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911

Index

The letter t after page number in the index below denotes Table and the letter f stands for Figure on that page.

A

AA protein, 83-86 ABC staging, 589 Aberrant thyroid, 812 Abscess, 145

amoebic liver, 188, 615 apical, 529

appendix, 579 Bartholin’s, 721 brain, 877 breast, 45, 755 Brodie’s, 832 cold, 518 crypt, 568, 569f

Darier-Pautrier, 790 liver, 614-15

lung, 475-76 pelvic, 738-39 perinephric, 682 peritonsillar, 518 psoas, 833 pyaemic, 145, 146f pyogenic, 145

retropharyngeal, 518 stitch, 168 tubo-ovarian, 738-39

Absolute values, 288-89, 901t Acanthocytosis, 293 Acantholysis, 769, 776 Acanthosis, 769

Acanthosis nigricans, 231t Accumulations, intracellular, 37-40

fatty, 37-39 glycogen, 40 proteins, 39

Acetyl choline receptors (AChRs), 857, 580 Acidophil body, 611

Achalasia, 538 Achlorhydria, 545, 550 Achondroplasia, 834 Acid phosphatase,

bony, 830 prostatic, 720

Acid-base balance, 94 Acid-fast staining, 149, 157 Acidophil index, 269, 269t Acidosis,

metabolic, 103-04, 103t respiratory, 103-04, 103t

Acinic cell carcinoma, salivary gland, 537 Acinus, liver, 592-93, 592f

Acinus, lung, 467 Ackerman, Lauren, 5 Acne vulgaris, 771 Acoustic neuroma, 515, 893

Acquired immunodeficiency syndrome (AIDS), 67-73

clinical manifestations of, 72-74, 72f CDC classification of, 71

CNS manifestations in, 72, 878, 878t epidemiology of, 67-68

etiologic agent of, 68

Kaposi’s sarcoma in, 226, 414-16 laboratory diagnosis of, natural history of, 70-71, 70t oral manifestations in, 523t paediatric, 73

pathogenesis of, 69-70, 69f pathologic changes in, 71-73, 72f pneumonias in, 474, 474t

routes of transmission of, 68 tuberculosis in, 151

Acrochordons, 722, 780 Acromegaly, 793-94 ACTH, 792f, 793-94, 796 Actinic keratosis, 782 Actinomycosis, 163-64

Activated partial thromboplastin time (APTT), 330

Acute inflammation, see under Inflammation, acute, 130-147

Acute phase reactant proteins, 64, 83, 140-41 Acute transforming viruses, 227 Adamantinoma, 841t

Adaptations, cellular, 53-59, 54f Addison’s disease, 798 Addison, Thomas, 3 Addisonian anaemia, 309-10 Addressins, 342 Adenoameloblastoma, 532 Adenocarcinoma, kidney, 694-96

Adenocarcinoma, oesophagus, 542 Adenocarcinoma, prostate, 718-20 Adenocarcinoma,

salivary gland, 537 urinary bladder, 702

Adenofibroma, ovary, 745 Adenoid cystic carcinoma, 537 Adenolymphoma, 535 Adenoma,

adrenocortical, 799 bile duct,643 breast, 757-58 bronchial, 497t cortical, adrenal, 799 cortical, kidney, 693 follicular, 810-11 hepatocellular, 633 Hurthle cell, 810-11 monomorphic, 535 oxyphil, 535-36 parathyroid, 817-18 pituitary, 795-96 pleomorphic, 534-35 sebaceous, 786

thyroid, 810 tubular, 584 tubulovillous, 584-85

villoglandular, 584-85 villous, 584

Adenoma-carcinoma sequence colon, 586-87, 587f

Adenomyosis, 732 Adenosis, sclerosing, 757 Adenoviruses, 226 ADH, 98, 794

Adhesion molecules, 25

Adipose tissue, tumours of, 865-67 Adnexal (appendageal) tumours, 785-86 Adrenal crisis, 798

Adrenal gland, 796-801 cortex, 796

in shock, 113 medulla, 797

normal structure of, 796-97 tumours of, 799-801

Adrenal virilism, 798 Adrenocortical hyperfunction

(hyperadrenalism), 797-98 Adrenocortical insufficiency,

acute primary (adrenal crisis), 798 chronic primary (Addison’s disease),

798-99 secondary, 799

Adrenogenital syndrome, 798

Adult T cell leukaemia lymphoma (ATLL), 227-28, 379-80

Aeroembolism, 122-23 AgNOR, 198 Aflatoxin B, 219t, 634 Agenesis, 256

Aggregation, platelet, 115, 328, 334 Aging, cellular, 59-60

organ changes in, 60 Agranulocytosis, 76 AGUS, 272

AIDS-dementia complex, 72, 878 Air-dried smears versus wet-

dried smears, 280t Air pollution, 236-37 AJC staging, 205, 861 AL protein, 82-83, 84-85 Albinism, 40

Albright syndrome, 40, 838 Alcian blue, 12t

Alcoholic hyalin, 35, 621

Alcoholic liver disease and cirrhosis, 239, 622-24

alcohol metabolism in, 238, 240f, 619-20 hepatitis in, 621-22

laboratory diagnosis of, 624 pathogenesis of, 620-21

INDEX

912

INDEX

risk factors in, 620 steatosis, 621-22 Alcoholism, 238-40, 620

Aldosterone, 98, 686-87, 796 Alizarin red S, 13t, 51 Alkaline phosphatase, 595, 830 Alkalosis, 104

metabolic, 104 respiratory, 104

Alkaptonuria, 40-41

Allergic vasculitis, 47f, 402-03 Allergy, 66, 141

Allograft, 65

Alpha-1 antitrypsin deficiency, cirrhosis in, 628-29 emphysema, 479-80

Alpha-foetoprotein (AFP), 234, 636 Alpha-protease inhibitor, 479-80 Alport’s syndrome, 678

Alternate pathway disease, 664 Altitude, high, 123

Alveolar proteinosis, 494-95 Alveolar septa, 461

Alveolar soft part sarcoma, 869 Alzheimer’s disease, 37, 884 Amaurosis, 262 Ameloblastoma, 531-32

malignant, 532

American Joint Committee (AJC) staging, 205, 861

Ames’ test, 220 Aminotransferase, 595, 898t Amniotic fluid embolism, 123-24 Amoebiasis, 187-88, 580t Amoeboma, 188

Ampulla of Vater, carcinoma of, 592 Amyloidosis, 82-92

AA protein, 83-84 AL protein, 82-83 alimentary tract, 92 biopsy in, 88 cardiac, 87, 90

chemical nature of, 82-83 classification of, 85-87 diagnosis of, 88 dialysis-associated, 86-87 endocrine, 87

enhancing factor (AEF), 84f, 85 fibril proteins in, 82-83 glycosaminoglycans, 83 haemodialysis-associated, 86-87 heart, 87, 90

heredofamilial, 87 immunohistochemistry in, 88 in diabetes mellitus, 822f

in leprosy, 86

in medullary carcinoma, thyroid, 87, 813-14, 815f

in tuberculosis, 86 kidneys, 89-90 liver, 90-91 localised, 87

metachromasia in, 87-88 morphologic features of, 88-92 non-fibrillar components in, 83 physical nature of, 82-83 P-component of, 83 pathogenesis of, 83

polarising microscopy in, 89f, 91f, 813-14 primary systemic, 86

prion proteins in, 83, 878-79

secondary systemic (reactive), 36 senile, 37

spleen, 90-91

staining, characteristics of, 87-88 systemic, 86-87

transthyretin in, 83, 87 tumour-forming, 87

Amyotropic lateral sclerosis, 857 Anaemia of blood loss, 294-95 Anaemia of chronic disorders, 302-03 Anaemia, aplastic, 325-26

causes of, 325t

clinical features of, 325

etiology and classification of, 325 laboratory findings in, 325-26 treatment of, 326

Anaemia, Cooley’s, 320

Anaemia, Fanconi’s, 325

Anaemia, general considerations, 291-95 classification of, 294t

clinical features of, 291-92 investigations of, 292-94 pathophysiology of, 291

Anaemia, haemolytic, 310-24 acquired (extracorpuscular), 311-14 autoimmune (AIHA), 312-13 classification of, 311t

cold antibody, 312-13 congenital, 314-24 definition of, 310 drug-induced AIHA, 313 extracorpuscular, 311-14 general features of, 311 Heinz body, 317, 320

hereditary (intracorpuscular), 314-24 immunohaemolytic, 312-13

in direct toxic effects, 313-14 in splenomegaly, 314 intracorpuscular, 314-24 isoimmune, 311t, 340-41 microangiopathic, 313

red cell membrane defects, 314-16 warm antibody, 312

Anaemia, haemorrhagic, 294-95 Anaemia, hypochromic, 295-300, 302t Anaemia, iron deficiency, 295-300

bone marrow findings in, 299-300 clinical features of, 298-99 etiology of, 297-98

iron metabolism in, 295-96 laboratory findings in, 299-300 pathogenesis of, 296-97 treatment of, 300

