In this volume Dr Hui has brought together a comprehensive overview of gestational trophoblastic disease that includes all the currently recognized entities: complete and partial hydatidiform moles, placental site trophoblastic tumor, epithelioid trophoblastic tumor, gestational choriocarcinoma, persistent gestational trophoblastic neoplasia, placental site nodule and exaggerated placental site reaction. Each entity is reviewed in detail, with emphasis on genetic background, clinical presentation, pathologic findings and ancillary studies, differential diagnosis and clinicopathological correlations. Descriptions of the pathology are supported by numerous excellent photomicrographs. Recent advances in our understanding of the genetics of gestational trophoblastic diseases are stressed. Introductory chapters cover the developmental biology of the placenta and the genetic basis of gestational trophoblastic disease, and one chapter is devoted to the molecular diagnosis of gestational trophoblastic disease. This chapter includes a review of the use of short tandem repeat (STR) genotyping which is of particular value in the diagnosis of hydatidiform moles. The final chapter covers clinical aspects of gestational trophoblastic disease, including treatment. The text throughout is current and thoroughly referenced. This book will be of great value to pathologists, community gynecologists, gynecological pathologists and medical students.

Fatty acids play an important role in the barrier function of skin and represent a major source of proinflammatory mediators such as prostaglandins, leukotrienes and other lipids in inflammatory skin disorders. This book combines the two major functions of fatty acids in skin biology. In the first part the biosynthesis of fatty acids in skin with its role in barrier function as well as the role of dietary fatty acids on skin cell function and in the treatment of inflammatory skin diseases is presented. The second part deals with skin as a source of proinflammatory eicosanoids, especially with the keratinocyte as a major cellular source. Metabolism of eicosanoids in skin, its role in psoriasis and atopic dermatitis as well as pharmacological inhibition of eicosanoid biosynthesis is reviewed. The book finishes with a chapter describing the methods used for quantification of fatty acids and derivatives in skin inflammation. Anyone interested in skin physiology would benefit from the overviews about the two sites of fatty acids' function in skin integrity and in skin inflammation.

Many new antileukotriene drugs are now marketed as antiasthma drugs and represent the first new drugs in this field since the 1970s. This book covers the steps that have led to the discovery and development of these new drugs and offers detailed descriptions of their clinical applications. The review chapters on the main aspects of basic and applied leukotriene research are written by leading specialists in the field, and the volume takes a new approach in presenting information of particular interest to both scientists and clinicians in the fields of asthma, inflammation and allergic diseases.

Purpose of In vivo Models of Inflammation is to provide the biomedical researcher in both the pharmaceutical industry and academia with a description of the state of the art animal model systems used to emulate diseases with components of inflammation. The aim of this second edition is to act as a complement to the first by describing and updating the standard models that are most utilized for specific disease areas. In addition, this 2nd edition includes new models exploring emerging areas of inflammation research.

It provides detailed descriptions of the methodologies and uses of the most significant models. This includes current information regarding agents that demonstrate efficacy, those that do not and those that can be used as standard controls. The focus remains on those models that serve as pre-clinical correlates to human disease as well as those that represent components of the inflammatory response.

New approaches to the development of future models in selected therapeutic areas have been highlighted. The focus on novel technologies that are vital for innovative in vivo research has also been expanded to include chapters on the use of transgenic and gene transfer technologies, nanotechnology, and stem cells.

The book provides the scientist with an up-to-date reference manual for selecting the best animal model for their specific question. Chapters describing current regulations in the United States, United Kingdom, and Japan are also included.

