This textbook provides practical information on how to perform and interpret smears and use smears for diagnostic intraoperative neuropathology. The book covers most aspects of brain biopsies that require intraoperative or "frozen section" diagnosis, including tumors, non-neoplastic lesions, infectious diseases, and metastases to the brain. The author also discusses more general aspects of smears, including their preparation and general interpretation. Emphasis is on the structural information about brain lesions supplied by the technique of smears, as well as the patterns of smears produced by different tumors. More than 200 full-color illustrations complement the text.
The 678 page book is a highly illustrated guide for the intra-operative interpretation of central nervous system surgical specimens. Both of the two principal techniques - smear preparations and frozen sections - are described in great detail. Introductory chapters address general approaches to specimen acquisition and preparation; specific clinical and radiological features; differential diagnosis by site; tumor and non-tumor entities with specific pathological features; and normal cells and tissues potentially mistaken for abnormalities. The bulk of the text describes specific clinicopathological entities, in over 80 chapters. Most of the latter present bulleted summaries of clinical and radiological features, similarly formatted sections on cytological (smear preparations) and histological (frozen sections) findings, and detailed differential diagnoses. There are over 1500 illustrations, including radiological images, operative photographs, and, largely, color photomicrographs of smears and frozen sections. Throughout, the book illustrates the practical aspects of real-time, real-world cytological and histological diagnoses. The book is a unique resource derived from the author's over three decades of experience in the intra-operative diagnosis of central nervous system lesions. Designed primarily for pathologists, it will be extremely useful for neurosurgeons as well, in their formulations of a differential diagnoses based of lesions' sites, radiological anatomy, and pathological features.
Oppenheimers Diagnostic Neuropathology, A Practical Manual has become a modern classic in its field, covering the practical aspects of the work of the neuropathologist. Full of sensible advice and observations often omitted from neuropathology texts, it guides the neuropathologist through the methods available to them when facing diagnostic questions. The third edition has been fully updated to ensure authoritative coverage of this complex and fast-moving discipline. The experience of the authors is apparent on every page, where superb illustrations combine with an accessible writing style to present complex, academic information that could otherwise prove formidable to trainees and professionals alike. An essential reference for postgraduate students of neuropathology and histopathology, who need to acquire an understanding of neuropathology as part of their training, this book will also be of interest to trained neuropathologists, neurologists, neurosurgeons and neuroradiologists.
This highly illustrated book explores the pathological and radiological diagnosis of various brain tumors. Featuring nearly 500 high-quality colored images, it covers MR images, intra-operative squash cytology, histopathology and immunohistochemistry microphotographs of various brain and spine tumors, including differential diagnosis, as well as the molecular diagnosis and prognosis of each tumor. The book also presents case studies of typical and rare presentations, and introduces readers to a new procedure for intra-operative cytology: the modified fields stain, which stains the slide within 2 minutes, allowing quick, accurate reporting. This book uses concise text and a consistent point-wise format that makes reading and reviewing easy. The radiological and pathological correlates of brain and spine tumors serve as a ready-reference resource for residents, surgical and neuropathologists, neuroradiologists, neurosurgeons, neuro-oncologists and research scientists.
This volume acquaints the non-neuropathologist with the advantages of clinical-radiologic-pathologic correlation in neuropathology specimens, particularly in the intra-operative consultation. As a good cytology preparation can add to, or even supply in isolation, a diagnosis, this volume covers the enormous and sometimes insurmountable artifacts involved with freezing tissue, especially central nervous system tissue. The text presents how to perform, and stain the cytologic preparations, and how to interpret them. The advantages and disadvantages of both frozen sections and cytologic preparations of various kinds are discussed. The presentation and format is very visual with diagrams, tables, with many figures including pearls and pitfalls and therefore easy reading. An introductory chapter presents the pros and cons of cytology, the advantages and disadvantages of frozen sections, and the artifacts in both. Also included is an argument for knowing what the scans reveal, and the impact of relevant patient history. The volume uses a case-based approach to show correlation between scan, history, frozen section and cytologic preparations. With the combination of extensive correlation of scans, cytology, and frozen section with differential diagnosis, and analysis of the information crucial to the neurosurgeon in a case-based approach and with a special chapter written by a neuroradiologist, this volume is unique in presentation and utility and will be of great value to the trainee in pathology (residents/fellows), and practicing pathologists who include neuropathology in their practice, but do not have formal fellowship training in neuropathology.