Anaemia, Mediterranean, 320-24 Anaemia, megaloblastic, 303-10 biochemical basis of, 305 biochemical findings in, 307

bone marrow findings in, 307 clinical features of, 306

etiology and classification of, 305-06, 305t laboratory findings in, 306-09

treatment of, 309

Anaemia, microcytic hypochromic, 294t, 299 Anaemia, myelophthisic, 326

Anaemia, normocytic and normochromic, 294t, 302

Anaemia, pernicious, 309-10 Anaemia, sideroblastic, 300-02

classification of, 301

Anal canal, tumours of, 589-90 Anal fissure, 581

Anaphase lag, 258 Anaphylactic reaction, 73-76 Anaphylatoxins, 136, 137f Anaplasia, 197-99 Anasarca, 96

Anatomy, morbid, 7 Androblastoma,

ovary, 749 testis, 713 Anencephaly, 256 Aneuploidy, 258

Aneurysmal bone cyst, 839f, 840 Aneurysms, 405-09

atherosclerotic, 406 berry, 406, 882 classification of, 405 definition of, 405 dissecting, 407-08 syphilitic (luetic), 406-07

Angiitis, 400-05 Angina pectoris, 429

Angina preinfarction, 429 Angina, Ludwig’s, 517 Angina, Vincent, 517 Angiodysplasia, 581

Angiofibroma, nasopharyngeal, 518 Angiogenesis, 167, 199 Angiomyolipoma, 694 Angioneurotic oedema, 76, 97, 770 Angioplasty,

balloon, 459-60 Angiosarcoma, 414, 633 Angiotensin, 98, 686-87, 796 Anisocytosis, 197, 292 Anisonucleosis, 198 Anitschkow cells, 440 Ankyrin, 315

Ann Arbor staging, 372t

in Hodgkin’s disease, 372-73

in non-Hodgkin’s lymphoma, 380 Annexin V, 48

Anoxia, brain, 45, 879-81 Anthracosis, 43, 44f, 488 Anthrax, 178

Anti D, 339

Antibody, 61

Antibody-dependent cell-mediated cytotoxicity (ADCC), 64, 229-30

Antidiuretic hormone (ADH), 98, 794 Anti-endothelial cell antibodies (AECAs), 402 Anti-GBM disease, 664

Anti-heart antibodies, 436 Anti-neutrophilic cytoplasmic antibodies

(ANCAs), 402 Anti-oncogenes, 212-14, 213t versus oncogenes, 214t

Antigen, 61 tumour, 229

tumour-associated, 229 tumour specific, 229

Antigen-antibody complex, 61, 662-64 Antinuclear antibodies (ANAs), 78 Antioxidants, 33

Antisperm antibodies, 76 Antithiamines, 252 Antithrombotic factors, 114 Antoni A and B, 893 Aortic arch syndrome, 404 Aortic atheroma versus

syphilitic aortitis, 402t

Aortic valve, atresia, 426 insufficiency, 451

stenosis, 426, 450-51 Aortitis, syphilitic,

versus aortic atheroma, 402t APC gene, 586-87

Apical abscess, 529 Apical granuloma, 529 Aplasia, 256

Apocrine tumours, 786 Apoplectic cyst, 881 Apoptosis, 46-49

versus necrosis, 48t Apoptotic bodies, 45f, 47f Appendicitis, 577-78 Appendix, 577-79

mucocele of, 579

normal structure of, 577-78 tumours of, 579

APUD cell system, 561, 791 Apudoma, 576

Arachidonic acid metabolites, 137-38 Argentaffin cells, 561 Argentaffinoma, 576-77

Argyria, 43

Arias-Stella reaction, 731 Ariboflavinosis, 253 Armanni-Ebstein lesions, 678 Arnold-Chiari malformation, 873 Arrhenoblastoma, 749 Arrhythmias, 435

Arsenic poisoning, 40

Arteries, normal structure of, 390, 391f Arteriolitis, necrotising, 392 Arteriolosclerosis, 391-92

hyaline, 391 hyperplastic, 391-92 necrotising, 392

Arteriosclerosis, 391-400 hypertensive, 391-92 Mönckeberg’s, 392 senile, 391-92

Arteriovenous malformations, 413

Arteritis, 400-05

cerebral, syphilitic, 401 giant cell, 403-04 Heubner’s, 401

hypersensitivity (allergic), 47f, 402-03 infectious, 400-01

non-infectious, 402-05 rheumatic, 404, 443 syphilitic, 401-02 Takayasu’s, 404

temporal (giant cell), 403-04 Arthritis,

gouty, 853-55 osteoarthritis, 850-51 rheumatoid, 851-53 suppurative, 853 tuberculous, 853

Arthus reaction, 76-77 Asbestos bodies, 492f Asbestos disease, 492-93

pathogenesis of, 492 morphologic features of, 492-93

Aschoff cells, 440

Aschoff nodules (bodies), 439-40 Ascites, 102, 631

Asclepios, 2 Ascorbic acid, 251 ASCUS, 271

Aspergillosis, 181t, 219, 476-77, 477f, 634 Aspiration, bone marrow, 286-87

Aspirin therapy, in platelet functions, 334-35 Aster-Coller staging, 589, 591t

Asteroid bodies, 165 Asthma, 483-84

extrinsic versus intrinsic, 483t Astrocytoma, 887-88

Ataxia telangiectasia, 215, 770 Atelectasis, 465

Atheroma, 398-400, 427 Atheromatous plaques, 398-99, 427

calcification in, 399 complicated, 398-99 Atherosclerosis, 393-400

alcohol in, 395 calcification in, 399

Chlamydia pneumoniae in, 395 clinical effects of, 399-400 coronary, 427-28

definition of, 393 etiology of, 393-95 homocystinuria in, 395

monoclonal hypothesis in, 397 morphologic features of, 397-99 pathogenesis of, 395-97 reaction to injury

hypothesis in, 395-96 risk factors in, 393-95, 393t viruses in, 395

Athlete foot, 773

Atmospheric pollutants, 236-37 ATP, cellular, 29-30

Atresia, aortic, 426

biliary, 601-02 intestinal, 561 oesophageal, 539 pulmonary, 426 tricuspid, 425-26

Atrial septal defect (ASD), 423-24 Atriopeptin hormone, 687 Atrophy, 55

brown, 43 testicular, 55f, 703-04

Atypical lymphocytes, 352 Atypical mycobacteria, 149-51 Auer rods, 364f

Auerbach’s plexus, 561, 579 Auspitz sign, 778 Australia antigen, 607 Autocoids, 137

Autocrine motility factor, 204 Autograft, 65 Autohaemolysis test, 315 Autoimmune diseases, 77-81

pathogenesis of, 77-78

types and examples of, 78-81, 78t Autolysis, 44

Autophagy, 37 Autopsy pathology, 7

Autosomal disorders, 260 Avascular necrosis bone, 833-34 Axial flow, 116, 133

Axonal degeneration, 892 Ayre’s spatula, 276f Azotaemia, 653

B

Bacteraemia, 145

Bacterial diseases, 176t, 175-81 Bacterial endocarditis, 445-49

acute, 445

acute versus subacute, 445 cardiac complications in, 448

complications and sequelae of, 447-48 definition of, 445

etiology of, 445-46

extra-cardiac complications of, 448 morphologic features of, 446-47 pathogenesis of, 446 predisposing factors in, 445-46 subacute, 446

Bacterial index (BI), in leprosy, 158 Bactericidal mechanisms, 135-36 Bagassosis, 488t, 493

Balance, acid base, 94

water and electrolyte, 93-94 Balanitis xerotica obliterans, 714 Balanoposthitis, 714

Ball valve thrombus, 118 Ballooning degeneration, 611 Banding techniques, 257

Banti’s spleen (fibrocongestive splenomegaly), 106-07, 108f, 387

Bantu’s siderosis, 42 Barr body, 257f, 275

Barrett’s oesophagus, 58f, 540-41 Bartholin’s cyst and abscess, 721 Basal cell carcinoma, 193t, 784-85 Basedow’s disease, 806-07 Basement membrane, 170, 203f, 651 Basophilia, 350

punctate, 292 Basophilic stippling, 292 Basophils, 136, 141-42, 350

Basosquamous carcinoma skin, 785 BAX protein, 49, 214

BCG vaccination, 152

BCL-ABL gene, 210, 212, 355, 356f BCL2, 214

Bedsores, 50 Behaviour pattern, 395

Bence Jones’ proteins, 86, 383 Benditt and Benditt, 395 Benedict’s test, 826

Berger’s disease, 674 Beriberi, 252

cerebral (Wernicke-Korsakoff syndrome), 252

dry, 252

heart disease in, 252 wet, 252

Bernard-Soulier syndrome, 334 Berry aneurysms, 406, 882 Berylliosis, 493

Beta carotene, 247 Beta fibrillosis, 82

Beta-2 amyloid protein, 82 Beta-2-microglobulin, 83, 384 Betel nut cancer, 206 Bethesda system, 271, 726 Bezoars, 546

Bichat, Xavier, 3

Bicuspid aortic valve, 426, 450 Bielschowsky silver stain, 13t

913

INDEX

914

INDEX

Bile acids (salts), test for, 593 Bile lakes, 599-600

Bile plugs, 599 Biliary atresia, 601-02

Biliary cirrhosis, 625-27 contrasting features of, 627t

Biliary system, 638-44 congenital anomalies of, 638 normal structure of, 638 tumours of, 643-44

