Serra S, Jani P A
Department of Pathology, University Health Network and Toronto Medical Laboratories, Toronto, Ontario, Canada.
J Clin Pathol. 2006 Nov;59(11):1133-50. doi: 10.1136/jcp.2005.031260. Epub 2006 May 5.
The introduction of endoscopy of the upper digestive tract as a routine diagnostic procedure has increased the number of duodenal biopsy specimens. Consequently, the pathologist is often asked to evaluate them. In this review, a practical approach to the evaluation of a duodenal biopsy specimen is discussed. An overview of the handling of specimens is given and the normal histology and commonly encountered diseases are discussed. Finally, a description of commonly seen infections is provided, together with an algorithmic approach for diagnosis.
上消化道内镜检查作为一种常规诊断方法的引入增加了十二指肠活检标本的数量。因此,病理学家经常被要求对这些标本进行评估。在这篇综述中,讨论了一种评估十二指肠活检标本的实用方法。给出了标本处理的概述,并讨论了正常组织学和常见疾病。最后,提供了常见感染的描述以及诊断的算法方法。