Arkhiv patologii最新文献

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[Morphological aspects of diaphragm dysfunction in COVID-19-associated pneumonia]. [covid -19相关性肺炎膈膜功能障碍的形态学方面]。
Arkhiv patologii Pub Date : 2023-01-01 DOI: 10.17116/patol20238503119
A Yu Yakovlev, A A Pevnev, V O Nikolskiy, A Yu Smorkalov, V N Maksimychev
{"title":"[Morphological aspects of diaphragm dysfunction in COVID-19-associated pneumonia].","authors":"A Yu Yakovlev,&nbsp;A A Pevnev,&nbsp;V O Nikolskiy,&nbsp;A Yu Smorkalov,&nbsp;V N Maksimychev","doi":"10.17116/patol20238503119","DOIUrl":"https://doi.org/10.17116/patol20238503119","url":null,"abstract":"<p><strong>Objective: </strong>To assess morphological changes in the diaphragm and phrenic nerve in patients who died from COVID-19.</p><p><strong>Material and methods: </strong>In a case-control study, an analysis was made of autopsy material of the diaphragm and phrenic nerve of those who died from COVID-19 infection complicated by SARS-CoV-2-associated pneumonia, confirmed in vivo by the presence of SARS-CoV-2 RNA (Group 1, <i>n</i>=12), and those who died with a diagnosis of acute cerebrovascular accident of the ischemic type without parenchymal respiratory failure (Group 2, <i>n</i>=3).</p><p><strong>Results: </strong>The main histopathological features in the diaphragm of the 1st group were the edema of the pericellular spaces of muscle fibers, edema of perivascular spaces, diapedese hemorrhages, plethora in arteriolas, in most veins and capillaries, red blood clots were revealed; in the diaphragmatic nerve - swelling of the perineral space, severe edema around the nerve fibers inside the nerve trunk. In the diaphragm of group 2, edema of pericellular spaces of muscle fibers and edema of perivascular spaces were less pronounced (<i>p</i><0.001), hemorrhages were not determined; in the diaphragmatic nerve, moderate edema of the perineral space, mild swelling inside the nerve trunk around the nerve fibers was revealed (<i>p</i><0.001). The glycogen content in the muscle cells of group 1 is significantly lower compared to group 2 (<i>p</i><0.001).</p><p><strong>Conclusion: </strong>The study confirms the characteristic pathological picture of organ damage in COVID-19. However, the leading pathological mechanism of organ damage requires further investigation.</p>","PeriodicalId":8548,"journal":{"name":"Arkhiv patologii","volume":"85 3","pages":"19-22"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9577859","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}
引用次数: 0
[Microglandular adenosis of the breast]. [乳腺微腺性腺病]。
Arkhiv patologii Pub Date : 2023-01-01 DOI: 10.17116/patol20238502140
V I Nikitina, V A Khorzhevskii, I V Vershinin, S V Gappoev, E V Alymova, L G Levkovich
{"title":"[Microglandular adenosis of the breast].","authors":"V I Nikitina,&nbsp;V A Khorzhevskii,&nbsp;I V Vershinin,&nbsp;S V Gappoev,&nbsp;E V Alymova,&nbsp;L G Levkovich","doi":"10.17116/patol20238502140","DOIUrl":"https://doi.org/10.17116/patol20238502140","url":null,"abstract":"<p><p>The presented case describes the difficulties of diagnosis of the breast microglandular adenosis (MGA), taken by clinicians for a malignant process due to the nature of growth and large size. Criteria for histological and immunohistochemical diagnosis and differentiation of MGA with malignant neoplasms, in particular, with tubular breast carcinoma, are presented. Taking into account the rarity of the pathology and the absence of described cases in the Russian-language literature, the observation is of interest to pathologists and clinicians.</p>","PeriodicalId":8548,"journal":{"name":"Arkhiv patologii","volume":"85 2","pages":"40-43"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9679030","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}
引用次数: 0
[Adrenocortical carcinoma: modern concepts of morphological diagnosis and classification]. 肾上腺皮质癌:形态学诊断和分类的现代概念。
Arkhiv patologii Pub Date : 2023-01-01 DOI: 10.17116/patol20238504132
L S Urusova, I S Kletskaya, E E Porubayeva, D G Beltsevich
