 70 cases (63 %) of mucoepidermoid carcinoma (MEC), 31 cases (27.7 %) of adenoid cystic carcinoma (ADCC), two cases of myoepithelial carcinoma, one case each of acinic cell carcinoma (ACC), clear cell carcinoma (CCC), epithelial myoepithelial carcinoma (EMC) and 5 others [including adenocarcinoma of minor salivary gland origin(<em>n</em> = 3), carcinoma with sebaceous differentiation(<em>n</em> = 1) and poorly differentiated carcinoma of salivary gland type(n = 1)]. The size of the tumours found in the resection specimens ranged from 1 cm to 13 cm, with an average size of 4.9 cm. High-risk attributes such as lymphovascular invasion (LVI), perineural invasion (PNI), pleural involvement, positive resection margins, and nodal metastasis were identified in 15.3 %, 15.3 %, 13.6 %,15.2 % and 6.7 % of cases, respectively. These attributes were found to be more frequent in ADCC than in MEC. Surgery was the main treatment modality [68/84 (80 %) cases]. ADCC cases had more recurrence and distant metastasis than MEC cases. The 3- year overall-survival (OS) and recurrence-free survival(RFS) were better in patients with age lesser than 60 years(<em>p</em>-value &lt;0.0001), low pT stage (p-value 0.00038) and lower grade of MEC(p-value-0.0067).</p></div><div><h3>Conclusion</h3><p>It is crucial to have an acquaintance with the morphologic spectrum and immunophenotypic characteristics of PPSGT to recognize them in this unusual location. In tandem, it is crucial to differentiate them from conventional primary non-small cell lung carcinoma, as the management protocols and prognostic implications differ significantly.</p></div>","PeriodicalId":50768,"journal":{"name":"Annals of Diagnostic Pathology","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140001949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Histopathologic evaluation of gastric intestinal metaplasia in non-neoplastic biopsy specimens: Accuracy and interobserver reliability among general pathologists and pathology residents 对非肿瘤性活检标本中的胃肠化生进行组织病理学评估:普通病理学家和病理住院医师的准确性和观察者之间的可靠性
IF 2 4区 医学
Annals of Diagnostic Pathology Pub Date : 2024-02-23 DOI: 10.1016/j.anndiagpath.2024.152284
Thiyaphat Laohawetwanit , Natcha Wanpiyarat , Nathawadee Lerttanatum , Sompon Apornvirat , Charinee Kantasiripitak , Nawaluk Atiroj , Adiluck Pisutpunya , Putch Phairintr , Komkrit Suttichan , Natcha Poungmeechai , Treepob Tassanawarawat , Natnalin Chumponpanich , Chetiyaphon Khueankaeo , Phirasit Chaijitrawan , Pornchai Sooksaen , Chatdhee Stithsuksanoh , Warut Thinpanja , Worakit Kaewnopparat
{"title":"Histopathologic evaluation of gastric intestinal metaplasia in non-neoplastic biopsy specimens: Accuracy and interobserver reliability among general pathologists and pathology residents","authors":"Thiyaphat Laohawetwanit ,&nbsp;Natcha Wanpiyarat ,&nbsp;Nathawadee Lerttanatum ,&nbsp;Sompon Apornvirat ,&nbsp;Charinee Kantasiripitak ,&nbsp;Nawaluk Atiroj ,&nbsp;Adiluck Pisutpunya ,&nbsp;Putch Phairintr ,&nbsp;Komkrit Suttichan ,&nbsp;Natcha Poungmeechai ,&nbsp;Treepob Tassanawarawat ,&nbsp;Natnalin Chumponpanich ,&nbsp;Chetiyaphon Khueankaeo ,&nbsp;Phirasit Chaijitrawan ,&nbsp;Pornchai Sooksaen ,&nbsp;Chatdhee Stithsuksanoh ,&nbsp;Warut Thinpanja ,&nbsp;Worakit Kaewnopparat","doi":"10.1016/j.anndiagpath.2024.152284","DOIUrl":"10.1016/j.anndiagpath.2024.152284","url":null,"abstract":"<div><h3>Objectives</h3><p>This study aimed to evaluate the accuracy and interobserver reliability of diagnosing and subtyping gastric intestinal metaplasia (IM) among general pathologists and pathology residents at a university hospital in Thailand, focusing on the challenges in the histopathologic evaluation of gastric IM for less experienced practitioners.