PathologePub Date : 2022-03-01Epub Date: 2021-11-22DOI: 10.1007/s00292-021-01022-8
Korinna Jöhrens, Josephine Fischer, Markus Möbs, Klaus Junker, Jutta Kirfel, Sven Perner, Silke Laßmann, Martin Werner, Vanessa Borgmann, Hendrik Bläker, Michael Hummel
{"title":"[Detection of BRAF V600E mutation in metastatic colorectal carcinoma : A QuIP round robin test].","authors":"Korinna Jöhrens, Josephine Fischer, Markus Möbs, Klaus Junker, Jutta Kirfel, Sven Perner, Silke Laßmann, Martin Werner, Vanessa Borgmann, Hendrik Bläker, Michael Hummel","doi":"10.1007/s00292-021-01022-8","DOIUrl":"https://doi.org/10.1007/s00292-021-01022-8","url":null,"abstract":"<p><p>Round robin testing is an important instrument for quality assurance. Increasingly, this also applies to the results of molecular diagnostics in pathology, which directly influence therapy decisions in precision oncology. In metastatic colorectal carcinoma (mCRC), the focus has been on detecting KRAS and NRAS mutations, whose absence allows therapy with EGFR blocking antibodies. Recently, BRAF has been added as another predictive marker, since mCRC patients with BRAF V600E mutation benefit significantly from treatment with encorafenib (a BRAF inhibitor) in combination with cetuximab (anti-EGFR antibody) after systemic therapy. Due to the approval of this treatment in 2020, it is a pre-requisite that BRAF V600E mutation detection in diagnostic pathologies is reliably performed. Therefore, this round robin test with BRAF V600E testing either by immunohistochemistry or molecular methods was performed. The round robin test results demonstrate that molecular BRAF V600E detection is currently clearly superior to immunohistochemical detection.</p>","PeriodicalId":54641,"journal":{"name":"Pathologe","volume":"43 2","pages":"126-134"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8888471/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39735327","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}
PathologePub Date : 2022-03-01DOI: 10.1007/s00292-022-01055-7
{"title":"Mitteilungen der Österreichischen Gesellschaft für Klinische Pathologie und Molekularpathologie","authors":"","doi":"10.1007/s00292-022-01055-7","DOIUrl":"https://doi.org/10.1007/s00292-022-01055-7","url":null,"abstract":"","PeriodicalId":54641,"journal":{"name":"Pathologe","volume":"43 1","pages":"168"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42446621","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}
PathologePub Date : 2022-03-01DOI: 10.1007/s00292-022-01056-6
{"title":"Mitteilungen der Deutschen Gesellschaft für Pathologie","authors":"","doi":"10.1007/s00292-022-01056-6","DOIUrl":"https://doi.org/10.1007/s00292-022-01056-6","url":null,"abstract":"","PeriodicalId":54641,"journal":{"name":"Pathologe","volume":"43 1","pages":"167"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49450584","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}
PathologePub Date : 2022-03-01Epub Date: 2022-01-10DOI: 10.1007/s00292-021-01049-x
O Chijioke
{"title":"[The value of molecular testing of thyroid aspirates].","authors":"O Chijioke","doi":"10.1007/s00292-021-01049-x","DOIUrl":"https://doi.org/10.1007/s00292-021-01049-x","url":null,"abstract":"<p><p>In the evaluation of thyroid nodules, cytopathology of thyroid fine-needle aspiration specimens plays a central role. Established classification schemes should be used. In the case of indeterminate cytology, additional molecular tests may be used. However, the stratification of indeterminate thyroid nodules into malignant and benign lesions based on molecular tests alone, apart from costly commercial assays from US vendors, has so far been clearly limited. Molecular testing of single genetic alterations that can confirm malignancy in papillary, poorly differentiated, and anaplastic thyroid carcinomas is helpful and relatively easy to perform. However, negative test results by no means exclude malignant neoplasia. Predictive markers for single entities (BRAF V600E, RET mutations and RET fusions) should be tested in all advanced thyroid carcinomas.</p>","PeriodicalId":54641,"journal":{"name":"Pathologe","volume":"43 2","pages":"105-108"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8888395/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39685658","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}
PathologePub Date : 2022-03-01Epub Date: 2021-12-15DOI: 10.1007/s00292-021-01035-3
Marie-Lisa Eich, Thomas Menter, Nils Fabian Mokwa, Berthold Grüttner, Annette M Müller