{"title":"[Adrenocortical carcinoma: modern concepts of morphological diagnosis and classification].","authors":"L S Urusova,&nbsp;I S Kletskaya,&nbsp;E E Porubayeva,&nbsp;D G Beltsevich","doi":"10.17116/patol20238504132","DOIUrl":"https://doi.org/10.17116/patol20238504132","url":null,"abstract":"<p><p>In 2022, the 5th edition of the of the WHO Classification of Tumours of Endocrine Organs was published, which outlines the current understanding of adrenocortical cancer (ACC), resulting from interdisciplinary research over the past decade. This article highlights the new provisions of the WHO classification for the morphological diagnosis of ACC.</p>","PeriodicalId":8548,"journal":{"name":"Arkhiv patologii","volume":"85 4","pages":"32-38"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10283689","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}
引用次数: 0
[Vaginal leiomyosarcoma in pregnancy]. 【妊娠期阴道平滑肌肉瘤】
Arkhiv patologii Pub Date : 2023-01-01 DOI: 10.17116/patol20238504154
I V Barinova, S N Buyanova, T A Glebov, N V Yudina, A A Aksyonova, O V Girya
{"title":"[Vaginal leiomyosarcoma in pregnancy].","authors":"I V Barinova,&nbsp;S N Buyanova,&nbsp;T A Glebov,&nbsp;N V Yudina,&nbsp;A A Aksyonova,&nbsp;O V Girya","doi":"10.17116/patol20238504154","DOIUrl":"https://doi.org/10.17116/patol20238504154","url":null,"abstract":"<p><p>The article presents a rare clinical observation of a vaginal tumor detected during pregnancy, which prevented delivery through the natural birth canal and caused a cesarean section at full term. According to the primary biopsy at 34 weeks, neurofibroma was diagnosed. In the postpartum period, due to profuse bloody discharge, the patient was admitted to the Moscow Regional Research Institute of Obstetrics and Gynecology for surgical treatment, where, according to the results of a morphological study of the removed tumor, vaginal leiomyosarcoma was diagnosed.</p>","PeriodicalId":8548,"journal":{"name":"Arkhiv patologii","volume":"85 4","pages":"54-58"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10283691","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}
引用次数: 0
[Undifferentiated pancreatic carcinoma with osteoclast-like giant cells]. [带有破骨细胞样巨细胞的未分化胰腺癌]。
Arkhiv patologii Pub Date : 2023-01-01 DOI: 10.17116/patol20238501162
A Yu Shamanova, D M Rostovtsev, A V Privalov, L V Yarina, K S Aristarkhova, G V Sychugov, I V Vasil'kova, A S Artem'eva, V V Saevets, E A Alymov
{"title":"[Undifferentiated pancreatic carcinoma with osteoclast-like giant cells].","authors":"A Yu Shamanova, D M Rostovtsev, A V Privalov, L V Yarina, K S Aristarkhova, G V Sychugov, I V Vasil'kova, A S Artem'eva, V V Saevets, E A Alymov","doi":"10.17116/patol20238501162","DOIUrl":"10.17116/patol20238501162","url":null,"abstract":"<p><p>In the structure of malignant oncological diseases of the Russian population, pancreatic cancer (PCa) occupies the 10th place with a high mortality rate in case of late diagnosis, which is primarily due to the minimal clinical manifestations of this pathology and the absence of precancer as a potential substrate for screening. Undifferentiated pancreatic carcinoma with osteoclast-like giant cell (UC-OGC) is a rare histological variant of PCa with discussed bidirectional histogenesis (epithelial and mesenchymal), epithelial-mesenchymal transition in the tumor and variable prognosis depending on the predominant cellular component. A review of the literature reflecting debatable issues of origin, clinical and pathological characteristics and prognosis of UC-OGC, as well as a description of a clinical case is relevant due to the rare occurrence of this tumor in the routine work of pathologists and oncologists.</p>","PeriodicalId":8548,"journal":{"name":"Arkhiv patologii","volume":"85 1","pages":"62-69"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10713054","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}
引用次数: 0
[Small cell neuroendocrine carcinoma of the endometrium]. [子宫内膜小细胞神经内分泌癌]。
Arkhiv patologii Pub Date : 2023-01-01 DOI: 10.17116/patol20238504159
G A Demyashkin, R F Zibirov, A A Lugovskoi, A A Sigorskaia, I A Stoliarov