Intraoperative Frozen Sections presents diagnostic challenges involved in the evaluation in the pathology lab of specimens obtained during surgery through the case experience of expert pathologists. Sixty three problems cover the wide range of approximately of problems encountered in intraoperative consultations. Each presentation provides the case information as presented to the consultant, the evaluation and analysis of the specimen, discussion of the results and teaching points observed in the case, and an overall comment providing additional context for the diagnostic problem that has been presented. This problem-oriented format makes the book a superb reference resource for the working diagnostician and an ideal teaching tool for the resident or fellow. Coverage includes paediatric specimens and there is a section describing recognition of artifacts. Each case presentation is supported by several high-quality colour photomicrographs with detailed explanations of each image, including images of the permanent sections and immunostains where applicable. Features of Intraoperative Frozen Sections Include: Cases outline expert approach to diagnostic problems and technical issues most likely to be encountered in frozen section analysis. Coverage includes pediatric specimens and recognition of artifacts. Special emphasis on difficult problems and avoiding diagnostic pitfalls. Provides common differential diagnoses for specific lesions seen in frozen section analysis (e.g. mimics of renal neoplasia). Nearly 500 high-quality colour photomicrographs and detailed discussions of diagnostic features of each image.

Highly illustrated and conveniently templated for quick reference, Atlas of Liver Pathology, 4th Edition, is a useful Atlas and text for every practicing pathologist or trainee who assesses liver biopsy specimens. From cover to cover, it contains all the information needed to identify histologic features and correlate them with clinical findings, offering a clearer understanding of the clinical implications of the disease as it relates to treatment. More than 1,200 high-quality, full-color images and illustrations provide you with a complete visual guide to the vast majority of liver diseases and assist in the diagnoses of biopsy and resected liver specimens. Provides clear, templated information for each disease: Major Morphologic Features; Special Stains; Differential Diagnoses; Clinical and Biologic Behavior; and Treatment and Prognosis.  Incorporates relevant data from ancillary techniques (immunohistochemistry, cytology, cytogenetics and molecular genetics), giving you the necessary tools required to master the latest breakthroughs in diagnostic technology.  Incorporates the latest diagnostic biomarkers and their utility in differential diagnoses, newly described variants, and new histologic entities.  Contains two new chapters on liver biopsy interpretation and autoimmune hepatitis.  Features concise, bulleted text and abundant tables that cover common as well as rare diseases, differential diagnoses, and more.  An eBook version is included with purchase. The eBook allows you to access all of the text, tables, figures and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud. 

How early studies of inflammation led to our current views on the roles of vascular adhesion molecules.- Adhesion of leukocytes from flow: The selectins and their ligands.- Co-operative signaling between leukocytes and endothelium mediating firm attachment.- Production and presentation of chemokines by endothelial cells.- Platelet-activating factor: A signaling molecule for leukocyte adhesion.- Tight junctions and adherens junctions in endothelial cells: Structure and regulation.- The role of PECAM in leukocyte emigration.- Selective lymphocyte migration into secondary lymphoid rrgans and inflamed tissues.- Oxidation-reduction sensitive regulation of vascular inflammatory gene expression.- Quantification and imaging of vascular adhesion molecule expression in inflammatory diseases in vivo.- Leukocyte adhesion and activation in xenografts.- Control of leukocyte adhesion and activation in ischemia-reperfusion injury.- Control of leukocyte adhesion and activation in atherogenesis.

Comprehensive, concise, and superbly illustrated, Weedon's Skin Pathology Essentials, 3rd Edition, provides expert, easy-to-read guidance on key diagnoses in dermatopathology for pathologists and dermatologists in practice and training. This clearly written, well-structured text/atlas is ideal for quickly looking up practical problems in the recognition and diagnosis of skin lesions both clinically and histologically. Cross-referenced to the encyclopedic and authoritative Weedon's Skin Pathology, 5th Edition, it enables you to avoid pitfalls and make the most accurate diagnoses with confidence. Covers more than 1,300 dermatopathological entities, both common and rare, including additional entries in every section of the text. Provides more than 3,000 color histopathologic and clinical images for complete visual coverage of key diagnostic points for any given entity, and features new illustrations of rare conditions and unusual manifestations. Includes numerous summary tables and diagnostic algorithms that guide you to the most likely diagnosis and set of differential diagnoses for numerous inflammatory and neoplastic skin conditions. Discusses the latest immunohistochemical staining techniques and molecular genetic techniques. Uses a highly templated, bulleted, outline format throughout, facilitating quick and easy retrieval of key information. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

