Ditzels
This article collects ditzels, which are, in the context of pathology, little specimens that are typically one or two slides and usually of little interest.[1]
Ditzels
Gastrointestinal
Neuropathology
- Vertebral disc - see spine.
Pediatric
- Bands of Ladd.
- Cholesteatoma.
Orthopaedic
Gastrointestinal
Hernia sac
General
- Hernia repair.
- Pathologic findings are very usual and if present known to the surgeon.
Microscopic
Features:
- Fibrous tissue.
- +/-Adipose tissue.
- +/-Mesothelial cells.
Notes:
- One should not see vas deferens.
- Things worthy of some comment: granulation tissue, inflammation.
Stoma
- See: Colon and Small intestine.
General
- Reversal of ileostomy or colostomy.
Microscopic
Features:
- Colonic-type or small intestinal-type bowel wall.
- Lymphoid hyperplasia (abundant lymphocytes) - very common.
- +/-Fibromuscular hyperplasia of the lamina propria and submucosa.
- Skin.
Notes:
- One is looking for malignancy (e.g. colorectal carcinoma), especially if that is in the history.
Pediatric
Bands of Ladd
General
- Associated with intestinal malrotation.
- Removed by Ladd's procedure.
Microscopic
Features:
- Benign fibrous tissue.
Cholesteatoma
General
- Squamous epithelium in the middle ear - leading to accumulation of keratinaceous debris.[4]
Microscopic
Features:[7]
- Keratinaceous debris - key feature.
- Squamous epithelium.
- Macrophages +/- giant cell (containing keratinceous debris).
- Chronic inflammation (lymphocytes).
Genitourinary pathology
Foreskin
Main article: Penis
General
Indications:
- Phimosis.
Main considerations:
- Squamous cell carcinoma.
- Lichen sclerosus, AKA balanitis xerotica obliterans.
- Lichen planus.
- Infection, e.g. syphilis.
Microscopic
Features:
- Usu. fibrotic dermis.
- +/-Inflammation.
DDx:
- See Penis.
See also
References
- ↑ Weedman Molavi, Diana (2008). The Practice of Surgical Pathology: A Beginner's Guide to the Diagnostic Process (1st ed.). Springer. pp. 37. ISBN 978-0387744858.
- ↑ Siddiqui K, Nazir Z, Ali SS, Pervaiz S (February 2004). "Is routine histological evaluation of pediatric hernial sac necessary?". Pediatr. Surg. Int. 20 (2): 133–5. doi:10.1007/s00383-003-1106-2. PMID 14986035.
- ↑ Partrick DA, Bensard DD, Karrer FM, Ruyle SZ (July 1998). "Is routine pathological evaluation of pediatric hernia sacs justified?". J. Pediatr. Surg. 33 (7): 1090–2; discussion 1093–4. PMID 9694100.
- ↑ URL: http://www.harrisonspractice.com/practice/ub/view/Harrisons%20Practice/141015/all/otitis_media_and_mastoiditis. Accessed on: 16 March 2011.
- ↑ Piepergerdes MC, Kramer BM, Behnke EE (March 1980). "Keratosis obturans and external auditory canal cholesteatoma". Laryngoscope 90 (3): 383–91. PMID 7359960.
- ↑ Shire JR, Donegan JO (September 1986). "Cholesteatoma of the external auditory canal and keratosis obturans". Am J Otol 7 (5): 361–4. PMID 3538893.
- ↑ Iino Y, Toriyama M, Ohmi S, Kanegasaki S (1990). "Activation of peritoneal macrophages with human cholesteatoma debris and alpha-keratin". Acta Otolaryngol. 109 (5-6): 444–9. PMID 1694387.