</p></div><div><h3>Methods</h3><p>The study analyzed 44 non-neoplastic gastric biopsies, using a consensus diagnosis of gastrointestinal pathologists as the reference standard. Participants included 6 general pathologists and 9 pathology residents who assessed gastric IM and categorized its subtype (complete, incomplete, or mixed) on digital slides. After initial evaluations and receiving feedback, participants reviewed specific images of gastric IM, as agreed by experts. Following a one-month washout period, a reevaluation of the slides was conducted.</p></div><div><h3>Results</h3><p>Diagnostic accuracy, interobserver reliability, and time taken for diagnosis improved following training, with general pathologists showing higher accuracies than residents (median accuracy of gastric IM detection: 100 % vs. 97.7 %). Increased years of experience were associated with more IM detection accuracy (<em>p</em>-value&lt;0.05). However, the overall median accuracy for diagnosing incomplete IM remained lower than for complete IM (86.4 % vs. 97.7 %). After training, diagnostic errors occurred in 6 out of 44 specimens (13.6 %), reported by over 40 % of participants. Errors involved omitting 5 slides with incomplete IM and 1 with complete IM, all showing a subtle presence of IM.</p></div><div><h3>Conclusions</h3><p>The study highlights the diagnostic challenges in identifying incomplete gastric IM, showing notable discrepancies in accuracy and interobserver agreement. It underscores the need for better diagnostic protocols and training to enhance detection and management outcomes.</p></div>","PeriodicalId":50768,"journal":{"name":"Annals of Diagnostic Pathology","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139955948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluation of the follicular patterned thyroid lesions based on the WHO 2022 criteria with an emphasis on the grey-zone lesions 根据世界卫生组织 2022 年标准评估甲状腺滤泡型病变,重点关注灰区病变
IF 2 4区 医学
Annals of Diagnostic Pathology Pub Date : 2024-02-14 DOI: 10.1016/j.anndiagpath.2024.152282
Sunayana Misra , Shashi Dhawan , Sonia Badwal , Arupparna Sengupta , Aanchal Khosla , Sangeet Kumar Agarwal , Seema Rao
{"title":"Evaluation of the follicular patterned thyroid lesions based on the WHO 2022 criteria with an emphasis on the grey-zone lesions","authors":"Sunayana Misra ,&nbsp;Shashi Dhawan ,&nbsp;Sonia Badwal ,&nbsp;Arupparna Sengupta ,&nbsp;Aanchal Khosla ,&nbsp;Sangeet Kumar Agarwal ,&nbsp;Seema Rao","doi":"10.1016/j.anndiagpath.2024.152282","DOIUrl":"10.1016/j.anndiagpath.2024.152282","url":null,"abstract":"<div><p>Follicular-patterned thyroid nodules (FPTN) are classified byWHO-2022 into benign, borderline and malignant categories. There are however, grey-zone lesions that pose a diagnostic challenge due to ambiguity in defining criteria and inter-observer variability. WHO-2022 has enumerated specific diagnostic criteria for these lesions. Accurate categorization of morphologically similar TNs is vital to reduce overtreatment of indolent lesions. In this study, we have reclassified FPTNs according to WHO-2022 criteria, emphasizing on grey-zone lesions. We studied the utility of immunohistochemistry (IHC)-CD56, HBME-1 and CK19 in distinguishing benign from malignant nodules and BRAFV600E IHC to better distinguish the (widely-invasive) encapsulated follicular variant of papillary thyroid carcinoma (FVPTC) from infiltrative FVPTC. Only those cases with dominant nodule having follicular pattern histology were included and re-evaluated for following histopathological features-focality, encapsulation, circumscription, nuclear PTC features, capsular-invasion, angio-invasion, papillae and necrosis. IHC