Völker H-U, Müller-Hermelink H-K, Stüfe A, Strehl A, Pötzl L, Stauch G
Pathologie, Leopoldina-Krankenhaus der Stadt Schweinfurt GmbH, Gustav-Adolf-Str. 8, 97422, Schweinfurt, Deutschland.
Pathologisches Institut, Universität Würzburg, Würzburg, Deutschland.
Pathologe. 2019 Sep;40(5):519-526. doi: 10.1007/s00292-019-0641-0.
A collaboration between a hospital in Tanzania and a German institute for pathology was initiated in 2007 with the aim of establishing a working telepathological connection using the internet-based platform iPath to transmit static histological images.
This study aimed to describe the diagnostic spectrum evaluated in the course of an aid project in a developing country in Africa.
A total of 5230 diagnoses were analyzed, including cases that could only be definitively concluded after a second analysis of the paraffin-embedded material in Germany. The most frequent diagnoses in the five largest diagnostic groups from 17 different anatomical locations were surveyed. In addition, cases sampled from children/young adults and rare diagnoses were assessed separately.
Altogether we diagnosed 2934 (56.1%) benign and 2134 (40.8%) malignant diseases. The number of cases sent to Germany for a second opinion was 734 (14%). The five most common anatomical locations were the uterine cervix (n = 1211), the prostate (n = 728), skin (n = 626), breast (n = 524), and lymph nodes (n = 340). Children comprised 504 cases (9.6%). Typical tropical diseases were only rarely seen in the whole collective of cases.
By means of telepathology histopathological diagnoses can be supplied in a short period of time. Difficulties occurred mainly due to the unstable staff situation on site and because the quality of sampled biopsy material was not always sufficient for further investigations. Furthermore, it became clear in the course of this aid project that a predominance of standard diagnostic findings routinely seen in the pathology of tumors and infections can be anticipated rather than exotic diseases.
2007年，坦桑尼亚的一家医院与德国一家病理研究所展开合作，旨在利用基于互联网的iPath平台建立有效的远程病理连接，以传输静态组织学图像。
本研究旨在描述在非洲一个发展中国家开展的援助项目过程中所评估的诊断范围。
共分析了5230例诊断病例，包括那些只有在德国对石蜡包埋材料进行二次分析后才能得出明确结论的病例。对来自17个不同解剖部位的五大诊断组中最常见的诊断进行了调查。此外，还分别评估了儿童/青年患者的病例和罕见诊断病例。
我们总共诊断出2934例（56.1%）良性疾病和2134例（40.8%）恶性疾病。送往德国进行二次诊断的病例有734例（14%）。五个最常见的解剖部位是子宫颈（n = 1211）、前列腺（n = 728）、皮肤（n = 626）、乳腺（n = 524）和淋巴结（n = 340）。儿童病例有504例（9.6%）。在整个病例群体中，典型的热带疾病很少见。
通过远程病理学，可以在短时间内提供组织病理学诊断。困难主要源于当地工作人员情况不稳定，以及活检取样材料的质量并非总是足以进行进一步检查。此外，在这个援助项目过程中还发现，预计肿瘤和感染病理学中常见的标准诊断结果会占主导，而非罕见疾病。