Bilirubin, 42, 311, 593

conjugated versus unconjugated, 598t tests for, 593

Bilirubin metabolism, 596-97 Biopsy, surgical, 7, 9-11 Bird-breeders’ lung, 494 Bird flu, 185

Birefringence, 88, 89f, 91f Biotin, 253-54

Bitot’s spots, 247f

Bittner milk factor, 207, 227, 760 Blackfan-Diamond syndrome, 326 Blackwater fever, 189, 313

Blast crisis in CML, 358 Blastomas, 193, 207 Blastomycosis, 181t

Bleeding disorders, also see under Haemorrhagic diatheses, 328-38

Blepharoplasts, 872 Bleeding time, 329 Blindness, 509

night, 247

Blood film examination, 292-93

Blood group antigens and antibodies, 339-41 ABO system, 339t

Rh system, 339 Blood transfusion, 339-40

complications of, 339-40 components in, 340

Blood vessels, 390-416

tumours and tumour-like lesions of, 411-16 Blood volume, 93

Blood-brain barrier, 598t, 872 Bloom’s syndrome, 221, Blots,

northern, 17 southern, 17 Blue-dome cysts, 756 Boeck’s sarcoid, 164-65

Bohr effect, 290 Boil, 145, 179

Bombay blood group, 339 Bone

cysts, 839-40 lamellar, 830

metastatic tumours in, 850 normal structure of, 830-31 tumour-like lesions of, 837-40 tumours of, 840-50

woven, 830

Bone marrow, 284-87

aspiration versus trephine, 287 aspiration, 286-87 examination, 285-87

failure, 324-26 transplantation, 326, 365, 374 trephine biopsy, 286-87

Botryoid rhabdomyosarcoma, 519, 724, 867, 868f Botulism, 181

Bouin’s fixative, 652

Bovine spongiform encephalopathy (BSE), 878-79

Bowen’s disease, 714-15, 782-83 Bowenoid papulosis, 715 Bowman’s space, 650

Boyd, William, 6

Boyden’s chamber experiment, 134 Brain, abscess, 877

Brain, metastatic tumours, 891 Brain, oedema, 101-02, 882, 883f Branchial cyst, 520-21

BRCA gene, 214, 759

Bread and butter appearance, 442 Breast, 754-67

cancer, 759-67

fibrocystic changes in, 755-57 grading of cancer of, 765 inflammatory diseases of, 755 normal structure of, 754-55

prognostic markers of carcinoma, 766-67 silicone implant in, 755

staging of carcinoma of, 765-66 tumours of, 757-67

Brenner’s tumour, ovary, 745 Bright, Richard, 3

Broders’ grading, 204, 784 Brodie’s abscess, 832

Bromsulphalein (BSP) excretion test, 593 Bronchial carcinoid, 503

Bronchial, brushing, 272-73 washing, 272-73

Bronchiectasis, 484-86

Bronchiolitis and bronchiolitis obliterans, 465 Bronchitis, chronic, 477-78

clinical features of, 478 etiopathogenesis of, 477-78 morphologic features of, 478 versus emphysema, 479t

Broncho-(lobular) pneumonia, 471-72 Bronchogenic carcinoma, 496-503

clinical features of, 502 etiology of, 497-98 pathogenesis of, 498-99 incidence of, 497

morphologic features of, 499-501 prognosis of, 503

spread of, 501-02 staging of, 503

Bronchopulmonary sequestration, 462

Bronzed diabetes, 42 Brooke’s tumour, 785 Brown atrophy, heart, 43

Brown induration, lung, 41, 106

Brown tumour of hyperparathyroidism, 816, 836

Bubos, 177

Buccal smear, 257f, 274-75 Budd-Chiari syndrome

(hepatic vein thrombosis), 603-04 Buerger’s disease, 404-05

Buffer system, 94

Bullous dermatoses, 775-78 Burkitt’s lymphoma, 225, 377-78 Burr cells, 293f

Bursa of Fabricius, 62t, 342 Bursitis, 856

Button-hole appearance, 441 Bypass, coronary grafting, 460 Byssinosis, 493-94

C

Cachexia, 230 Cadherins, 25, 203

cafe-au-lait spots, 40, 206, 893 Caisson’s disease, 123 Calcific aortic stenosis, 450

Calcification, pathologic, 51-53 dystrophic, 51-52

dystrophic versus metastatic, 54t metastatic, 51, 53

Calcifying epithelioma of Malherbe, 785

Calcinosis cutis, 779 Calcitonin, 816 Calcitriol, 248-49 Calcospherites, 52

Calculi, gallbladder, 638-41 Calculi, urinary, 690-92 Calculus, gum, 529 Call-Exner bodies, 749 Callender classification, 512 Callus formation, 172 Cambium layer, 867

Cancer cervix, invasive, 728-30 Cancer, definition of, 192

diagnosis of, 232-35 classification of, 192-93 characteristics of, 194-205 genetic mechanisms of, 208-16 grading of, 204-05

immune surveillance of, 228-30 metastasis in, 200-04

molecular pathogenesis of, 208-16 multistep theory of, 215 pathogenesis of, 208-28

staging of, 204-05 Cancrum oris, 523 Candidiasis, 182, 270 Caplan’s syndrome, 490 Caput medusae, 632

Carbon tetrachloride, 34, 618t Carbuncle, 145, 179

Carcinoembryonic antigen (CEA), 234, 709 Carcinogenesis,

biologic, 208-28 chemical, 216-20 genetic theory of, 209 physical, 220-21 viral, 222-28

Carcinoid heart disease, 451 Carcinoid syndrome, 451, 577 Carcinoid tumour, 576-77

appendix, 579 bronchial, 503 colon, 589

small intestine, 576-77 stomach, 559

Carcinoma, acinic cell, 537 Carcinoma, adenoid cystic, 537 Carcinoma, adrenal cortex, 799 Carcinoma, breast, 759-67

adenoid cystic, 763-64 classification of, 760t colloid, 763, 764f etiology of, 759-60 grading of, 765 prognosis of, 766-67 staging of, 765-66

infiltrating duct (NOS), 761-62

infiltrating lobular, 762-63 inflammatory, 764 intraductal, 760-61 invasive, 761-65

juvenile, 764 lobular in situ, 761 medullary, 763 mucinous, 763 non-invasive, 760-61 papillary, 763

prognostic factors in, 766-67 secretory, 764

tubular, 763

Carcinoma, cervix, 58, 207, 224-25, 728-30 cytology of, 271-72, 282f

staging of, 730t Carcinoma, colorectal, 586-89

clinical features of, 589 etiology of, 586

morphologic features of, 587-88 pathogenesis of, 586-87

spread of, 588-89 staging of, 589, 590f, 591t

Carcinoma, cortical, adrenal, 799 Carcinoma, definition of, 192 Carcinoma, embryonal, testis, 710-11 Carcinoma, endometrium, 735-37

staging of, 737t

Carcinoma, extra-hepatic duct, 644 Carcinoma, gallbladder, 643-44 Carcinoma, hepatocellular, 633-36 Carcinoma in situ, 58

breast, 760-61 bronchus, 496-503

cervix, 207, 271, 726, 727f oral cavity, 525-26

skin, 714-15, 782-83 urinary bladder, 701 Carcinoma, kidney, 694-96 Carcinoma, liver, 633-36 Carcinoma, lung, 496-504

acinar, 501 adenocarcinoma, 500-01 adenosquamous, 501 bronchiolo-alveolar, 501 epidermoid, 499-500 etiology of,497-98 pathogenesis of, 498-99 hilar, 499

large cell, 501 metastatic, 504 oat cell, 500 peripheral, 499 scar, 500 small cell, 500

squamous cell, 499-500 Carcinoma, mucoepidermoid, 536

Carcinoma, nasopharyngeal, 225-26, 511-12 Carcinoma, nose and paranasal sinuses, 518-19 Carcinoma, oesophagus, 541-43

Carcinoma, oral cavity, 526-27 Carcinoma, pancreas, 647-48 Carcinoma, parathyroid, 818 Carcinoma, penis, 715-16 Carcinoma, prostate, 718-19 Carcinoma, skin, 783-85, 787-90 Carcinoma, stomach, 555-60

clinical features of, 557-58 etiology of, 555 incidence of, 555

morphologic features of, 555-57 spread of, 557

Carcinoma, thyroid, 811-15 Carcinoma, transitional cell, 700-02 Carcinoma, urinary bladder, 700-02 Carcinoma, vagina, 724

staging of, 724t Carcinoma, vulva, 723 staging of, 723t

Cardiac death, sudden, 429f, 436-37 Cardiac oedema, 99, 100f Cardiomyopathies, 454t

congestive, 454-55 dilated, 454-55 hypertrophic, 455 idiopathic, 454-56 ischaemic, 436 restrictive, 455-56 secondary, 456

Cardiospasm, 538 Caries, dental, 528-29 Caries, spine, 833f, 838 Caroli’s disease, 638 Carotenaemia, 43

Carotid body tumour, 521 Carrier state, hepatitis, 609-10

Cartilage-forming tumours, 843-46 Cartilage normal structure of, 831 Caruncle, urethral, 702