Written and edited by an international team of renowned authorities, MacSween's Pathology of the Liver, 8th Edition, remains the field's definitive reference on liver pathology. This must-have text is ideal for surgical pathologists in practice and in training who examine liver specimens on a day-to-day basis. It provides invaluable assistance in recognizing the huge variety of appearances of the liver that result from infections, tumors, and tumor-like lesions, as well as organ damage caused by drugs and toxins. With expert, comprehensive coverage of all malignant and benign hepatobiliary disorders, MacSween's is a convenient, one-stop resource for use in the reporting room as well as in personal study. Shares the knowledge and experience of a "who's who" list of experts in the field of hepatobiliary pathology, led by editors Alastair D. Burt, Linda D. Ferrell, and Stefan G. Hubscher. Features more than 1,000 high-quality, full color illustrations, providing a complete visual guide to each tumor or tumor-like lesion. Discusses advances in molecular diagnostic testing, its capabilities, and its limitations, including targeted/personalized medicine. Incorporates the latest TNM staging and WHO classification systems, as well as new diagnostic biomarkers and their utility in differential diagnosis, newly described variants, and new histologic entities. Includes relevant data from ancillary techniques (immunohistochemistry, cytogenetics, and molecular genetics), giving you the necessary tools required to master the latest breakthroughs in diagnostic technology. Provides you with all of the necessary diagnostic tools to make a complete and accurate pathologic report, including clinicopathologic background throughout. Directs you to the most recent and authoritative sources for further reading with a comprehensive reference list that highlights key articles and up-to-date citations. An eBook version is included with purchase. The eBook allows you to access all of the text, figures and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud.

Written by nearly 60 of the world's leading investigators in this rapidly expanding field, this state-of-the-art reference furnishes detailed presentations on the basic science and clinical aspects of cilia, mucus, and mucociliary interactions. Providing stimulating coverage of the latest information in a single source, Cilia, Mucus, and Mucociliary Interactions -discusses the genetic determinants of mucociliary system structure and function -explains ciliary wave activity in cell-cell communication -elucidates many of the key physiological processes in ciliary regulation -reveals possible means of treating irregularities in mucus secretion and clearance -improves understanding of clinical syndromes, including abnormalities pertaining to nasal sinuses, upper and lower airways, and the systemic role of cilia -approaches the clinical management of mucociliary dysfunction logically using currently available diagnostic and therapeutic techniques -and much more! Containing bibliographic citations, tables, equations, drawings, and photographs, this exhaustive guide is essential reading for physiologists, pulmonologists, otolaryngologists, pediatricians, microbiologists, basic scientists, and graduate and medical school students in these disciplines.

This book is a collection of works that canvass many of the recent developments in various areas of connective tissue research. It focuses on the structure of the components, molecular organization and pathology of the extracellular matrix.

Primary glomerulonephritis is one of the most frequent renal diseases, and a main cause of end-stage kidney disease. Glomerulonephritis has multiple subtypes, each with different physiopathologies, clinical presentations, and management requirements, which makes treatment difficult. As a complex set of diseases, the choice of symptomatic and specific treatment is critical to ameliorating the relentless course of glomerulonephritis. Focusing on all aspects of primary glomerulonephritis, from their epidemiologies and classification, to their pathogenesis and treatment, this third edition of Treatment of Primary Glomerulonephritis has been fully updated to include the latest research and evidence-based practice. With a strong emphasis on drugs used for both symptomatic and specific treatments, mechanisms of action, effectiveness, and potential toxicity are considered for therapeutic strategies in the different subtypes of primary glomerulonephritis. Each chapter follows a clear and logical format, allowing easy access to key information. Featuring over 20 full-colour histological images of different diseases to aid diagnosis, and with commentary from internationally recognised experts in the field, this new edition is an essential resource for all practising or academic clinical nephrologists.

