Histopathology Flashcards

1
Q

What is histopathology?

A
  • Study of tissues
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2
Q

What are the indications for histopathology?

A
  • Can provide definitive diagnosis for neoplasia, immune-mediated diseases, degeneration, fibrosis and infections
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3
Q

What are the risks of histopathology?

A
  • Usually require GA
  • Risk of spreading cancer
  • For mast cell tumours, risk of degranulation leading to pruritic around tumour, gastric ulcerations and even anaphylaxis
  • Problems with haemostasis/healing
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4
Q

What are the 2 types of biopsies?

A
  • Excisional: remove whole area including margins
  • Incisional: remove part of mass, ideally including margins
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5
Q

What is the advantage of excisional biopsy?

A
  • Only one GA for patient, so less cost for owner
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6
Q

What is the disadvantage of excisional biopsy?

A
  • Don’t know much margin to take; if not enough will have to do it again and if too much will cause tissue loss and scarring
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7
Q

What is the advantage of incisional biopsy?

A
  • Can determine type of tumour and its behaviour which allows planning for future excision
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8
Q

What is the disadvantage for incisional biopsy?

A
  • Two procedures, so more costly
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9
Q

What are the 2 types of biopsy regarding approach?

A
  • Open biopsy: can visualise whole organ
  • Percutaenous: using needle through the skin and ultrasound guidance and less invasive
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10
Q

What are the 4 types of biopsy regarding instrument?

A
  • Surgical
  • Punch biopsy
  • Needle biopsy
  • Endoscopic biopsy
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11
Q

How are samples stored?

A
  • In formalin
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12
Q

What is the grade of the tumour?

A
  • Abnomal cell appearance, number of mitotic cells and invading local tissue
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13
Q

What is the stage of the tumour?

A
  • Extent to which the tumour has spread in the body so locally, to lymph nodes or other organs
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14
Q

What is stage 1?

A
  • Small and contained within primary organ
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15
Q

What is stage 2?

A
  • Large, contained within primary organ
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16
Q

What is stage 3?

A
  • Local spread, including nearby lymph nodes
17
Q

What is stage 4?

A
  • Metastatic spread e.g., liver, lung and bone
18
Q

What is the TMN tumour stage system?

A
  • T (tumour): size of tumour and how far it has spread into nearby tissues (1-4)
  • N (nodes): spread to the lymph nodes (1-3)
  • M (metastasis): spread to other organs (0-1)