Caseous necrosis, 45, 153, 155-56 Castleman’s disease, 343-44 Casts, 652

Cat-scratch disease, 186 Cataract, 510

Catarrhal inflammation, 144 Catenins, 586-87

Cavitary lesions of lung, 155-56, 156f C-cells, 816

CD markers, 25, 62t, 63-64

Cell adhesion molecules (CAMs), 25 Cell aging, 59-60

Cell cycle, 26-27, 27f labile cells in, 166 permanent cells in, 166 stable cells in, 166

Cell death, 30-31, 44-53 Cell injury, 21-53

chemical, 33-34 enzyme markers of, 32t etiology of, 27-28 free-radical, 31-33 hypoxic, 29-33 immunologic, 28, 73-77 irreversible, 30-31 ischaemic, 29-33 microbial, 28, 174-91 morphology of, 34-37 pathogenesis of, 28-34 physical, 34 reperfusion, 31-33 reversible, 29-30

Cell membrane, 21-22, 289 Cell structure, 21-24

Cell-mediated reaction, 62t, 63, 77 Cellular adaptations, 53-59 Cellular swelling, 34-35 Cellulitis, 145

Celsus, 2 Cementomas, 532 Cementum, 528

Central nervous system (CNS), 871-91 degenerative diseases of, 884-85 demyelinating diseases of, 883-84

embryonal tumours of, 889 infections of, 873-79 metabolic diseases of, 885 metastatic tumours of, 891 normal structure of, 871-72 nutritional diseases of, 886 trauma to, 882-83 tumours of, 886-91

Centrilobular haemorrhagic necrosis, 106, 107f Centriole, 24, 257

Centromere, 24, 257 Centrosome, 24

Cerebral infarction, 127f, 880-81 Cerebral malaria, 189, 313 Cerebral oedema, 101-02 Cerebrospinal fluid (CSF), 873-76

findings in meningitis, 876t cytology of, 276

Cerebrovascular disease, 879-82 Ceruloplasmin, 628

Cerumen gland tumour, 514

Cervical intraepithelial neoplasia (CIN), 271-72, 725-28

Cervicitis, 724-25 Cervix, 724-30

carcinoma of, 728-30 normal structure of, 724 tumours of, 725-30

Chagas’ disease, 187t, 580 Chalazion, 508

Chancre, 162

Charaka, 2

Charcot-Leyden crystals, 484f Chediak-Higashi syndrome, 349 Chemical carcinogenesis, 216-20

initiation of, 216-18 initiators of, 219t promoters of, 219t

promoter versus initiator, 220t promotion of, 218

stages of, 216-20 tests for, 220

Chemical carcinogens, 219t Chemical injury, 33-34

Chemical mediators of inflammation, 136-40 Chemoattractants, 134

Chemodectoma, 521

Chemokines, 26, 134 Chemotaxis, 134 Chickenpox, 186 Chikungunya, 184

Childhood tumours, 207, 264t, 265t Chlamydiae, 508

Chloasma, 40

Chloroma, 363

Chocolate cyst of ovary, 733 Cholangiocarcinoma, 636-37 Cholangioma, 633 Cholangitis, 614

primary sclerosing, 626, 627t pyogenic, 614

Cholecystitis, 641-43 acute, 641-42 chronic, 642 glandularis, 642 Cholecystokinin, 639

Choledocholithiasis, 641 Cholelithiasis (gallstones), 638-41 Cholestasis, 599-600

extrahepatic, 599-600 intrahepatic, 599

915

INDEX

916

INDEX

Cholesteatoma (keratoma), 514-15

pathogenesis of, 618

Congenital heart diseases, 422-26

Cholesterolosis, 641f

pigment, 627-28

acyanotic, 423-24

Choline, 254

portal hypertension in, 630-32

cyanotic, 424-26

Choline esterase, 857

post-hepatitic, 624-25

malpositions, 423

Chondroblastoma, 845

post-necrotic, 624-25

obstructive, 426

Chondrocytes, 839

Wilson’s disease, 628

Congestion, 105-08

Chondrodermatitis, 514

Clara cells, 461

local venous, 106-07

Chondroma, 844

Clark’s levels, 789

passive, 105-07

Chondromalacia, 514

Claude Bernarde, 93

systemic venous, 105f

Chondromyxoid fibroma, 845

Clear cell sarcoma, 869

Congestive heart failure (CHF), 105f, 419-22,

Chondrosarcoma, 845-46

Clear cell tumours, ovary, 745

420f

Chordoma, 849

Clefts, facial, 522

Congestive splenomegaly, 106-07, 387

Chorea minor, 443

Clinging carcinoma, breast, 766

Congo red, 88, 89f, 91f, 815f, 822f

Chorioadenoma destruens, 753

Clinicopathologic correlation (CPC), 3

Conjugated versus unconjugated bilirubin, 598t

Choriocarcinoma, 753

Cloning, 7

Conjunctivitis, 508

gestational, 753

Clostridial diseases, 180-81

Conn’s syndrome, 797-98

nongestational, 748

Clotting system, 116f, 139, 329-30

Consolidation, 468-71

testis, 711

Clotting time, 330

Consumptive coagulopathy, 337-38

Choristoma, 193, 796

Cloudy swelling, 34-35

Contraceptives, oral, 239t, 633

Choroid plexus papilloma, 889

CNS tumours, 886-91

Contractures, 170

Christmas disease, 335-36

Coagulation disorders, 335-38

Coombs’ test, 76, 311, 341

Chromaffin tumour, 799-800

Coagulation system, 116f, 139, 329-30

Copper metabolism, 254, 628

Chromatin, sex, 257f, 275

Coagulation tests, 329-31

Cor bovinum, 252

Chromogens, 15

Coagulative necrosis, 45

Cor pulmonale, 437-38

Chromosomes, 6, 22-23

Coal-workers’ pneumoconiosis, 488-90

Cord factor, 152

Chronic inflammation, 147-65

Coarctation of aorta, 426, 687

Coronary artery disease (CAD),

(also see under Inflammation)