A new volume in the highly regarded Biopsy Interpretation Series, Biopsy Interpretation of the Lymph Node provides concise, abundantly illustrated information on the pathologic approach to diagnosis for these frequently encountered biopsies. Practical and well organized, this highly readable volume edited by Drs. Rebecca L. King, Anamarija M. Perry, and Lauren B. Smith, addresses both common and unusual issues that arise in the day-to-day interpretation of non-neoplastic and neoplastic lymph node biopsies, teaching the best diagnostic practices as well as how to avoid the most common pitfalls. Focusing on the daily tasks and needs of the general pathologist, it provides a solid foundation for clinical diagnostic decision making. Frames each diagnosis in its most common clinical context, explaining how the pathology can be used to make key clinical management decisions Features high-quality photomicrographs and illustrations throughout—more than 400 images in all Covers the pattern-based approach to lymph node evaluation, giving special emphasis to differential diagnosis and limitations of small biopsies Addresses diagnostic methods and ancillary studies used in lymph node pathology such as immunohistochemistry, flow cytometry, FISH, and molecular studies Provides eBook access to questions and answers for self-assessment and exam review Enrich Your eBook Reading Experience Read directly on your preferred device(s),such as computer, tablet, or smartphone. Easily convert to audiobook,powering your content with natural language text-to-speech.

An easily comprehensible and practicable framework for standardised histopathology reports in surgical cancer. The pathological features of the common carcinomas are detailed and non-carcinomatous malignancies are also summarised. 7th edition TNM and WHO classifications of cancers are incorporated, with comments on any associated pathology, diagnostic clues and prognostic criteria supplemented visually by line diagrams. Each chapter's introduction gives epidemiological, clinical, investigative and treatment summary details. Other pathology includes updated immunophenotypic expression and molecular techniques. The impact of these ancillary investigations on diagnosis, and as biomarkers of prognosis and prediction of response to treatment is summarised, as is the effect of adjuvant treatments on cancers. Experience based clues are given throughout as aids to tumour typing, grading, staging, and gauging prognosis and response to treatment. Histopathology Reporting: Guidelines for Surgical Cancer, Third Edition is invaluable for trainee and consultant diagnostic histopathologists all over the world, equipping the reader to produce high quality, clinically appropriate histopathology reports, and to participate in contemporary multidisciplinary team management of patients with surgical cancer.

The new WHO Classification of Lung and Pleural Tumours updates the previous proposal from 1981 and incorporates many new concepts that have developed since that time. A number of newly described lesions are included as well as current concepts in papillomas, adenomas, neuroendocrine tumours, adenocarcinomas, mesothelial tumours, and carcinomas with pleomorphic, sarcomatoid and sarcomatous features. The result is a comprehensive classification with detailed definitions and explantory notes illustrated by 150 high quality color photomicrographs that will promote uniformity in recording and reporting data nationally and internationally. The WHO panel consisted of 24 members from 14 countries giving a broad international input into this work.

