Singh Dezy, Tiwari Ramesh Chand, Kumar Arvind, Bhute Ashish R, Meshram Ravi P, Dikshit Manisha, Sharma Ved Bhushan, Mittal Bhawana
Department of Agad Tantra Evum Vidhi Vaidyaka, Uttarakhand Ayurved University (UAU) Rishikul Campus, Haridwar, IND.
Department of Pathology and Laboratory Medicine, All India Institute of Medical Sciences, Rishikesh, Rishikesh, IND.
Cureus. 2022 Mar 1;14(3):e22740. doi: 10.7759/cureus.22740. eCollection 2022 Mar.
Pathological examination (PE) encompasses a gross or macroscopy and histopathological or microscopic examination. It is prudent in finding the cause of death (COD) in clinical and medicolegal autopsies. There are various auxiliary techniques in the form of clinical history, communication, specialized training, and protocols for consolidation of the PE results. After a thorough search of the literature in PubMed with relevant keywords along with further analysis of the results, it emerged that even with the modernization of forensic medicine, a PE is unbeatable in detecting the COD. It has various useful aspects, apart from regular finding the COD, such as in student teaching, epidemiology of disease, audit tool, and quality assurance. There are also limitations of PE, which should be dealt with great caution. Hence, limitations must be understood by a forensic expert as well as a pathologist. In this review, all factors that are related to PE in any manner are discussed in detail, and the scope for improving the quality of PE to be relevant in the present scenario is reviewed. It is a comprehensive reassessment of the literature review that also casts light on the future along with a critical analysis of the facts that deal with PE.
病理检查（PE）包括大体或肉眼检查以及组织病理学或显微镜检查。在临床和法医学尸检中，它对于查明死因（COD）至关重要。在临床病史、沟通、专业培训以及整合病理检查结果的方案等方面，存在各种辅助技术。在使用相关关键词对PubMed中的文献进行全面检索并对结果进行进一步分析后发现，即使随着法医学的现代化，病理检查在检测死因方面仍无可匹敌。除了常规查明死因外，它还有各种有用的方面，比如在学生教学、疾病流行病学、审计工具以及质量保证等方面。病理检查也存在局限性，必须极其谨慎地对待。因此，法医专家和病理学家都必须了解这些局限性。在本综述中，详细讨论了与病理检查以任何方式相关的所有因素，并审视了在当前情况下提高病理检查质量相关性的空间。这是对文献综述的全面重新评估，同时对涉及病理检查的事实进行批判性分析，也展望了未来。
