Pediatric and Developmental Pathology最新文献

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Single Umbilical Artery Umbilical Cord Is Associated With High-Grade Distal Fetal Vascular Malperfusion. 单脐动脉脐带与胎儿远端高级别血管灌注不良有关。
IF 1.9 4区 医学
Pediatric and Developmental Pathology Pub Date : 2024-01-01 Epub Date: 2023-09-28 DOI: 10.1177/10935266231200013
Jerzy Stanek
{"title":"Single Umbilical Artery Umbilical Cord Is Associated With High-Grade Distal Fetal Vascular Malperfusion.","authors":"Jerzy Stanek","doi":"10.1177/10935266231200013","DOIUrl":"10.1177/10935266231200013","url":null,"abstract":"<p><strong>Purpose and context: </strong>Umbilical cord abnormalities with clinical signs of cord compromise are frequently associated with fetal vascular malperfusion (FVM). Single umbilical artery (SUA) has been reported to be associated with high-grade FVM in fetal growth restriction but not in an unselected population; our study aimed to address this issue.</p><p><strong>Methods: </strong>Clinical and placental phenotypes of 55 consecutive placentas with SUA (Group 1) were compared with those of 655 placentas with 3-vessel umbilical cord (Group 2) from patients who were in the second half of their pregnancy. The placentas were histologically examined using hematoxylin and eosin (H&E) staining and CD 34 immunostaining.</p><p><strong>Key results: </strong>Several umbilical cord phenotypes and high-grade distal FVM, based on H&E staining and endothelial fragmentation by CD34 were significantly more common in Group 1, whereas decidual clusters of multinucleate trophoblasts were more common in Group 2. Notably, H&E staining or CD34 immunostaining evaluated separately showed that high-grade distal FVM was more common in Group 1 than in Group 2, but the difference was not statistically significant.</p><p><strong>Conclusions: </strong>SUA predisposes to remote, advanced, and recent high-grade distal villous FVM, with a pathogenesis partly different from that of stasis-induced FVM, likely related to fetal anomalies associated with SUA.</p>","PeriodicalId":54634,"journal":{"name":"Pediatric and Developmental Pathology","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41172415","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
Skeletal Growth Arrest Lines in Fetal Remains: Histopathology and Correlative Placental Pathology. 胎儿遗骸中的骨骼生长抑制系:组织病理学和相关胎盘病理学。
IF 1.9 4区 医学
Pediatric and Developmental Pathology Pub Date : 2024-01-01 Epub Date: 2023-10-11 DOI: 10.1177/10935266231195750
Tsz Wing Chu, Patrick Shannon, Tony Parks
{"title":"Skeletal Growth Arrest Lines in Fetal Remains: Histopathology and Correlative Placental Pathology.","authors":"Tsz Wing Chu, Patrick Shannon, Tony Parks","doi":"10.1177/10935266231195750","DOIUrl":"10.1177/10935266231195750","url":null,"abstract":"<p><strong>Introduction: </strong>Skeletal growth arrest lines (GAL) are transverse lines of metaphyseal radiodensity accompanying episodic severe physiological stress. They are poorly described in fetal remains.</p><p><strong>Materials and methods: </strong>We searched our autopsy practice for instances of fetal GAL in post mortem radiology, and correlated them with long bone histology and placental pathology. We describe the appearance, distribution, and pathology of GAL in a cohort of fetal autopsies, and compare the placental pathology accompanying GAL to the placental pathology of asymmetrical growth restriction (AGR) in the same time period.</p><p><strong>Results: </strong>In 2108 consecutive fetal post mortems, we found 20 cases with GAL. About 16 were in singletons with AGR. In these 16, the distribution of placental pathologies was similar to a contemporaneous cohort of 113 cases with AGR. Of the remaining 4, two twins out of 9 sets of monochorionic twins with AGR demonstrated GAL. One case of GAL had symmetrical growth restriction with cytomegalovirus infection, and one case had no AGR and an old, unexplained retroplacental hemorrhage. On histology, GAL are characterized by a region of mineralized chondroid, which is variably incorporated into irregular trabecular bone.</p><p><strong>Discussion: </strong>GALs accompany a variety of placental pathologies and twin-twin transfusion, suggesting episodic disease progression.</p>","PeriodicalId":54634,"journal":{"name":"Pediatric and Developmental Pathology","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41220356","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