Although the histological typing of ovarian tumours is the focus of this volume, other aspects of investigation of a specimen of ovarian tumour are also important. Some of these aspects are mentioned in the text or illustrated. They include tumour grading, which is impor- tantprognostically and therapeutically for certain types ofovarian tu- mour, quantification ofcomponents in mixed tumours and evaluation of the stroma of certain tumours that are associated with endocrine function. Grading methodologies have varied from one tumour type to another and from one group of investigators to another for the same type of tumour. Because a standard internationally recognized grading methodology has not been established, no specific guidance is presented in this volume. Nevertheless, grading by any generally acceptable method should be incorporated in the diagnosis whenever appropriate. The clinical and pathological classification of the extent of tu- mour growth (staging) should be taken into account for the purposes of treatment and prognosis. The TNlV1/FIGO system is therefore in- cluded (p. 45). Histological Classification of Ovarian Tumours 1 Surface Epithelial-Stromal Tumours 1. 1 Serous tumours 1. 1. 1 Benign 1 1. 1. 1. 1 Cystadenoma 8441/0 Papillary cystadenoma 8460/0 1. 1. 1. 2 Surface papilloma ...8461/0 1. 1. 1. 3 Adenofibroma; cystadenofibroma ...9014/0 1. 1. 2 Of borderline malignancy (of low malignant potential) 2 1. 1. 2. 1 Cystic tumour 8442/1 Papillary cystic tumour ...846211 Surface papillary tumour...8463/1 1. 1. 2. 2 1. 1. 2. 3 Adenofibroma; cystadenofibroma 9014/1 1. 1.

This is a histological classification of tumours and tumour-like lesions of the exocrine pancreas which also includes those tu- mours showing a mixture of exocrine and endocrine elements. The classification is based principally on standard microscopic observations, but whenever indicated it incorporates diagnosti- cally valuable immunohistological findings. In addition, the most important immunohistological findings which are helpful in cat- egorizing pancreatic tumours are summarised in Table 1. The major guideline of this classification scheme is the group- ing of the pancreatic exocrine tumours according to their biologi- cal behaviour. Thus, the neoplasms are broadly divided into benign (adenoma) and malignant tumours (carcinoma). How- ever, in recent years we have learned that this division is not a sharp but rather a gradual transition. We therefore added a third group which we call "tumours of uncertain malignant potential" representing a borderline category analogous to that recognized for some ovarian tumours. This group includes mucinous cystic tumour, intraductal papillary-mucinous tumour and solid- pseudopapillary tumour. These neoplasms are defined by the grade of dysplasia and/or potential to become malignant. Mucinous cystic tumours of uncertain malignant potential, for instance, exhibit moderate epithelial dysplasia, but do not show severe dysplasia/carcinoma in situ changes, nor carcinomatous invasion of the cyst wall or the adjacent pancreatic tissue. Solid- pseudopapillary tumour has a benign looking histological ap- pearance, but metastases may occur. Biologically, all these neoplasms are primarily slow-growing lesions and have an excel- lent prognosis when adequately treated by complete resection.

This classification is based primarily on the presence of morpho- logically identifiable cell types and growth patterns that can be correlated with the clinical behaviour of the tumour and, in some cases, with tumour markers in the serum. Although some of the histological terms and definitions have histogenetic impli- cations, this classification is not meant to be histogenetic. The terminology adopted for individual tumours is based on their general acceptance and world-wide usage. Synonyms are includ- ed only if they have been widely used in the literature or if they are considered helpful in understanding the lesions. Controver- sial histogenetic terms have been avoided whenever possible. The term tumour is used synonymously with neoplasm. The term tumour-like is applied to non-neoplastic lesions which clin- ically or morphologically resemble neoplasms; they are included in this classification because of their importance in differential diagnosis. Because of the many similarities between testis tumours and those of the ovary, an attempt has been made to follow the WHO histological typing of ovarian tumours. Histological Classification of Testis Tumours 1 Germ Cell Tumours 1.1 Precursor lesions - intra tubular malignant germ cells 1.2 Tumours of one histological type (pure forms) 1 1.2.1 Seminoma ...906113 1.2.1.1 Variant - Seminoma with syncytiotrophob- stic cells 1.2.2 Spermatocytic seminoma ...9063/3 1.2.2.1 Variant - Spermatocytic seminoma with sarcoma 1.2.3 Embryonal carcinoma ...9070/3 1.2.4 Yolk sac tumour ...907113 Polyembryoma ...

