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Snippets in surgical pathology
  1. Kumarasen Cooper (,
  2. Runjan Chetty (

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This section features synopses of pertinent practical publications that appear in pathology journals in the respective sub-specialties. The summaries are mere guidelines and personal opinions of the two authors. The articles selected are diverse but occasionally reflect the authors’ bias and are from the more widely read pathology journals. It is not intended to be an assiduous search of every publication in every pathology journal, but more of a general indication of some of the monthly highlights through the eyes of the authors.

Hopefully, these snippets will provide the reader with enough to glean some facts and tips, as well as encourage them to read the entire article if necessary.

Journal of Clinical Pathology, February 2009

Ahmad Z, Qureshi Z, Khurshid A. The practice of histopathology in a developing country: difficulties and challenges; plus a discussion on the terrible disease burden we carry. J Clin Pathol 2009;62:97–101.

The next time you have the urge to complain about aspects of our surgical practice in the West, be it volume issues, staffing, salary, teaching, infra-structure (including administration), quality control, or even the autopsy, please read the sobering and humbling experiences of our pathologist colleagues at the Aga Khan University Hospital in Pakistan.

Puppa G, Caneva A, Colombari R. Venous invasion detection in colorectal cancer: which approach, which technique? J Clin Pathol 2009;62:102–3.

The authors advocate advance ordering of serial sections to avoid tissue wastage when a block is re-cut.

Clarke B, McCluggage WG. Iatrogenic lesions and artefacts in gynaecological pathology. J Clin Pathol 2009;62:104–12.

Another excellent overview of iatrogenic lesions and artefacts in gynaecological pathology. These include mechanical displacements of neoplastic tissue into lymphovascular spaces (see later), thermal artefacts (eg, post-ablation of endometrium or cautery granulomas following endometriosis), chemotherapy-induced tissue changes, and leiomyomata changes secondary to GnRH agonists, to name a few. …

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