Coccidioidomycosis, 181t

(also see under IHD), 427-37

Chronic ischaemic heart disease, 436

Codman’s triangle, 842

Coronary syndromes, acute, 428

Chronic lymphocytic leukaemia (CLL), 375-77

Coeliac disease, 575

Corpora amylacea, 718f, 872

Chronic myeloid leukaemia (CML), 357-59

Coeliac sprue, 575

Corrigan’s pulse, 451

blastic phase in, 358

Coelomic epithelium, 739

Cortical necrosis kidney, 690

juvenile CML, 357

ovarian tumours of, 741-45

Councilman (acidophil) body, 611

Chronic obstructive pulmonary disease

Coffee-bean nuclei, 745

CPC, 3

(COPD), 477-86

Cohnheim, 5

Craniopharyngioma, 796, 886t

bronchial asthma, 483-84

Cold abscess, 153

Craniotabes, 249

bronchiectasis, 484-86

Cold agglutinin disease, 312-13

Crescents, 668

chronic bronchitis, 477-78

Colitis, 580t

CREST syndrome, 80-81

emphysema, 478-83

amoebic, 187-88, 572-73

Cretinism, 803

versus restrictive lung disease, 486t

pseudomembranous, 573

Creutzfeldt-Jakob disease, (CJD), 878-79

Chronic restrictive pulmonary disease, 486-96

ulcerative, 565-69

Cri du chat syndrome, 259

collagen vascular disease, 495

Collagen, 170

Cribriform pattern, 537, 781

idiopathic pulmonary fibrosis, 495-96

Collagen diseases, 77-81, 78t

Crigler-Najjar syndrome, 601

immunologic lung disease, 493-95

Collagen vascular disease, 77-81

Crinopectins, 26

pneumoconiosis, 487-93

lung, 495

Cristae, 24

versus COPD, 486t

Collapse lung, 465

Crohn’s disease versus ulcerative colitis, 566t

Chronic venous congestion (CVC), 105-08

Colliquative necrosis, 45

Cronkhite-Canada syndrome, 585

kidney, 107

Colloid carcinoma,

Crux of heart, 418

liver, 106-07

breast, 763, 764f

Cryoprecipitate, 340

lungs, 106

stomach, 557

Crypt abscess, 568, 569f

spleen, 106-08

Colloids, plasma, 95, 97

Cryptococcosis, 176f, 181t, 876

Chutta cancer, 218

Colloid pressure, 95, 96-97

Cryptorchidism, 703-05

Chyle, 97, 410

Colony-stimulating factor, 25, 285

CSF, source and circulation of, 873, 874f

Chylothorax, 97, 411

Colorectal polyps, 582-86, 582t

Curling’s ulcers, 550

Chyluria, 411

cancer, 586-89

Curschmann’s spiral, 484f

Cicatrisation, 170

neoplastic versus non-neoplastic, 585t

Cushing’s syndrome, 797

Cilia, 24

Coma, nonketotic, 825

Cushing’s ulcers, 550

Circle of Willis, 406, 882

Combined (fast) smears, 268

Cyanmethaemoglobin method, 292

Cirrhosis, liver, 618-30

Comedo pattern, 761

Cyanocobalamin, 253, 303

alcoholic, 619-24

Comedones, 771

Cyclin dependent kinases (CDKs), 26, 27f

alpha-antitrypsin deficiency, 628

Commensals, 174

Cyclins, 26, 212

biliary, 625-27, 627t

Common cold, 515

Cyclo-oxygenase pathway, 137, 138f

cardiac, 628-29

Complement system, 139-40, 664

Cylindroma, 786

classification of, 619t

Complicated plaques, 398-99

Cystic diseases of kidney, 656-60

clinical manifestations and complications

Components, blood, 341

Cystic fibrosis, pancreas, 645

of, 630

Computers in pathology lab, 19

Cystic hygroma, 412, 521

cryptogenic, 629

Concato’s disease, 458

Cystic hyperplasia, endometrium, 733, 734f

haemochromatosis, 627-28

Concentration and dilution tests,

Cystic medial necrosis of Erdheim’s, 407

Indian childhood (ICC), 629

kidney, 652-53

Cysticercosis, 187t, 190, 879f

macronodular, 619, 624f

Conchoid bodies, 165

Cystine stones, 692

micronodular, 618-19, 623f

Concussion, 883

Cystitis, 699

mixed forms, 618

Condyloma acuminatum, 714, 722, 772

Cystitis cystica, 699

Cystosarcoma phyllodes, 758-59 Cysts,

acquired renal, 659t apoplectic, 881 Bartholin’s, 721 biliary, 638

bone, 839-40

branchial (lymphoepithelial), 520-21 congenital pulmonary, 462

dental, 530 dentigerous, 530

dermoid, 520, 746, 781-82 echinococcal, 187t, 616-17 epidermal, 781

eruption, 530 follicular, 740 Gartner’s duct, 723 gingival, 530 globulomaxillary, 531 hepatic, 632-33 implantation, 169, 781 jaw, 529-31

kidney, 656t

lateral cervical, 520-21 lung, 462

luteal, 740 lymphoepithelial, 520-21 mesenteric, 591

midline cervical, 520 nasolabial, 530 nasopalatine, 530 neck, 520-21 odontogenic, 530 pancreatic, 647 pararenal, 659-60 parathyroid, 521

pilar (trichilemmal and sebaceous), 781 primordial, 530

radicular, 530 sebaceous, 781 simple renal, 659 thymic, 521 thyroglossal, 520 trichilemmal, 781 Wolffian, 723

Cytocentrifuge, 277

Cytochemistry, 362t

Cytogenetics, 257-59 Cytohormonal evaluation, 269 Cytokeratin, 23, 262f Cytokines, 25-26, 138-39 Cytology, diagnostic, 266-83

biopsy sediment, 283 branches of, 267 buccal smear, 274-75 cerebrospinal fluid, 274

collection of sample for, 275-76 crush smear, 283

effusions, 273-74 exfoliative, 267-77

exfoliative versus interventional, 267t female genital tract, 267-72

fine needle aspiration (FNAC), 277-83 fixation and fixatives, 276-77

fluids, 273-74 gastrointestinal tract, 273 imprint, 283 interventional, 277-83

interventional versus exfoliative, 267t Pap smear, applications of, 267-72 respiratory tract, 272-73

role of, 266-67

semen examination, 274 staining in, 277

techniques of, exfoliative cytology, 275-77 urinary tract, 273

Cytomegaloviruses, 183t, 190-91 Cytometry, flow, 18-19 Cytoskeleton, 23-24

Cytosol, structure of, 23-24 Cytotactin, 170

Cytotoxic reaction, 76

D

Dane particle, 606 Darier’s disease, 770

Darier-Pautrier abscess, 790

DeBakey clasification, aneurysms, 407, 408f Debridement, 169

Decay accelerating factor, 314 Decidual reaction, 731 Decompression sickness, 123 Defibrination syndromes, 337-38 Degenerations, 34-36

albuminous, 34-35 fibrinoid, 46, 47f hyaline, 35 hydropic, 34-35 mucoid, 35-36 vacuolar, 34-35 Wallerian, 892

Degenerations, peripheral nervous system, 891-92

axonal, 891 segmental, 891 Wallerian, 891

Degenerative joint disease (DJD), 850-51 Dehydration, 102

Delayed hypersensitivity, 75f, 77, 152 Deletions, chromosomal, 259 Demyelinating diseases, 883-84 Dendrites, 871f

Dendritic cells, 64, 385 Denervation atrophy, 857-58 Dengue fever, 184

Dense deposit disease, 664, 671-72 Dentin, 528

Denver classification, 23, 257 Dependent oedema, 99 DeQuervain’s thyroiditis, 805-06 Dermatitis (eczema), 770, 771f Dermatitis herpetiformis, 777

Dermatofibrosarcoma protuberans, 789-90, 864 Dermatomyositis-polymyositis, 81, 495 Dermatophytes, 183, 713-14

Dermatoses, 769-79 connective tissue, 774-75 genetic, 769-70 granulomatous, 774 infectious, 771-74 metabolic, 778-79

non-infectious bullous, 775-78 non-infectious inflammatory, 770-71 scaling, 778

Dermoid cyst, 520, 746, 781-82 ovary, 746

testis, 712 Desmin, 23, 861

Desmoid tumours, 863 Desmoplasia, 199

Desmoplastic small cell tumour, 591

Desmosomes, 25 Developmental defects, 256-57 Devil’s pinches, 331 Dextrocardia, 423

Diabetes insipidus, 653, 795 Diabetes mellitus, 818-28

atherosclerosis in, 394, 826 bronzed, 42

chemical, 826 classification of, 818t clinical features of, 823-24

criteria for diagnosis of, 825t complications of, 824-26 diagnosis of, 826-28 gestational, 819

MODY, 819

normal insulin metabolism in, 819-20 risk factors for, 819t

morphologic features of, 822-23 pathogenesis of, 819-22

Diabetic ketoacidosis, 825, 826t Diabetic microangiopathy, 826 Diabetic nephropathy, 826 Diabetic neuropathy, 826 Diabetic retinopathy, 826 Diagnosis of cancer, 232-35

Dialysis-related bone disease, 836-37 Diapedesis, 107, 134

Diarrhoea, antibiotic-associated, 573 Diazo reaction, 593

Diet and cancer, 254-55 Differentiation of neoplastic cells, 197 Diffuse alveolar damage (DAD), 463 Diffuse axonal injury, 883

Dilatation, cardiac, 421-22 Diphtheria, 517

Disease, definition of, 1 Dissecting aneurysm, 407-08

Disseminated intravascular coagulation (DIC), 337-38

Disseminated (multiple) sclerosis, 883-84 Diuretic phase, 654

Divers’ palsy, 123 Diverticula,

Meckel’s, 561-62 oesophageal, 539 Diverticulosis coli, 581

DNA chromosomal instability syndrome, 587 DNA oncogenic viruses, 224t

DNA, structure of, 6f, 23 Doderlein bacilli, 269 Dohle bodies, 348 Dominant pattern, 260

Donath-Landsteiner antibody, 313 Donovan bodies, 179

Dopa reaction, 40 Down’s syndrome, 258 Downey cells, 352 Drabkin’s fluid, 292 Drepanocytes, 293 Dressler’s syndrome, 436 Dropsy, 96

Drug abuse, 241

Drug injury, 28, 238, 239t Drumstick appendage, 257f, 275 Dry gangrene, 49-50

Dry tap, 287t, 326

Dubin Johnson syndrome, 601 Duct ectasia, 755

Dukes’ staging, 589, 590f, 590t Duodenal ulcer, 550-54

versus gastric ulcer, 551t

917

INDEX

918Dupuytren’s contracture, 170 Dura mater, 872

Durozier sign, 451

Dust diseases, lung, 487-93 Dwarfism,

achondroplasia, 833 hypothyroid, 803 pituitary, 795

Dysenteries, 572-73 amoebic, 572-73 bacillary, 572

Dysfunctional uterine bleeding (DUB), 731-32 Dysgenetic gonads, 707

Dysgerminoma ovary, 747 Dyskeratosis, 769 Dyslipidaemia, 393-94, 661 Dysplasia,

bronchopulmonary, 465 cervical, 271-72, 725-28 developmental, 256 fibromuscular, arteries, 409 fibrous, 837-38

mammary, 756-57 oral cavity, 525-26 renal cystic, 657 skeletal, 834

Dystraphic anomalies, 256, 873 Dystrophic calcification, 52 Dystrophy, muscular, 858-59 Dystrophy, vulval, 721, 722f D-xylose test, 574

E

 

Ear, 513-15

 

cauliflower, 514

 

normal structure of, 513-14

 

tumours and tumour-like lesions of, 514-15

 

Ecchymoses, 107, 331

INDEX

Eccrine hidradenoma, 786

Eccrine, poroma, 786

spiradenoma, 786

Eccrine tumours, 786

 

Echinococcosis, 187t, 616-17

 

Ectopia, 256

 

Ectopia vesicae (exstrophy), 698

 

Ectopic hormone production, 232, 502, 696

 

Ectopic tubal pregnancy, 739

 

Eczema, 770

 

Effusions, pleural, 505

 

cytology of, 273-74

 

Ehler-Danlos syndrome, 331

 

Ehrlich, Paul, 4f

 

Elastic fibres, 170

 

Elastofibroma, 862

 

Electrical injury, 28, 242

 

Electrolytes, disturbances of, 93-94, 103

 

Electron microscope, 14-15

 

Electrophoresis, haemoglobin, 324, 383

 