findings for above-mentioned markers were noted. Seventy-nine cases met the inclusion criteria. Amendment of original diagnosis was done in 19 % cases. BRAFV600E IHC was positive in the two cases of infiltrative FVPTC while it was negative in all nine IE (invasive encapsulated) FVPTCs. Diffuse HBME1 was noted in most malignant nodules (61 %) while CD56 was expressed more often in benign lesions (70 %). CK19 was positive in lesions displaying nuclear PTC features (86 %). Using WHO 2022 criteria, we were able to re-classify follicular thyroid lesions with greater confidence. Appropriate IHC panel in adjunct to histology aids in categorizing challenging cases.</p></div>","PeriodicalId":50768,"journal":{"name":"Annals of Diagnostic Pathology","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139821736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluation of C4d expression and staining patterns by immunohistochemistry in renal biopsy samples with focal segmental glomerulosclerosis and minimal change disease 用免疫组化方法评估局灶节段性肾小球硬化症和微小病变肾活检样本中 C4d 的表达和染色模式
IF 2 4区 医学
Annals of Diagnostic Pathology Pub Date : 2024-02-13 DOI: 10.1016/j.anndiagpath.2024.152281
Maryam Abedi , Fatemeh Nili , Farshid Dehkhoda , Alireza Abdollahi , Samaneh Salarvand
{"title":"Evaluation of C4d expression and staining patterns by immunohistochemistry in renal biopsy samples with focal segmental glomerulosclerosis and minimal change disease","authors":"Maryam Abedi ,&nbsp;Fatemeh Nili ,&nbsp;Farshid Dehkhoda ,&nbsp;Alireza Abdollahi ,&nbsp;Samaneh Salarvand","doi":"10.1016/j.anndiagpath.2024.152281","DOIUrl":"10.1016/j.anndiagpath.2024.152281","url":null,"abstract":"<div><h3>Introduction</h3><p>C4d is an activation product of lectin pathway of complement. Glomerular deposition of C4d is associated with poor prognosis in different types of immune-related glomerulonephritis. The present study was conducted to investigate expression level of C4d and its staining pattern in renal biopsy of patients with focal segmental glomerulosclerosis (FSGS) and minimal change disease (MCD) by immunohistochemistry method.</p></div><div><h3>Materials and methods</h3><p>In this retrospective cross-sectional study, renal biopsy specimens from 46 samples of MCD, 47 samples of FSGS, and 15 samples without glomerular disease as the controls, were subjected to immunohistochemistry staining with C4d. Demographic characteristics and information obtained from light and electron microscopy (EM) of patients were also extracted from their files.</p></div><div><h3>Results</h3><p>C4d positive staining was observed in 97.9 % of FSGS and 43.5 % of MCD samples, which showed a statistically significant difference (<em>P</em> &lt; 0.001). The sensitivity and specificity of C4d expression for diagnosing FSGS were 97.9 % and 56.5 %, respectively. There was no significant correlation between C4d expression and any of the light and electron microscopy findings, including presence of foam cells, mesangial matrix expansion, interstitial fibrosis and tubular atrophy, and basement membrane changes in MCD patients. Also, no significant correlation was observed between C4d expression and clinical symptoms of proteinuria or prolonged high level of creatinine in patients with MCD.</p></div><div><h3>Discussion and conclusion</h3><p>The expression of C4d marker had a good sensitivity and negative predictive value in the diagnosis of FSGS.</p></div>","PeriodicalId":50768,"journal":{"name":"Annals of Diagnostic Pathology","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139825346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The over diagnosis of diffuse mesothelioma: An analysis of 311 cases with recommendations for the avoidance of pitfalls 弥漫性间皮瘤的过度诊断:对311个病例的分析及避免误区的建议