An Unusual Case of Extranodal Marginal Zone Lymphoma Mimicking Abdominal Cocoon Syndrome in an Adolescent Patient. 一例罕见的淋巴结外边缘区淋巴瘤模拟腹部茧综合征的青少年患者。
IF 1.9 4区 医学
Pediatric and Developmental Pathology Pub Date : 2024-01-01 Epub Date: 2023-10-30 DOI: 10.1177/10935266231205511
Timothy J D Ohlsen, Ryan J Morse, Hira Ahmad, Maria Cristina Pacheco, Katherine E Debiec, Sandra D Bohling
{"title":"An Unusual Case of Extranodal Marginal Zone Lymphoma Mimicking Abdominal Cocoon Syndrome in an Adolescent Patient.","authors":"Timothy J D Ohlsen, Ryan J Morse, Hira Ahmad, Maria Cristina Pacheco, Katherine E Debiec, Sandra D Bohling","doi":"10.1177/10935266231205511","DOIUrl":"10.1177/10935266231205511","url":null,"abstract":"<p><p>Extranodal marginal zone lymphoma of mucosa-associated lymphoid tissue (MALT lymphoma) is an indolent non-Hodgkin lymphoma rarely seen in pediatric patients. MALT lymphoma most commonly involves the gastrointestinal tract or peri-orbital tissues, potentially as sequela of chronic antigenic stimulation or immune dysregulation. Rare cases of MALT lymphoma arising from the gynecologic tract have been reported in older adult patients. We present the unique case of a 16-year-old postpubescent female with MALT lymphoma localized to the gynecologic tract, who initially presented with abdominal fullness, abnormal uterine bleeding, and obstructive acute kidney injury secondary to urinary outflow obstruction. Intraoperatively, dense fibrosis of the uterus and left fallopian tube was noted which mimicked abdominal cocoon syndrome. She was treated with 6 cycles of bendamustine and rituximab with complete anatomic and metabolic remission. In this report we highlight a very unusual presentation of a rare malignancy in the pediatric population as well as unique treatment considerations given this patient's young age and tumor location.</p>","PeriodicalId":54634,"journal":{"name":"Pediatric and Developmental Pathology","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71415313","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
Placental Lesions Associated With Stillbirth by Gestational Age, as Related to Cause of Death: Follow-Up Results From the Stillbirth Collaborative Research Network. 妊娠年龄与死产相关的胎盘病变与死亡原因:死产合作研究网络的随访结果。
IF 1.9 4区 医学
Pediatric and Developmental Pathology Pub Date : 2024-01-01 Epub Date: 2023-09-25 DOI: 10.1177/10935266231197349
Tess E K Cersonsky, Rose K Cersonsky, Robert M Silver, Donald J Dudley, Halit Pinar
{"title":"Placental Lesions Associated With Stillbirth by Gestational Age, as Related to Cause of Death: Follow-Up Results From the Stillbirth Collaborative Research Network.","authors":"Tess E K Cersonsky, Rose K Cersonsky, Robert M Silver, Donald J Dudley, Halit Pinar","doi":"10.1177/10935266231197349","DOIUrl":"10.1177/10935266231197349","url":null,"abstract":"<p><strong>Background: </strong>We previously identified placental lesions associated with stillbirths of varying gestational ages (GA) using advanced feature analysis. We further investigated the relationships between placental lesions and cause of death in stillbirths within these GA ranges.</p><p><strong>Methods: </strong>Using data from the Stillbirth Collaborative Research Network, we derived a sample of stillbirths who underwent placental examination and Initial Causes of Fetal Death (INCODE) evaluation for determining cause of death. We then compared the rates of causes of death within and among GA ranges (extreme preterm stillbirth [PTSB] [<28 weeks], early PTSB [28-33<sup>6/7</sup> weeks], late PTSB [34-36<sup>6/7</sup> weeks], term stillbirth [≥37 weeks]) according to the presence of these lesions.</p><p><strong>Results: </strong>We evaluated 352 stillbirths. In extreme PTSB, obstetric complications and infections were associated with acute funisitis. In early PTSB, uteroplacental insufficiency was associated with parenchymal infarcts. In term stillbirth (vs early PTSB), increased syncytial knots were associated with umbilical cord causes and infection.</p><p><strong>Conclusions: </strong>Placental lesions of high importance in distinguishing stillbirths at different GAs are associated with specific causes of death. This information is important in relating the presence of placental lesions and fetal death and in helping to understand etiologies of stillbirths at different GAs.</p>","PeriodicalId":54634,"journal":{"name":"Pediatric and Developmental Pathology","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41163624","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
