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Thunnissen E , Blaauwgeers HJ , de Cuba EM , Yick CY , Flieder DB
Ex Vivo Artifacts and Histopathologic Pitfalls in the Lung
Arch Pathol Lab Med. 2016 Mar;140(3) :212-20
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Abstract
Context .- Surgical and pathologic handling of lung physically affects lung tissue. This leads to artifacts that alter the morphologic appearance of pulmonary parenchyma. Objective . -To describe and illustrate mechanisms of ex vivo artifacts that may lead to diagnostic pitfalls. Design .- In this study 4 mechanisms of ex vivo artifacts and corresponding diagnostic pitfalls are described and illustrated. Results . -The 4 patterns of artifacts are: (1) surgical collapse, due to the removal of air and blood from pulmonary resections; (2) ex vivo contraction of bronchial and bronchiolar smooth muscle; (3) clamping edema of open lung biopsies; and (4) spreading of tissue fragments and individual cells through a knife surface. Morphologic pitfalls include diagnostic patterns of adenocarcinoma, asthma, constrictive bronchiolitis, and lymphedema. Conclusion .- Four patterns of pulmonary ex vivo artifacts are important to recognize in order to avoid morphologic misinterpretations.
Notes
Thunnissen, Erik Blaauwgeers, Hans J L G de Cuba, Erienne M V Yick, Ching Yong Flieder, Douglas B United States Arch Pathol Lab Med. 2016 Mar;140(3):212-20. doi: 10.5858/arpa.2015-0292-OA.