{"title":"[Small cell neuroendocrine carcinoma of the endometrium].","authors":"G A Demyashkin,&nbsp;R F Zibirov,&nbsp;A A Lugovskoi,&nbsp;A A Sigorskaia,&nbsp;I A Stoliarov","doi":"10.17116/patol20238504159","DOIUrl":"https://doi.org/10.17116/patol20238504159","url":null,"abstract":"<p><p>The article describes a rare case of small cell neuroendocrine carcinoma of the endometrium in a 67-year-old woman. According to the literature, only about 90 such observations have been described worldwide. Histological examination revealed three necessary features: the small-cell nature of the tumor, the presence of epithelial and neuroendocrine markers. An IHC study revealed a positive expression of Syn, Chrom A, CD56, CK AE1/AE3 markers; the proliferative activity index was 70%.</p>","PeriodicalId":8548,"journal":{"name":"Arkhiv patologii","volume":"85 4","pages":"59-64"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9981220","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}
引用次数: 0
[Verification of the diagnosis of supratentorial ependymomas by real-time PCR]. [实时荧光定量PCR诊断幕上室管膜瘤的验证]。
Arkhiv patologii Pub Date : 2023-01-01 DOI: 10.17116/patol2023850315
S A Galstyan, E N Telysheva, A O Lavrinovich, E G Shaikhaev, G P Snigireva, E I Petrova, S K Gorelyshev, O G Zheludkova, Y V Kushel, E V Kumirova, M V Ryzhova
{"title":"[Verification of the diagnosis of supratentorial ependymomas by real-time PCR].","authors":"S A Galstyan,&nbsp;E N Telysheva,&nbsp;A O Lavrinovich,&nbsp;E G Shaikhaev,&nbsp;G P Snigireva,&nbsp;E I Petrova,&nbsp;S K Gorelyshev,&nbsp;O G Zheludkova,&nbsp;Y V Kushel,&nbsp;E V Kumirova,&nbsp;M V Ryzhova","doi":"10.17116/patol2023850315","DOIUrl":"https://doi.org/10.17116/patol2023850315","url":null,"abstract":"<p><strong>Background: </strong>Differential diagnosis of supratentorial ependymomas is of particular difficulty in neurooncology due to nonspecific clinical and radiographic findings, a rare seen «classic» morphological picture, and a nonspecific immunophenotype. Thanks to molecular genetic methods, in particular real-time PCR, it has become possible to verify supratentorial ependymomas and identify their molecular group, on which further prognosis depends.</p><p><strong>Objective: </strong>To develop a set of molecular genetic tests based on real-time PCR to verify supratentorial ependymomas.</p><p><strong>Material and methods: </strong>56 tissue samples were collected from patients with supratentorial ependymomas, WHO Grade II, and anaplastic ependymomas, WHO Grade III. We developed primers and fluorescent TaqMan probes for real-time PCR analysis to detect the <i>ZFTA::RELA</i>, <i>ZFTA::MAML2</i>, <i>ZFTA::NCOA2</i>, <i>ZFTA::MAML3, YAP1::MAMLD1</i>, and <i>YAP1::FAM118B</i> gene fusions. For immunohistochemical analysis, monoclonal rabbit anti-NF-kb p65 antibodies (HUABIO, China) were used, the study was carried out on AutostainerLink 48 immunostainer (DAKO, Denmark).</p><p><strong>Results: </strong>Real-time PCR was able to verify the diagnosis for 69.9% (<i>n</i>=39) of samples and classify them into molecular groups of ZFTA- or YAP1-positive supratentorial ependymomas. Immunohistochemically it was possible to verify 58% (<i>n</i>=29) ependymomas.</p><p><strong>Conclusion: </strong>Diagnosis by real-time PCR is a relatively fast, accessible and easily interpreted method that allows verification of the molecular group in 70% of cases of supratentorial ependymomas without the use of additional methods.</p>","PeriodicalId":8548,"journal":{"name":"Arkhiv patologii","volume":"85 3","pages":"5-11"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9577857","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}
引用次数: 0
[Angiomyolipoma of the liver]. [肝脏血管平滑肌脂肪瘤]
Arkhiv patologii Pub Date : 2023-01-01 DOI: 10.17116/patol20238501170
G A Demyashkin, R F Zibirov, O A Anurova, S R Kozaeva, M I Yeronova
{"title":"[Angiomyolipoma of the liver].","authors":"G A Demyashkin,&nbsp;R F Zibirov,&nbsp;O A Anurova,&nbsp;S R Kozaeva,&nbsp;M I Yeronova","doi":"10.17116/patol20238501170","DOIUrl":"https://doi.org/10.17116/patol20238501170","url":null,"abstract":"<p><p>Angiomyolipoma of the liver is an extremely rare neoplasm, the number of reported cases of this disease is only about 600 worldwide. Morphological criteria for neoplasm verification present difficulties due to low occurrence and complexity of differential diagnostic search. In this regard, this observation is of interest to pathologists and physicians. A special feature of this tumor is the presence of three components: adipose, vascular and muscular with characteristic epithelioid cells. The article presents the clinical and morphological characteristics of liver angiomyolipoma in a 40-year-old woman. The diagnosis was confirmed by immunohistochemical study: a positive reaction with HMB45, Melan A, SMA, desmin, CD31, CD34; proliferative index was more than 25%.</p>","PeriodicalId":8548,"journal":{"name":"Arkhiv patologii","volume":"85 1","pages":"70-73"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10713055","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}