Long-Term Effect of TBX4 Germline Mutation on Pulmonary Clinico-Histopathologic Phenotype. TBX4种系突变对肺部临床组织病理表型的长期影响。
IF 1.9 4区 医学
Pediatric and Developmental Pathology Pub Date : 2024-01-01 Epub Date: 2023-10-06 DOI: 10.1177/10935266231199933
Elizabeth S Doughty, Christian Norvik, Alice Levin, Jenna Bodmer, Karin Tran-Lundmark, Steven H Abman, Csaba Galambos
{"title":"Long-Term Effect of <i>TBX4</i> Germline Mutation on Pulmonary Clinico-Histopathologic Phenotype.","authors":"Elizabeth S Doughty, Christian Norvik, Alice Levin, Jenna Bodmer, Karin Tran-Lundmark, Steven H Abman, Csaba Galambos","doi":"10.1177/10935266231199933","DOIUrl":"10.1177/10935266231199933","url":null,"abstract":"<p><p>Tbx4 protein, expressed in mesenchyme of the developing lung, contributes to airway branching and distal lung growth. An association between pediatric onset of pulmonary arterial hypertension (PAH) and genetic variations coding for the T-box transcription factor 4 gene (<i>TBX4</i>) has been increasingly recognized. Tbx4-related PAH onset has a bimodal age distribution, including severe to lethal PAH in newborns and later onset PAH. We present an autopsy study of a 24-year-old male with a heterozygous <i>TBX4</i> variant, who developed pulmonary arterial hypertension at age 12 years. This unique case highlights the complex pulmonary histopathology leading to lethal cardiopulmonary failure in the setting of <i>TBX4</i> mutation.</p>","PeriodicalId":54634,"journal":{"name":"Pediatric and Developmental Pathology","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41174863","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
Founders in Pediatric Pathology: Robert James Gorlin, DDS, PhD: Maxillofacial Pathologist, Geneticist, Academician, and Renaissance Man. 儿科病理学奠基人:罗伯特-詹姆斯-戈林(Robert James Gorlin)博士:颌面病理学家、遗传学家、院士和文艺复兴人。
IF 1.3 4区 医学
Pediatric and Developmental Pathology Pub Date : 2023-11-01 Epub Date: 2023-02-08 DOI: 10.1177/10935266231153203
Juan Carlos Manivel, Miguel Reyes-Múgica
{"title":"Founders in Pediatric Pathology: Robert James Gorlin, DDS, PhD: Maxillofacial Pathologist, Geneticist, Academician, and Renaissance Man.","authors":"Juan Carlos Manivel, Miguel Reyes-Múgica","doi":"10.1177/10935266231153203","DOIUrl":"10.1177/10935266231153203","url":null,"abstract":"","PeriodicalId":54634,"journal":{"name":"Pediatric and Developmental Pathology","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10676336","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
Pediatric Oral Pathology: Odontogenic Cysts. 小儿口腔病理学:牙源性囊肿
IF 1.9 4区 医学
Pediatric and Developmental Pathology Pub Date : 2023-11-01 Epub Date: 2023-05-22 DOI: 10.1177/10935266231176245
Kurt F Summersgill
{"title":"Pediatric Oral Pathology: Odontogenic Cysts.","authors":"Kurt F Summersgill","doi":"10.1177/10935266231176245","DOIUrl":"10.1177/10935266231176245","url":null,"abstract":"<p><p>Cysts encountered in the head and neck typically arise from epithelium that would normally be programmed to form teeth or tooth-supporting structures (odontogenic epithelium). These cysts come with a confusing array of similar-sounding names and histopathologic features that are sometimes shared between conditions. Here we describe and contrast the relatively-common lesions: hyperplastic dental follicle, dentigerous cyst, radicular cyst, buccal bifurcation cyst, odontogenic keratocyst, glandular odontogenic cyst, and the less-common gingival cyst of the new-born and thyroglossal duct cyst. The goal of this review is to help clarify and simplify these lesions for the general pathologist, pediatric pathologist, and surgeon.</p>","PeriodicalId":54634,"journal":{"name":"Pediatric and Developmental Pathology","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9853339","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
Pediatric Odontogenic Tumors. 儿童牙源性肿瘤。
IF 1.9 4区 医学
Pediatric and Developmental Pathology Pub Date : 2023-11-01 Epub Date: 2023-11-30 DOI: 10.1177/10935266231200115
Yingci Liu, Molly Housley Smith, Paras B Patel, Elizabeth Ann Bilodeau
