Gonzalez, Raul S
Published in
Surgical pathology clinics
The latest WHO classification cleanly divides gastrointestinal neuroendocrine neoplasms into neuroendocrine tumor (NET; well-differentiated, any grade) and neuroendocrine carcinoma (NEC; poorly differentiated, high-grade by definition), along with mixed neuroendocrine-non-neuroendocrine neoplasms. NECs are always aggressive, with multiple mutations...
Furth, Emma Elizabeth
Published in
Surgical pathology clinics
The proper handling of the gross specimen is imperative, as it is the most important first step in providing excellent patient care. Our diagnoses depend on the correct description and submission of tissue sections for histologic analysis. A logical and problem-solving approach to handling the gross specimen is presented. Copyright © 2020 Elsevier ...
Vos, Shoko van der Post, Rachel S Brosens, Lodewijk A A
Published in
Surgical pathology clinics
This review provides an overview of different types of gastric epithelial polyps. The polyps are classified based on their cell or epithelial compartment of origin. Some of these polyps can be considered reactive or nonneoplastic, whereas others are neoplastic in origin, are sometimes associated with a hereditary polyposis/cancer syndrome, and may ...
Dashti, Nooshin K Shi, Chanjuan
Published in
Surgical pathology clinics
Mesenteric diseases are broadly separated into 2 groups: non-neoplastic and neoplastic. Common non-neoplastic mesenteric diseases include those involving the mesenteric vasculature and those of inflammatory processes. Mesenteric inflammatory processes can mimic a neoplastic process. Neoplastic diseases of the mesentery are rare. Generally, the morp...
Johncilla, Melanie Yantiss, Rhonda K
Published in
Surgical pathology clinics
Although tumor stage has a profound influence on prognosis, several histologic features are also important. These parameters predict biological behavior and can be used by clinicians to determine whether patients are at high risk for disease progression and, thus, are candidates for adjuvant therapy, particularly when they have localized (ie, stage...
Gonzalez, Raul S
Published in
Surgical pathology clinics
Whitney-Miller, Christa L
Published in
Surgical pathology clinics
Subspecialty sign-out is increasingly common in academic medical centers as well as some community practices. Reducing interobserver variability in anatomic pathology is desirable so that clinicians can select the appropriate therapy. Many departments that elect subspecialty sign-out do so with the assumption that it will improve diagnostic accurac...
Xue, Yue Reid, Michelle D
Published in
Surgical pathology clinics
The ampulla of Vater gives rise to a versatile group of cancers of mixed/hybrid histologic phenotype. Ampullary carcinomas (ACs) are most frequently intestinal or pancreatobiliary adenocarcinomas but other subtypes, such as medullary, mucinous, or signet ring/poorly cohesive cell carcinoma, may be encountered. Ampullary cancer can also be subclassi...
Shih, Angela R Zukerberg, Lawrence
Published in
Surgical pathology clinics
Anal lesions are commonly mistaken clinically for prolapse or hemorrhoids but span a wide spectrum of disorders. Anal lesions include squamous, glandular, melanocytic, infectious, and lymphoid tumors. This article provides a broad overview of anal disorders and highlights specific issues that may hinder diagnosis. Copyright © 2020 Elsevier Inc. All...
Nowak, Jonathan A
Published in
Surgical pathology clinics
HER2 (ERBB2) is a member of the ERBB family of receptor tyrosine kinases and functions to drive signaling in the RAS/RAF/MEK/ERK and PI3K/AKT/mTOR pathways. Overall, approximately 2-3% of CRCs exhibit ERBB2 amplification. Multiple phase II clinical trials have now shown that ERBB2 amplification can be predictive of response to anti-ERBB2 targeted t...