IF 2 4区 医学
Annals of Diagnostic Pathology Pub Date : 2024-02-01 DOI: 10.1016/j.anndiagpath.2023.152248
John M. Carney, Victor L. Roggli, Carolyn H. Glass, Sergio Piña-Oviedo, Elizabeth N. Pavlisko
{"title":"The over diagnosis of diffuse mesothelioma: An analysis of 311 cases with recommendations for the avoidance of pitfalls","authors":"John M. Carney,&nbsp;Victor L. Roggli,&nbsp;Carolyn H. Glass,&nbsp;Sergio Piña-Oviedo,&nbsp;Elizabeth N. Pavlisko","doi":"10.1016/j.anndiagpath.2023.152248","DOIUrl":"10.1016/j.anndiagpath.2023.152248","url":null,"abstract":"<div><h3>Background</h3><p>The diagnosis of mesothelioma may be challenging. We investigated a large database of cases in order to determine the frequency with which a diagnosis of mesothelioma was made incorrectly and the most frequent causes of error.</p></div><div><h3>Design</h3><p>A database including more than 4000 consultation cases of histologically confirmed mesothelioma was examined to identify cases in which mesothelioma was diagnosed by at least one pathologist when the available information pointed towards a different diagnosis.</p></div><div><h3>Results</h3><p><span>There were 311 cases misdiagnosed as mesothelioma. The most common category was metastatic carcinoma<span><span> to the pleura or </span>peritoneum (129 cases: 73 </span></span>lung carcinomas<span><span><span>, 15 renal cell carcinomas). The next most common category was primary lung cancer (111 cases: 55 sarcomatoid carcinoma, 56 pseudomesotheliomatous carcinoma). The third most common category was primary malignancies arising from or near the </span>serosal membranes<span> (33 cases). The fourth most common category was fibrous pleurisy (38 cases). The most common errors were failure to consider important radiographic information regarding the gross distribution of tumor, lack of awareness or consideration of another </span></span>malignancy<span>, overreliance on certain immunohistochemical results, and failure to perform certain diagnostic histochemical, immunohistochemical, or ultrastructural studies.</span></span></p></div><div><h3>Conclusions</h3><p>There are a number of diagnostic pitfalls that can lead to the over diagnosis of mesothelioma. Careful attention to clinical and radiographic information as well as performance of appropriate ancillary tests can help to prevent such misdiagnoses. Detailed examples will be presented to assist in the avoidance of these pitfalls with emphasis on the most commonly observed errors.</p></div>","PeriodicalId":50768,"journal":{"name":"Annals of Diagnostic Pathology","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138826888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluation of the follicular patterned thyroid lesions based on the WHO 2022 criteria with an emphasis on the grey-zone lesions 根据世界卫生组织 2022 年标准评估甲状腺滤泡型病变,重点关注灰区病变
IF 2 4区 医学
Annals of Diagnostic Pathology Pub Date : 2024-02-01 DOI: 10.1016/j.anndiagpath.2024.152282
Sunayana Misra, Shashi Dhawan, Sonia Badwal, Arupparna Sengupta, Aanchal Khosla, Sangeet Kumar Agarwal, Seema Rao
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引用次数: 0
Evaluation of C4d expression and staining patterns by immunohistochemistry in renal biopsy samples with focal segmental glomerulosclerosis and minimal change disease 用免疫组化方法评估局灶节段性肾小球硬化症和微小病变肾活检样本中 C4d 的表达和染色模式
IF 2 4区 医学
Annals of Diagnostic Pathology Pub Date : 2024-02-01 DOI: 10.1016/j.anndiagpath.2024.152281
Maryam Abedi, Fatemeh Nili, Farshid Dehkhoda, Alireza Abdollahi, Samaneh Salarvand
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引用次数: 0
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