引用次数: 1
[Alveolar rhabdomyosarcoma: novel surrogate markers associated with oncogenic translocation]. [肺泡横纹肌肉瘤:与致癌易位相关的新替代标志物]。
Arkhiv patologii Pub Date : 2023-01-01 DOI: 10.17116/patol20238501110
A V Tarakanova, A S Sharlay, D M Konovalov
{"title":"[Alveolar rhabdomyosarcoma: novel surrogate markers associated with oncogenic translocation].","authors":"A V Tarakanova,&nbsp;A S Sharlay,&nbsp;D M Konovalov","doi":"10.17116/patol20238501110","DOIUrl":"https://doi.org/10.17116/patol20238501110","url":null,"abstract":"<p><strong>Background: </strong>Anomalies of the <i>FOXO1</i> gene in alveolar rhabdomyosarcoma are associated with a worse clinical prognosis, which determines the high value of studying the status of this gene when choosing a therapy strategy. The «gold standard» for determining <i>FOXO1</i> gene rearrangements is currently the fluorescent in situ hybridization (FISH) technique.</p><p><strong>Objective: </strong>Study of the relationship between canonical <i>FOXO1</i> translocation and immunohistochemical expression of new surrogate markers in alveolar rhabdomyosarcoma to determine their predictive value.</p><p><strong>Material and methods: </strong>139 cases of rhabdomyosarcoma were retrospectively studied. The study used tissue matrix technology (TMA). On sections obtained from TMA blocks, the FISH technique was implemented using the locus-specific probe MetaSystems XL FOXO1 Break Apart (Metasystems, Germany). Immunohistochemical studies were performed on similar sections from TMA blocks with OLIG2 (Cell Marque Antibodies, clone 211F1.1) and MUC4 (Cell Marque Antibodies, clone 8G7) antibodies.</p><p><strong>Results: </strong>The final expression analysis and statistical processing using a 2x2 contingency table and Fisher's exact test passed 111 cases (76 without <i>FOXO1</i> rearrangement and 35 with rearrangement). The specificity of OLIG2 and MUC4 expression for FOXO1-rearranged alveolar rhabdomyosarcoma was 85.53% and 80.26%, respectively (<i>p</i><0.01).</p><p><strong>Conclusion: </strong>The present study confirms the high predictive value of the expression of surrogate markers OLIG2 and MUC4 in determining the genetic status of alveolar rhabdomyosarcoma, which makes it possible to predict with high specificity the detection of the <i>FOXO1</i> gene rearrangement.</p>","PeriodicalId":8548,"journal":{"name":"Arkhiv patologii","volume":"85 1","pages":"10-15"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10721786","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}
引用次数: 0
[WHO classification of tumors of hematopoietic and lymphoid tissues, 2022 (5th edition): lymphoid tumors]. [WHO造血和淋巴组织肿瘤分类,2022(第5版):淋巴肿瘤]。
Arkhiv patologii Pub Date : 2023-01-01 DOI: 10.17116/patol20238504124
D V Baram, Z P Asaulenko, I N Spiridonov, Yu A Krivolapov
{"title":"[WHO classification of tumors of hematopoietic and lymphoid tissues, 2022 (5th edition): lymphoid tumors].","authors":"D V Baram,&nbsp;Z P Asaulenko,&nbsp;I N Spiridonov,&nbsp;Yu A Krivolapov","doi":"10.17116/patol20238504124","DOIUrl":"https://doi.org/10.17116/patol20238504124","url":null,"abstract":"<p><p>The paper discusses changes in the structure of the classification, criteria for the diagnosis of lymphoid neoplasms in the 5th edition of the WHO Classification of Tumors of Hematopoietic and Lymphoid Tissues (2022). Changes are presented regarding new nosological units, renaming and abolition of some previously existing ones. The importance of molecular genetic studies in the isolation of many lymphomas and the need to apply these studies in everyday clinical practice are emphasized. Lymphoid precancerous processes and lymphoid proliferations introduced into the Classification for the first time are considered.</p>","PeriodicalId":8548,"journal":{"name":"Arkhiv patologii","volume":"85 4","pages":"24-31"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9926795","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}
引用次数: 0
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