{"title":"[Intrauterine fetal demise in extensive SARS-CoV-2-associated placental maternal vascular malperfusion in the setting of SARS-CoV-2 placentitis (severe acute respiratory syndrome coronavirus 2)].","authors":"Marie-Lisa Eich, Thomas Menter, Nils Fabian Mokwa, Berthold Grüttner, Annette M Müller","doi":"10.1007/s00292-021-01035-3","DOIUrl":"https://doi.org/10.1007/s00292-021-01035-3","url":null,"abstract":"<p><p>We report a case of a placenta with extensive maternal vascular malperfusion and chronic histiocytic intervillositis corresponding to SARS-CoV‑2 placentitis in the context of fetal demise at 31 weeks of gestation. Placental swamp and PCR of the placental parenchyma, umbilical cord and amnion-chorion membrane showed SARS-CoV-2- and B‑betacoronavirus-specific RNA. Maternal vascular malperfusion has been described in cases of SARS-CoV‑2 infection; however, the manifested severity of this case in the setting of a severe SARS-CoV‑2 placentitis is rare. It emphasizes the need of a maternal prophylactic anticoagulation.</p>","PeriodicalId":54641,"journal":{"name":"Pathologe","volume":"43 2","pages":"135-139"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8673691/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39729923","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}
PathologePub Date : 2022-03-01Epub Date: 2022-02-16DOI: 10.1007/s00292-022-01052-w
Nada Abedin, Andrea Tannapfel, Peter J Wild, Iris Tischoff
{"title":"[Histopathological evaluation of nonalcoholic fatty liver disease : Automated evaluation of liver biopsies].","authors":"Nada Abedin, Andrea Tannapfel, Peter J Wild, Iris Tischoff","doi":"10.1007/s00292-022-01052-w","DOIUrl":"https://doi.org/10.1007/s00292-022-01052-w","url":null,"abstract":"<p><p>Nonalcoholic fatty liver disease (NAFLD) is one of the most frequent chronic liver diseases with a rising incidence in industrial countries. This is accompanied by an increased prevalence for NAFLD-associated liver cirrhosis and an increased risk for developing hepatocellular carcinoma. The current gold standard in the diagnostics is a liver biopsy. The histopathological evaluation is performed through semiquantitative scoring. To optimize the standardization and quantification of the existing scoring systems, in the coming years procedures with artificial intelligence, such as deep learning models could be used. Fields of application could be the supplementation of conventional histopathological diagnostics, the identification of new predictive parameters for estimating the prognosis and the prediction of a possible response to treatment.</p>","PeriodicalId":54641,"journal":{"name":"Pathologe","volume":"43 2","pages":"157-166"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39928748","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}
PathologePub Date : 2022-03-01Epub Date: 2021-12-17DOI: 10.1007/s00292-021-01039-z
Piero Caneve, Christoph Fraune
{"title":"[Benign Müllerian-type epithelial inclusions in a lymph node of a patient with prostatic adenocarcinoma : Avoiding overdiagnosis of metastases].","authors":"Piero Caneve, Christoph Fraune","doi":"10.1007/s00292-021-01039-z","DOIUrl":"https://doi.org/10.1007/s00292-021-01039-z","url":null,"abstract":"","PeriodicalId":54641,"journal":{"name":"Pathologe","volume":"43 2","pages":"140-142"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39823156","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}
PathologePub Date : 2022-03-01Epub Date: 2021-06-22DOI: 10.1007/s00292-021-00954-5
Saskia Wilhelmy, Dominik Groß, Mathias Schmidt
{"title":"[The pathologist Hans Klein (1912-1984) : Autopsy of his role in the \"Third Reich\"].","authors":"Saskia Wilhelmy, Dominik Groß, Mathias Schmidt","doi":"10.1007/s00292-021-00954-5","DOIUrl":"https://doi.org/10.1007/s00292-021-00954-5","url":null,"abstract":"<p><p>The role of pathologist Hans Klein during the National Socialist era and his career in post-war Germany have hardly received systematic attention. During World War II, Hans Klein worked in two medical institutions, where he collaborated with individuals who were significantly involved in Nazi crimes. Klein's participation initially extended mainly to his work as an employed pathologist at the Rudolf Virchow Hospital in Berlin. There he was introduced to autopsy practices in the context of the children's euthanasia programme and autopsies of victims of medical experiments. Later, a shift in his activities is noticeable at the Hohenlychen Sanatorium. Klein's activities there increasingly involved independent research or voluntary collaboration in the projects of other scientists that were closely connected to the SS and experiments on human beings in concentration camps. He never had to face justice. His role was not further investigated by the Allies - probably due to his non-existent Nazi party and SS membership.</p>","PeriodicalId":54641,"journal":{"name":"Pathologe","volume":"43 2","pages":"143-153"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00292-021-00954-5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39098478","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}
PathologePub Date : 2022-03-01DOI: 10.1007/s00292-022-01054-8
{"title":"Mitteilungen des Bundesverbandes Deutscher Pathologen","authors":"","doi":"10.1007/s00292-022-01054-8","DOIUrl":"https://doi.org/10.1007/s00292-022-01054-8","url":null,"abstract":"","PeriodicalId":54641,"journal":{"name":"Pathologe","volume":"43 1","pages":"169-170"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46499254","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}