From the preface: "Pathologists are responsible for the interpretation of tissue samples removed for the purpose of establishing a diagnosis. This textbook has been conceived and arranged in a manner that facilitates the task of arriving at a diagnosis through the evaluation of tissues removed from patients afflicted with neurological complaints. The portion of the diagnostic work-up that is purely "clinical", such as the history of the disease and the results of the physical examination are entirely beyond the scope of this textbook...Extensive descriptions of disease processes, which are available in most of the references cited, have been omitted in favor of relatively detailed descriptions and abundant illustrations of the histologic abnormalities that, as a group, constitute a diagnostic entity."
This text was created to fill a void in the practice of pediatric neuropathology. It is a practical and well-illustrated book representing a collection of interesting, common and unusual tumors for a diagnostic exercise by the reader. The wide reception of the first edition by the pathology community is testament to its relevance and utility in the pathologic diagnosis of pediatric brain tumors. This edition covers topics ranging from neuroimaging, the use of crush and touch preps during intraoperative consultation, classic histological features of pediatric brain tumors, tumor variants, and a miscellaneous group of challenging tumors. Chapters consist of essential diagnostic information and features highlighting recognized variants and their differential diagnoses. A section on molecular pathology and electron microscopy is also included for each tumor category, along with a list of classic reviews and innovative articles on each of the tumor entities as suggested reading at the end of each chapter. Atlas of Pediatric Brain Tumors, Second Edition represents the state of the art in pediatric neuropathology with easy utility beside the microscope.
This edition stresses not just the diagnostic cytological features of the various conditions encountered, but also the diagnostic pitfalls and the grey areas between so as to enable the reader to give more evidence-based reports. In recognition of their rapid expansion, there are new chapters on recent technological developments and on the cytodiagnosis of childhood tumours. A special section on the importance of multidisciplinary team meetings that include the cytopathologist as a core member of the team has also been included at the end of each chapter. As active members of this team, cytopathologists can define their role in the management pathway and thus bring the patient and the microscope together as never before. The full text can be accessed online and images downloaded via Expert Consult.
Employing a systematic pattern recognition approach, Practical Cytopathology: A Diagnostic Approach equips you to achieve a more accurate diagnosis of aspirated and exfolliative tissue samples from all available body organs and sites. Part of the popular Pattern Recognition Series, this volume is designed to successfully guide you from identification of the dominant cytopathologic pattern, through the appropriate work-up, around the pitfalls, to the best diagnosis. - A practical, pattern-based organization helps you to efficiently and confidently formulate accurate diagnoses at the microscope. - A unique Visual Index at the beginning of the book allows you to compare specimens to commonly seen patterns, categorize them accordingly, and turn directly to in-depth diagnostic guidance. - Lavishly illustrated with more than 1200 high-quality, full-color images that depict the full range of common and rare conditions. - Ideal for both general surgical pathologists and cytopathologists, no other single source delivers such highly practical, hands-on information needed to solve even the toughest diagnostic challenges in aspiration and exfolliative cytology. - Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, images, and references from the book on a variety of devices.
Neuroacanthocytosis Syndromes is the first comprehensive review of a field that has not yet received the attention it deserves. Affecting the brain as well as the circulating red cells, these multi-system disorders in the past had often been mistaken for Huntington's disease. Recent breakthroughs have now identified the molecular basis of several of these. This volume grew out of the first international scientific meeting ever devoted to neuroacanthocytosis and provides in-depth information about the state of the art. Its thirty chapters were written by the leading authorities in the field to cover the clinical as well as the basic science perspective, including not only molecular genetics but also experimental pharmacology and cell membrane biology, among others. The book vehemently poses the question of how the membrane deformation of circulating red blood cells relates to degeneration of nerve cells in the brain, the basal ganglia, in particular. It provides a wealth of data that will help to solve an intriguing puzzle and ease the suffering of those affected by one of the neuroacanthocytosis syndromes.