This second edition is more extensive and detailed than the previous one - now a reference of two decades standing. New technical methods have increased our understanding of many tumours, and the earlier group of monomorphic adenomas has been separated for easier identification, while clearly defined tumours - even if uncommon - have their own category. With reference to their differences in prognosis and treatment, the various types of carcinomas are now listed separately, and new entities have been adopted. The inclusion of the TNM classification of salivary gland tumours together with the more detailed description of the tumour-like lesions will contribute to an even better understanding.

This volume deals with tumours occurring in the following sites: Nasal cavity and paranasal sinuses Nasopharynx Larynx, hypopharynx and trachea External ear Middle and inner ear The classification of tumours arising from each of the anatomical sites listed above is given separately. However, since the same tu- mour type may occur in more than one site, the definitions and il- lustrations have been grouped together. The classification is based on the histological characteristics of the tumours and is therefore concerned with morphologically identifiable cell types and histo- logical patterns as seen with conventional light microscopy. Al- though many of the histological terms and definitions have histo- genetic implications, this classification is not primarily based on histogenesis. The term "tumour" is used synonymously with neoplasm. The term "tumour-like" is applied to non-neoplastic lesions which clini- cally or morphologically resemble neoplasms; they are included in this classification because of their importance in differential diag- nosis. The terminology adopted for individual tumours is based on their general acceptance and world-wide usage. Synonyms are in- cluded only if they have been widely used in the literature or if they are considered helpful in understanding the lesions. In such cases the preferred terms are given first followed by the synonyms within parentheses.

Retaining the same scope as the first edition, this new edition deals with the classification and characteristics of tumours and tumour-like lesions. Similar information is also given on odontogenic and non-odontogenic cysts of the jaws. It is extensively illustrated with photomicrographs in colour, together with clinical radiographs and photographs of operation specimens to show the distinctive features of various lesions. The classification has been updated to reflect the present state of knowledge and changes in views, and includes a number of newly recognised entities.

This is a classification of tumours and tumour-like lesions of the gall- bladder and extrahepatic bile ducts, including the ampulla of Vater. Although most of the lesions are found in all three sites, variations in frequency of the histological types occur and will be noted. The incidence of carcinoma of the gallbladder varies in different parts of the world. Variation is also found in different ethnic groups within the same country. In the United States, for example, carcino- ma of the gallbladder is more common in American Indians than in Caucasians or in Blacks; the rate among female American Indians is 21 per 100000 compared with 1.4 per 100000 among Caucasian fe- males. In Latin American countries, the highest rates are found in Chile, Mexico and Bolivia. In other countries, such as Japan, the inci- dence rates are intermediate between those of American Indians and those of Caucasians. Despite certain features in common, carcinomas of the gallblad- der and carcinomas of the extrahepatic bile ducts show a number of differences. Gallbladder carcinomas are usually associated with cholelithiasis and have a strong female predominance. In contrast, extrahepatic bile duct carcinomas are seen less often, occur in both sexes with equal frequency, are usually not associated with choledo- cholithiasis, produce early biliary obstruction, and are better differen- tiated histologically as a group. Moreover, they are seen in patients with primary sclerosing cholangitis and ulcerative colitis.

It is easy to be confident that an appropriate body of advice is available to candidates about the content of an examination once you have passed it. Prospectively, the Primary and Final Examinations of the Royal College of Pathologists will appear to most to involve the assimilation of what seems at the time an inexhaustible volume of data, and the recent change in the College examination system has not diminished this concern for the majority of candidates. The guidelines for training for the new Part I examination state that this is the "major hurdle of the MRCPath" and it is clear that it will determine whether candidates are suitable for training which will permit them to practise independently as consultants after Part II. These general aims and objectives do not answer questions such as "How much do I need to know about glomerulonephritis?" or "Where do I stop with the lymphomas?" This text attempts to resolve the difficulty of knowing what standard to aim at, using College questions as its starting point. It concentrates on the essential basis of any single answer; many candidates for the new three-year examination will know more about individual topics than is stated here. However, it is the breadth of information required which is a feature of College examinations and this text should help with this problem.