Electrophoresis in myeloma, 383

 

Elephantiasis, 97, 411, 706

 

Elliptocytosis,

 

hereditary, 293f, 315

 

Embden-Meyerhof pathway, 289, 317f

 

Embolism, 119-24

 

air, 122-23

 

amniotic fluid, 123-24

 

arterial, 120f

 

atheromatous, 124

classification of, 120t fat, 121-22

gas, 12-23 miscellaneous, 124 paradoxical, 119 pulmonary, 120-21 retrograde, 120 saddle, 120 systemic, 121

thromboembolism, 120-21 tumour, 124

venous, 120t Embolus, 119 Embryoma, 193, 637

Embryonal carcinoma testis, 710-11 Embryonal tumours, 206-07 Emigration, 134

Emphysema, 478-83 bullous, 480f centriacinar, 481 centrilobular, 481 classification of, 478t clinical features of, 480-81

etiopathogenesis of, 479-80 interstitial, 483

irregular, 482

morphologic features of, 480-82 morphology of individual types of, 481-82 overinflation, 482-83

panacinar, 481-82 paraseptal, 482 senile, 482 surgical, 483

versus predominant bronchitis, 479 Empty-sella syndrome, 794-95 Empyema,

appendix, 579 gallbladder, 642 nasal sinus, 515 thoracis, 504

Enamel, 528 Encephalitis, 877-79

bacterial, 877 fungal, 879 HIV, 878 protozoal, 879 viral, 877-78

Encephalocele, 873 Encephalomalacia, 126 Encephalomyelitis,

acute disseminated, 884 perivenous, 884

Encephalopathy, hepatic, 632 Encephalopathy, ischaemic-hypoxic, 879-80 Encephalopathy, spongiform, 878 Enchondroma, 844-45

Encrustation theory, 395 End-stage kidney, 674-75 Endarteritis obliterans, 400-01 Endocardial fibroelastosis, 455 Endocarditis, 444-49, 447t

atypical verrucous, 444 bacterial, 445-48 cachectic, 444-45 infective, 445-49 Libman-Sacks, 444 Löeffler’s, 456 marantic, 444-45

nonbacterial thrombotic (NBTE), 444-45 rheumatic, 441

tuberculous, 448

Endocrine system, 791-829 Endodermal sinus tumour,

ovary, 748 testis, 711

Endometrial carcinoma, 735-37 Endometrial hyperplasia, 733-34 Endometrioid tumours, ovary, 744-45 Endometriosis, 732-33

Endometritis, 732 tuberculous, 732

Endometrium, 730-38

cyclic changes in, 730, 731f effects of hormones on, 730-31 in menopause, 731

normal structure of, 730 pregnancy changes in, 731

Endomyocardial biopsy, 459 Endomyocardial fibrosis, 456 Endophthalmitis, 508 Endoplasmic reticulum, 24 Endotoxin, 109, 175

Enteric fever, 571-72 Enterochromaffin cells, 561 Enterocolitis,

infective, 569-73 ischaemic, 565 membranous, 564-65 necrotising, 565 pseudomembranous, 573

Enteropathy, protein-losing, 576 Environmental chemicals, 242 Environmental diseases, 236-43 Eosinophilia, 141, 350 Eosinophilia, pulmonary, 456, 494 Eosinophilic granuloma, 385 Eosinophils, 141, 350

Eotaxin, 134 Ependyma, 872 Ependymoma, 888-89

Epidermis, structure of, 768-69 Epidermodysplasia

verruciformis, 224, 772 Epidermoid carcinoma, 192f

cervix, 728-29 lung, 499-500 oesophagus, 541-42 oral cavity, 526-27 penis, 715-16

skin, 783-84 vulva, 723

Epidermolysis bullosa, 522 Epididymitis, 705 Epididymo-orchitis, 705 Epidural haematoma, 882, 883f Epispadias, 714

Epithelioid cells, 152-53 Epithelioid sarcoma, 869

Epstein-Barr virus, 183t, 225, 350, 377, 518 Epulis, 524

Erdheim’s medial degeneration, 36, 407 ER/PR, 765

Erythema marginatum, 443 Erythema multiforme, 777

Erythema nodosum and induratum, 771 Erythema nodosum leprosum (ENL), 160 Erythroblastosis foetalis, 76, 341 Erythrocytic sedimentation rate (ESR), 294 Erythrocytosis, 359

Erythroid series, development of, 287-88 disorders of, 287-326

Erythrophagocytosis, 571 Erythroplasia, 525 Erythroplasia of Queyrat, 715 Erythropoiesis, 287-88 Erythropoietin, 288 Esthesioneuroblastoma, 517 Ethanol, 38, 238-40, 619-21 Euchromatin, 23 Eumycetoma, 182

Evan’s syndrome, 312 Ewing’s sarcoma, 848-49 Ewing’s, James, 5 Exanthemata, viral, 186, 713

Exfoliative cytology (see also under Cytology), 267-77

Exfoliative versus interventional cytology, 267t Exostosis, osteocartilaginous, 843

Exotoxin, 109, 175

Exstrophy (ectopia vesicae), 698 Extracellular fluid compartment, 93 Exudate versus transudate, 96t Exudation, 144

Eye, 507-13

congenital lesions of, 507-08 inflammatory conditions of, 508 metastatic, 513

miscellaneous conditions of, 510-11 normal structure of, 507

tumours and tumour-like lesions of, 511-13, 511t

vascular lesions of, 508-10

F

FAB classification, acute leukaemia, 362

myelodysplastic syndrome, 361 Fabricius, 3

Fabry’s disease, 678 Facial clefts, 522 Faecolith, 578 Fallopian tube, 738-39

normal structure of, 738-39 Fallopius, Gabriel, 3

Fallot’s tetralogy, 425

Familial Mediterranean fever, 37

Familial polyposis coli syndrome, 206, 585, 586 Fanconi’s anaemia, 325

Farmer’s lung, 493 FAS receptors, 48, 49f Fascitis, nodular, 862

Fast (combined) smear, 268 Fat aspiration, 88, 282f

Fat embolism, 121-22 Fat necrosis, 45-46

breast, 755

Fat-soluble vitamins, 247-51 Fat stains, 12t, 38

Fatty change, 37-39, 621-22 Fatty infiltration, stromal, 39 Fatty liver, 37-39, 621-22 Favism, 316

Felty’s syndrome, 852 Fenton reaction, 32f Fernandez reaction, 159 Ferric-ferrocyanide, 41 Ferrireductase, 295 Ferritin, 300, 301 Ferroportin, 295 Feulgen, Robert, 5

Fever,

enteric, 571-72 dengue, 184

viral haemorrhagic, 183-84 yellow, 183-84

Fibril protein, 82-83

Fibrin-split products (FSP), 116, 330, 338 Fibrinogen, 116, 330, 338

Fibrinoid necrosis, 46, 79 Fibrinolysis, 331, 337-38 Fibrinolytic defects, 337 Fibrinolytic system, tests for, 331 Fibroadenoma, breast, 757-58 Fibrocystic change, breast, 755-57 Fibrocystic disease, pancreas, 645 Fibrohistiocytic tumours, 864-65

benign, 864 malignant, 864-65

Fibrolamellar carcinoma, liver, 635-36 Fibroma,

ameloblastic, 532 cementifying, 532 chondromyxoid, 845 non-ossifying, 838 oral mucosa, 524 ovary, 749

renal, 694t

soft tissue, 861-62 Fibromatosis,

colli, 521 desmoid, 863 gingivae, 525

palmar and plantar, 862-63 retroperitoneal, idiopathic, 591

Fibromuscular dysplasia, arteries, 409 Fibronectin, 170

Fibrosarcoma, 863-64 Fibrosclerosis, multifocal, 591, 806

Fibrosis, idiopathic pulmonary, 495-96 Fibrous cortical defect, 838

Fibrous dysplasia of bone, 837-38 Fiedler’s myocarditis, 453 FIGLU test, 308

FIGO classification, cervical cancer, 730t

endometrial carcinoma, 737t ovarian carcinoma, 751t vaginal carcinoma, 724t vulval carcinoma, 723t

Filariasis, 97, 190

Fine needle aspiration cytology (FNAC), 277-83

advantages of, 278 applications of, 278 complications of, 281 contraindications of, 281 limitations of, 283 method of, 278-79 precautions in, 281 procedure of, 278-79 smear preparation, 279

Fish-mouth appearance, 441 Fissure, anal, 581

Fistula in ano, 581

Fistula, tracheo-oesophageal, 538 Fite-Faraco staining, 157 Fixatives in cytology, 276-77 Flagella, 24

Flavonoids, 254 Flea-bitten kidney, 666, 688

Floppy valve syndrome, 450

Flow cytometry, 18

919

Fluid compartments, 93

 

Fluorescent microscope, 14

 

Fluorochrome, 15

 

Fluorosis, skeletal, 837

 

FNAC, 277-83

 

Foam cell, 160, 397f,

 

Focal glomerulonephritis, 672-74

 

Focal necrosis, liver, 604-05

 

Foetal alcohol syndrome, 256

 

Folate, 253, 304-06

 

Folin-Wu method, 827

 

Follicular adenoma, thyroid, 810-11

 

Follicular hyperplasia, lymph node, 343-44

 

