Knowles S
J Clin Pathol. 1986 Oct;39(10):1049-65. doi: 10.1136/jcp.39.10.1049.
A large number of district general hospitals have access to diagnostic ultrasonography and other methods of prenatal diagnosis, resulting in an increased supply of freshly terminated malformed fetuses to general histopathology departments, and there is now more open discussion of malformation and greater concern over fetal wastage. General pathologists are therefore under greater pressure to produce complete and detailed descriptions of a wide range of often complex anomalies. The dismissal of specimens as "multiple congenital anomalies" is becoming increasingly unacceptable to couples who wish to embark on further pregnancies and to their medical attendants. As in other fields an understanding of the methods and terminology in clinical use and a consistent diagnostic approach should help pathologists to extract sufficient information for accurate counselling.
大量地区综合医院都具备诊断超声检查及其他产前诊断方法,这导致送往普通组织病理学科室的新近终止妊娠的畸形胎儿数量增加,现在关于畸形的讨论更加公开,对胎儿流产的关注度也更高。因此,普通病理学家面临更大压力,要对一系列往往很复杂的异常情况给出完整而详细的描述。对于希望再次怀孕的夫妇及其医护人员来说,将标本简单归为“多发性先天性异常”越来越难以接受。与其他领域一样,了解临床使用的方法和术语以及采用一致的诊断方法,应有助于病理学家提取足够信息以进行准确的咨询。