Frozen Section Library: Central Nervous System (eBook)

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2010 | 2011
XI, 152 Seiten
Springer New York (Verlag)
978-1-4419-7579-9 (ISBN)

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Frozen Section Library: Central Nervous System - Richard A. Prayson, Karl M. Napekoski
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Frozen section of Neuropathology-related cases is performed while the patient is undergoing surgery. Intraoperative consultation is used to help guide intraoperative management of the case and to ensure that adequate and appropriate tissue has been obtained for purposes of making an accurate final diagnosis. Frozen section diagnosis is often a highly demanding situation for the pathologist, who must render a diagnosis quickly and provide sound guidance and advice. In addition to the need for rapid recall of differential diagnoses, there are many pitfalls and artifacts that add to the risk of frozen section diagnosis that are not present with permanent sections of fully processed tissue that can be examined in a more leisurely fashion. Most standard pathology textbooks focus primarily on permanent section material and largely ignore the topic of frozen section. The purpose of this volume is to add to the Frozen Section Library series and provide a convenient, user friendly handbook to assist in the evaluation of central nervous system related frozen sections. It provides a useful reference, organized around differential diagnoses, primarily by location in the central nervous system. The text will be illustrated with color pictures and include tables as appropriate. This text provides a valuable tool for the practicing surgical pathologist both in community and in academic centers as well as pathology residents and fellows in training when confronted with Neuropathology frozen section.

Richard A. Prayson, MD, is at the Department of Anatomic Pathology, Cleveland Clinic, Cleveland, OH. Karl M. Napekoski, MD, is at the Department of Anatomic Pathology, Cleveland Clinic, Cleveland, OH.
Frozen section of Neuropathology-related cases is performed while the patient is undergoing surgery. Intraoperative consultation is used to help guide intraoperative management of the case and to ensure that adequate and appropriate tissue has been obtained for purposes of making an accurate final diagnosis. Frozen section diagnosis is often a highly demanding situation for the pathologist, who must render a diagnosis quickly and provide sound guidance and advice. In addition to the need for rapid recall of differential diagnoses, there are many pitfalls and artifacts that add to the risk of frozen section diagnosis that are not present with permanent sections of fully processed tissue that can be examined in a more leisurely fashion. Most standard pathology textbooks focus primarily on permanent section material and largely ignore the topic of frozen section. The purpose of this volume is to add to the Frozen Section Library series and provide a convenient, user friendly handbook to assist in the evaluation of central nervous system related frozen sections. It provides a useful reference, organized around differential diagnoses, primarily by location in the central nervous system. The text will be illustrated with color pictures and include tables as appropriate. This text provides a valuable tool for the practicing surgical pathologist both in community and in academic centers as well as pathology residents and fellows in training when confronted with Neuropathology frozen section.

Richard A. Prayson, MD, is at the Department of Anatomic Pathology, Cleveland Clinic, Cleveland, OH. Karl M. Napekoski, MD, is at the Department of Anatomic Pathology, Cleveland Clinic, Cleveland, OH.

Series Preface 6
Preface 8
Acknowledgments 10
Contents 12
Chapter 1: Introduction 14
UTILITY OF FROZEN SECTION IN THE EVALUATION OF NEUROPATHOLOGY CASES 14
FROZEN SECTION VERSUS SQUASH PREPARATIONS 17
Chapter 2: Where to Start 22
TISSUE HAS BEEN RECEIVED AND A FROZEN SECTION CONSULTATION REQUESTED. THEN WHAT? 22
WHERE AM I? 22
GLIOSIS OR SOMETHING MORE? 29
Chapter 3: Nonneoplastic Flags 32
FLAG 1: CHRONIC VASCULAR-BASED INFLAMMATION 32
FLAG 2: ACUTE INFLAMMATION 40
FLAG 3: GRANULOMATOUS INFLAMMATION 42
FLAG 4: MACROPHAGES 44
FLAG 5: THICKENED BLOOD VESSEL WALLS 49
FLAG 6: TOO MANY BLOOD VESSELS 50
FLAG 7: CYSTS 53
Chapter 4: Cerebral Parenchymal Lesions: I. Metastatic Neoplasms 57
Chapter 5: Cerebral Parenchymal Lesions: II. Primary Tumors 66
ASTROCYTOMAS 66
OLIGODENDROGLIOMAS 82
GLIONEURONAL TUMORS 85
OTHER TUMORS 88
Chapter 6: Dural-Based Tumors 90
THE Relatively GOOD 90
THE NOT SO GOOD 98
THE BAD 102
Chapter 7: Intraventricular Lesions 107
EPENDYMAL NEOPLASMS 107
CHOROID PLEXUS TUMORS 114
CENTRAL NEUROCYTOMA 116
OTHER TUMORS 118
Chapter 8: Cerebellar Lesions 121
IN KIDS 121
IN YOUNG ADULTS 126
IN OLDER ADULTS 130
Chapter 9: Pituitary Gland and Sellar Lesions 131
MOST TUMORS ARE ADENOMAS 131
BUT NOT ALL OF THEM 134
CRANIOPHARYNGIOMA 137
Chapter 10: Pineal Gland Lesions 140
GERMINOMAS AND GERM CELL TUMORS 140
EVERYTHING ELSE 141
Chapter 11: Spinal Cord Lesions 147
INTRAMEDULLARY 147
INTRADURAL, EXTRAMEDULLARY 148
EXTRADURAL 150
Suggested Readings 152
Index 154

Erscheint lt. Verlag 12.11.2010
Reihe/Serie Frozen Section Library
Frozen Section Library
Mitarbeit Herausgeber (Serie): Philip T. Cagle
Zusatzinfo XI, 152 p. 168 illus. in color.
Verlagsort New York
Sprache englisch
Themenwelt Medizin / Pharmazie Allgemeines / Lexika
Medizin / Pharmazie Medizinische Fachgebiete Neurologie
Studium 2. Studienabschnitt (Klinik) Pathologie
ISBN-10 1-4419-7579-9 / 1441975799
ISBN-13 978-1-4419-7579-9 / 9781441975799
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