{"title":"Pediatric Odontogenic Tumors.","authors":"Yingci Liu, Molly Housley Smith, Paras B Patel, Elizabeth Ann Bilodeau","doi":"10.1177/10935266231200115","DOIUrl":"10.1177/10935266231200115","url":null,"abstract":"<p><p>Odontogenic tumors are rare tumors of the jaws that arise from remnants of the tooth forming apparatus. Some odontogenic tumors demonstrate strong predilection for pediatric patients including the unicystic ameloblastoma, adenomatoid odontogenic tumor, ameloblastic fibroma, ameloblastic fibro-odontoma, odontoma, and primordial odontogenic tumor. In this review, we discuss the clinical, radiographic, histopathologic, and molecular characteristics of select odontogenic tumors that demonstrate pediatric predilection and review management.</p>","PeriodicalId":54634,"journal":{"name":"Pediatric and Developmental Pathology","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138464459","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
Pediatric Gnathic Bony and Mesenchymal Tumors. 小儿骨骼和间质肿瘤。
IF 1.9 4区 医学
Pediatric and Developmental Pathology Pub Date : 2023-11-01 Epub Date: 2023-05-26 DOI: 10.1177/10935266231170744
Yingci Liu, Molly Housley Smith, Paras B Patel, Elizabeth Ann Bilodeau
{"title":"Pediatric Gnathic Bony and Mesenchymal Tumors.","authors":"Yingci Liu, Molly Housley Smith, Paras B Patel, Elizabeth Ann Bilodeau","doi":"10.1177/10935266231170744","DOIUrl":"10.1177/10935266231170744","url":null,"abstract":"<p><p>Evaluation of bone pathology within the head and neck region, particularly the gnathic bonesis is complex, demonstrating unique pathologic processes. In part, this variation is due to odontogenesis and the embryological cells that may be involved, which can contribute to disease development and histologic variability. As with any boney pathosis, the key is to have clinical correlation, particularly with radiographic imaging prior to establishing a definitive diagnosis. This review will cover those entities that have a predilection for the pediatric population, and while it is not all inclusive, it should serve as a foundation for the pathologist who is evaluating bony lesions involving the craniofacial skeleton.</p>","PeriodicalId":54634,"journal":{"name":"Pediatric and Developmental Pathology","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9575119","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
A Review of Selected Dental Anomalies With Histologic Features in the Pediatric Patient. 儿科患者具有组织学特征的牙齿异常的综述。
IF 1.9 4区 医学
Pediatric and Developmental Pathology Pub Date : 2023-11-01 Epub Date: 2023-11-14 DOI: 10.1177/10935266231207045
Kathleen M Schultz, Carla R Penner
{"title":"A Review of Selected Dental Anomalies With Histologic Features in the Pediatric Patient.","authors":"Kathleen M Schultz, Carla R Penner","doi":"10.1177/10935266231207045","DOIUrl":"10.1177/10935266231207045","url":null,"abstract":"<p><p>Unique dental conditions in children include odontogenic cysts and tumors, hereditary dental diseases, developmental anomalies, and lesions associated with the eruption of the primary or permanent teeth. Many of these conditions have long lasting effects on the adult dentition in terms of affecting esthetics, function, and overall quality of life. Inherited dental syndromes affect the dental hard tissues specifically the enamel, dentin, and/or cementum in a generalized manner, involving both primary and permanent teeth. These conditions manifest in altered quality or quantity of the hard tissues, leading to fragility, tooth loss and dental diseases such as caries, periapical pathology, and periodontal disease. This category includes amelogenesis imperfecta, dentinogenesis imperfecta, dentin dysplasia, hypophosphatasia, and hypophosphatemia. Developmental defects such as regional odontodysplasia are defined by involvement of the primary and permanent dentition in a localized manner, identified in early childhood. This review will elaborate on the histologic findings in these selected dental conditions with a discussion on clinical and radiographic findings, as well as molecular features wherever appropriate.</p>","PeriodicalId":54634,"journal":{"name":"Pediatric and Developmental Pathology","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92157347","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
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