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先天性巨结肠病的诊断进展与陷阱。

Advances and Pitfalls in the Diagnosis of Hirschsprung Disease.

机构信息

Department of Pathology, University of Utah, Salt Lake City, UT, USA; Seattle Children's Hospital, University of Washington, OC.8.720 4800, Sand Point Way Northeast, Seattle, WA 98105, USA.

Department of Pathology, Seattle Children's Hospital, University of Washington, OC.8.720 4800, Sand Point Way Northeast, Seattle, WA 98105, USA.

出版信息

Surg Pathol Clin. 2020 Dec;13(4):567-579. doi: 10.1016/j.path.2020.07.001. Epub 2020 Oct 9.

Abstract

Surgical pathology for Hirschsprung disease (HSCR) occasionally is difficult, especially for those who encounter the disorder infrequently. This article reviews pathologic features of HSCR, considers various specimens the pathologist is required to evaluate, and discusses useful ancillary tests. Potential diagnostic pitfalls are highlighted, and helpful hints are provided to successfully navigate challenging situations. Finally, the article looks forward to new ancillary tests on the horizon and future topics for HSCR research.

摘要

先天性巨结肠症(HSCR)的外科病理学有时具有一定难度,尤其是对于那些不常遇到该疾病的病理医生而言。本文回顾了 HSCR 的病理特征,考虑了病理医生需要评估的各种标本,并讨论了有用的辅助检查。本文还强调了潜在的诊断陷阱,并提供了一些有用的提示,以帮助病理医生成功解决具有挑战性的情况。最后,本文展望了即将出现的新辅助检查和 HSCR 研究的未来主题。

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