Folliculitis, 179

 

Fontana-Masson, 13t, 788

 

Food poisoning, 181, 572

 

Foot process disease, 669-70

 

Fordyce’s granules, 522

 

Fracture healing, 171-72, 834

 

Franklin’s disease, 384

 

Franzen handle, 278f

 

Free radicals, 32

 

Frost-bite, 242

 

Frozen section, 10-11

 

Fungal diseases, 181-83

 

Fungal infections, 181t

 

lungs, 476-77

 

skin, 773-74

 

Fungal stains, 175t, 176f

 

Furuncle, 145, 179

 

G

Galactocele, 755

 

Galactorrhoea, 794

 

Galen, Claudius, 2

 

Gallbladder carcinoma, 643-44

 

Gallstones, 638-41

 

Gamma glutamyl transpeptidase (g-GT), 595

INDEX

Gamna-Gandy bodies, 106-07, 108f

Ganglioneuroma, 801

Ganglion cyst, 855-56

 

Gangrene, 49-51

 

dry versus wet, 51t

 

gas, 59

 

Gap junctions, 25

 

Gardner’s syndrome, 585-86

 

Gartner duct cyst, 723

 

Gastric acid, 544-45

 

Gastric analysis, 544-45

 

Gastric canal, 543

 

Gastric carcinoma,

 

early (EGC), 556

 

Gastric lavage, 273

 

Gastric ulcer, 549-54

 

benign versus malignant, 557

 

versus duodenal ulcer, 551t

 

Gastrin, 545

 

Gastrinoma, 829

 

Gastritis, 546-49

 

acute, 546-47

 

atrophic, 547, 548-49

 

autoimmune, 547

 

chronic, 547-49

 

chronic superficial, 548

 

classification of, 547

 

H. pylori,547, 548f

 

hypertrophic, 549

 

type A, 547

 

920

INDEX

type AB, 547

primary, 665-75

actinomycosis, 163-64

type B, 547

rapidly progressive, 667-69

examples of, 149-65

Gastroenteropathy,

secondary, 675-78

leprosy, 157-61

haemorrhagic, 564-65

Glomerulosclerosis,

sarcoidosis, 164-65

Gastrointestinal stromal tumour (GIST), 554-55

collapsing sclerosis, 674

skin, 774-75

Gastrointestinal tract, 538-91

diffuse, 677

syphilis, 161-63

Gaucher’s disease, 262-63

focal segmental, 673-74

prostate, 717

G-cell tumour, 829

nodular, 678

tuberculosis, 149-57

Genetic diseases, 256-63

Glomerulus, structure of, 650

uveitis, 508

Genetic disorders, 256-63

Glomus jugulare tumour, 515

Granulopoiesis, 345-47

Genome, human, 7

Glomus tumour (glomangioma), 412-13

Granulosa cell tumour,

Germ cell tumours, 193

Glossitis, 523

ovary, 748-49

ovary, 745-48

Glucose tolerance test (GTT), 827f

testis, 713

testis, 709-13

Glucose 6-phosphate dehydrogenase (G6PD)

Granulosa-theca cell tumour, 749

Ghon’s complex, 153-54

deficiency, 316-17

Graves’ disease, 806-07

GI bleeding, 591t

Glucosuria, 826-27

Grawitz tumour, 694-96

Giant cell lesions of bone, 847-48

alimentary (lag storage), 827

Grossing, 10

Giant cell tumour of bone, 846-48

renal, 827

Ground glass nuclei, 813

Giant cell tumour of tendon sheath, 885

Glutathione-S-transferase (GST), 597

Growth factors, 210-11

Giant cells, 143-44

Gluten-sensitive enteropathy, 575

receptors for, 212

foreign body, 143

Glycocalyx, 21

Growth, adaptive disorder of, 53-59

Langhans’, 143

Glycogen stains, 12t, 40

Guillain-Barre syndrome, 892

Touton, 143

Glycogen storage diseases, 261-62

Gum hypertrophy, 363, 524

tumour, 143-44

Glycogenoses, 261t

Gumma, 163f

Gibbs-Donnan equilibrium, 94

Glycolipids, 152

Gynaecomastia, 757

Giemsa, 12t, 277

Glycophorine, 289

Gynandroblastoma, 749

Gigantism, 793-94

Glycoproteins, adhesive, 170

 

Gilbert’s syndrome, 600

Glycosaminoglycans, 83, 170, 262

H

Gingivitis, 529

Glycosylated Hb (Hb A1C), 828

GIST (Gastrointestinal stromal tumour), 554-55

Goitre, 807-10

 

Gitter cells, 872

adenomatous, 808-10

5-Hydroxy tryptamine (HT), 136-37

Glanzman’s disease, 334

colloid, 807-08

H-substance, 339

Glaucoma, 510-11

diffuse toxic, 806-07

Haber-Weiss reaction, 136

Gleason’s staging, prostate, 720

endemic, 807

Haemangioblastoma, 414, 889

Glial fibrillary acidic protein (GFAP), 24

nodular, 808-10

Haemangioendothelioma, 413-14

Glioblastoma multiforme, 887-88

simple, 807-08

Haemangioma, 411-12

Gliomas, 886-90

sporadic, 807-08

capillary type, 411-12

Gliosis, 45, 881

Goitrogens, 807

cavernous type, 412

Glisson’s capsule, 592

Golgi apparatus, 24

granulation tissue type, 412

Global, hypoxic-ischaemic

Gomori’s methenamine silver, 12t, 175, 176f

liver, 633

encephalopathy, 879-80

Gonadoblastoma,

mouth, 524

Globi, 158f

ovary, 750

nose, 517

Glomerular basement membrane (GBM), 650,

testis, 713

Haemangiopericytoma, 414

651f

Goodpasture’s syndrome, 494, 667-68

Haematemesis,

Glomerular diseases, 660-78

Gout and pseudogout, 853-55

of gastric origin, 554

classification of, 660t

G-proteins, receptors, 26, 212

of oesophageal origin, 539-40

clinical manifestations of, 660-62

Grading of tumours, 204-05

Haematin, 42

contrasting features of, 676t

Graft rejection, 65-66

Haematocele, 706f

definition of, 660

Graft versus host reaction, 66

Haematogenous spread of tumours, 201-02

pathogenesis of, 662-65

Graft, vascular, 460

Haematological neoplasms, 353-56

specific types of, 665-78

Gram Christian, 4

classification of, 353-54

Glomerular filtration rate (GFR), 653

Granular cell myoblastoma, 525, 869

etiology, 354-55

Glomerular injury,

Granular cell tumour, posterior

pathogenesis, 355-56

pathogenesis of, 662-65

pituitary, 796

Haematological values, 901t

Glomerulonephritis (GN), 665-75

Granulation tissue formation, 166-67

Haematoma, 107

acute, 665-67

Granulocytes, 141, 345

dissecting, 407-08

chronic, 674-75

Granuloma, 148-49

epidural, 882

crescentic, 667-69

annulare, 774

subdural, 882-83

distinguishing features of, 676t

apical, 529

Haematopoiesis, 284-85

end stage, 674-75

eosinophilic, 385

extramedullary, 285, 360

focal, 672-74

caseating, 148-49

Haematopoietic stem cells, 285-86

IgA, 674

gravidarum, 412, 524

Haematoxylin bodies of Gross, 79, 444

mechanisms of, 662-65

inguinale, 178-79

Haematuria, 661-62, 691, 696

membranoproliferative, 671-72

lethal midline, 380, 403, 517

Haemochromatosis, 42, 627

membranous, 669-71

non-caseating, 164-85

Haemodialysis-associated amyloid, 86-87

minimal change disease (lipoid nephrosis),

plasma cell, 384

Haemodynamic disturbances, 104-29

669

pyogenicum, 412, 524

Haemoglobin, 292

necrotising focal, 673

reparative, 816, 836

Haemoglobin disorders, 317-25

non-streptococcal, 667

sarcoid, 164-65

Haemoglobinopathies, 317-25

oedema in, 661

spermatic, 705-06

Haemoglobinopathy, unstable, 320

post-streptococcal, 665-67

Granulomatous inflammation, 150t

Haemoglobinuria, 311

cold, 313

by repair, 166-67

Hephaestin, 295

march, 313

by second intention (secondary union),

Hereditary haemorrhagic telangiectasia, 331

paroxysmal nocturnal (PNH), 314

168-69

Hereditary hyperbilirubinaemia, 600-01

Haemoglobinuric nephrosis, 679

complications of, 169-70

Hereditary persistent of fetal haemoglobin, 322

Haemolysis, general features of, 310-11

factors influencing, 170-71

Hernia, 562-63

Haemolytic anaemia, see under

fracture, 171-72

hiatus, 538-39

Anaemias, haemolytic, 310-24

mucosal surfaces, 173

incisional, 170

Haemolytic disease of newborn (HDN), 340-41

muscle, 172-73

strangulated, 563

Haemolytic uraemic syndrome, 331, 334, 689t

nervous tissues, 172, 891-92

Herpes simplex virus, 186, 773

Haemopericardium, 457

solid epithelial organs, 173

Herpes virus, 225

Haemophilia, 335-36

specialised tissues, 171-73

Herpes zoster, 186, 773

A, 335-36

wound, 167-71

Herring-bone pattern, 864

B, 336

Health, definition of, 1

Hess capillary test, 329

Haemoprotein-derived pigments, 41-43

Heart, 417-60

Heterochromatin, 23

Haemoptysis, causes of, 502t

blood supply of, 418

Heterophagy, 37

Haemorrhage, 107-08

brown atrophy of, 43

Heterophile antibody, 352

intracerebral, 881-82

cardiac interventions, 459-60

Heterotopia, 256

intracranial, 881-82

congenital diseases of, 422-26

Heterotopia, pancreatic, 545, 554

pulmonary, 121

infarcts, (also see under Myocardial

Heterotopic calcification, 51-53

subarachnoid, 882

infarction), 429-36

Hexose-monophosphate (HMP) shunt, 289, 317f

Haemorrhagic diatheses (bleeding disorders),

malpositions of, 423

Heymann’s nephritis, 663-64

328-38

normal structure of, 417-18

Hibernoma, 865

coagulation disorders, 335-38

transplant, 460

Hidradenoma, 786

DIC, 337-38

tumours of, 459

vulva, 722

investigations of, 328-31

Heartburn, 434, 546

Hippocrates, 2

platelet count disorders, 331-34

Heart failure, 100f, 105f, 419-22

Hirano bodies, 884

platelet function disorders, 334-35

Heart failure cells, 106

Hirschsprung’s disease, 580

vascular disorders, 331

Heat-shock protein (HSP), 26

Histamine, 136-37

Haemorrhagic disease of newborn (HDN),

Heavy chain diseases, 384-85

Histiocytes, 64, 143, 346, 385-86

340-41

Heberden’s nodes, 851

cardiac, 440

Haemorrhagic fevers, viral, 183-84

Heinz body anaemia, 317, 320

Histiocytic neoplasms, 385-86

Haemorrhagic gastroenteropathy, 564-65

Heinz bodies, 311, 317, 320

Histiocytoma,

Haemorrhoids, 581, 632

Helicobacter pylori, 548, 550, 555

benign fibrous, 864

Haemosiderin, 41-42, 296

Henoch-Schonlein’s purpura, 331

malignant fibrous, 864-65

Haemosiderosis, 42, 627

Hepadenoviruses, 226, 606-07

Histiocytosis-X (Langerhans’ cell

Haemostasis, screening tests of, 329-31, 329t

Hepar lobatum, 163

histiocytosis), 385-86

Haemostasis, vascular, 331

Hepatic arterial obstruction, 604-05

Histochemistry, 11-13

Haemostatic function, 328-31

Hepatic coma, 602, 613, 632, 692

Histocompatibility leucocyte antigens (HLA),

Haemostatic disorders, laboratory findings in,

Hepatic failure, 602-03

64-65

338t

Hepatic tumours and tumour-like lesions,

Histoplasmosis, 476

Haemothorax, 505

632-37

HIV, structure of, 68-69

Hageman factor, 139, 320f

Hepatic venous obstruction, 603-04

infection, see under AIDS, 67-73

Hair follicle, tumours of, 785-86

Hepatisation, lung, 468-70

lymphadenopathy, 716

Hairy cell leukaemia, 378-79

Hepatitis, clinico-pathological spectrum of,

HLA system, 64-65

Ham’s test, 311, 314

609-14

Hodgkin cells, 370

Hamartoma, 193

activity score, 612-13

Hodgkin’s disease, 369-73

Hamartoma, pulmonary, 503-04

acute, 610-11

classification of, 369

Hamartomas, vascular, 411

autoimmune, 611, 629

clinical features of, 371-72

Hamman-Rich syndrome, 496

carrier state, 609-10

etiopathogenesis of, 354-55

Hand-Schuller-Christian disease, 385-86

chronic, 611-12

morphologic features of, 370-71

Hansen, GHA, 4, 157

chronic active, 612

other laboratory findings in, 372

Hapten, 61

chronic persistent, 612

prognosis of, 373

Harrison’s sulcus, 249

contrasting features of, 605

staging of, 372

Hashimoto’s thyroiditis, 804-05

fulminant, 613-14

versus non-Hodgkin’s lymphoma, 373t

Hashitoxicosis, 805

lupoid, 611

Hodgkin, Thomas, 3

Hassall’s corpuscle, 388

massive to submassive, 613-14

Hollander’s test, 545

Hay fever, 493, 515

neonatal, 601-02

Homeostasis, 93-96

Hay’s test, 594

Hepatitis vaccines, 614

Homing receptor, 342

Hb Barts’ hydrops foetalis, 321

Hepatitis, viral, 605-14

Homogentisic acid, 40-41

Hb Constant Spring, 321

A, 606

Honey-comb lung, 499t

Hb D disease, 320

B, 606-07

Hookah smoking, 237

Hb Lepore syndrome, 323

classification of, 605

Hordeolum, 508

Hb H disease, 321

C, 608-09

Hormones in cancer, 207-08

HBsAg, 607

D, 607-08

Hormones, effect on endometrium, 730-31

HBx Ag, 607

E, 609

Hour-glass deformity, 553

hCG, 709, 751-53

G, 609

Howell-Jolly bodies, 293

HDL, 83, 393-394

Hepatoblastoma, 637

H. pylori, 176f, 222, 547, 548f, 549f

Head injury, 882-83

Hepatocellular carcinoma, 633-36

Human genome project, 7

Healing, 165-73

Hepatolenticular degeneration, 628

Human herpes virus (HHV), 225, 226, 415

by first intention (primary union), 168

Hepatorenal syndrome, 603

Human immunodeficiency virus (HIV), 67-73

by regeneration, 165-66

Hepatotoxicity, 617-18

Human leucocyte antigen (HLA), 64-65

921

INDEX

922

INDEX

Human papilloma virus (HPV), 224-25, 270,

immediate type, 73-77

Immunodeficiency diseases, 67-73

714, 722, 726-27, 771-72

Hypersplenism, 387

Immunodeficiency syndrome, acquired,

Human T cell lymphotropic virus (HTLV), 68,

Hypertension, portal, 630-32

(AIDS), (also see under AIDS), 67-73

227

Hypertension, pulmonary, 466-67

Immunofluorescence, 14

Hunner’s cystitis, 699

Hypertension, systemic, 685-88

Immunoglobulins, serum, 383, 595, 899

Hunter, John, 3

atherosclerosis in, 394

Immunohistochemistry, 15-16

Hurthle cells, 804-05, 810-11

classification of, 685t, 686t

Immunologic lung disease, 493-95

Hutchinson’s teeth, 163

definition of, 685

Immunologic tissue injury, 28, 73-77

Hyaline, alcoholic, 35, 621-22

effects of, 687-88

Immunology of tumours, 228-30

Hyaline change, 35

etiology, 686-87

Immunosurveillance of cancer, 228-30

Hyaline membrane disease, 462-65

in dissecting haematoma, 407

Immunopathology, 62-92

Hybridisation, in situ, 17

kidney in, 685-88

Immunoprophylaxis, hepatitis, 614

filter, 17-18

malignant, 685, 688

Immunotherapy, 230

Hybridoma, monoclonal antibodies, 15, 383

pathogenesis of, 686-87

Impaired glucose tolerance (IGT), 828

polyclonal antibodies, 15, 383

renovascular, 686

Impaired fasting glucose, 826t

Hydatid disease liver, 187t, 616-17

Hypertensive heart disease, 437

Impetigo, 771

Hydatid sand, 617

Hypertensive retinopathy, 509-10

Implantation cyst, 169

Hydatidiform mole, 751-52

Hypertensive vascular disease, 391,

Inborn errors of metabolism, 260-63

versus choriocarcinoma, 752t

Hyperthermia, 242

Incompetence, valvular, 449-52

Hydrocele, 706

Hyperthyroidism, 802-03

Incontinence, pigment, 769

Hydrocephalus, 873-74

Hypertrophic scar, 170

Indian-file arrangement, 761, 762-63

Hydrolytic enzymes, 30, 44-45, 348

Hypertrophy, 55-56

Infarction, 126-29

Hydronephrosis, 692-93

asymmetric, septal, 454-55

definition, 126

Hydropericardium, 457

cardiac, 55-56, 420-22

etiology of, 126

Hydropic change, 34-35

concentric, 421-22

morphology in organs, 126-29

Hydrops foetalis, 321

eccentric, 421-22

pathogenesis of, 126

Hydrostatic pressure, 95

SER, 37

types of, 126

Hydrothorax, 505

Hyperuricaemia, 692, 854

Infarcts,

5-Hydroxytryptamine (5-HT), 137

Hyperviscosity, 359

border zone, 880

Hyperadrenalism, 797-98

Hypervitaminosis A, 248

brain, 45, 880-81

Hyperaemia, 105-07

Hypervitaminosis D, 250

cerebral, 880-81

active, 105

Hyphema, 509f

common sites, 127f

passive, 105-07

Hypoadrenalism, 798-99

heart, 429-36

Hyperaldosteronism, 797-98

Hypoaldosteronism, 799

intestine, 563-65

Hyperbilirubinaemia, 597-601

Hypocalcaemia, 816, 836

kidney, 127-28

conjugated, 599-600

Hypochromasia, 292, 299

liver, 128-29

hereditary, 600-01

Hypoglycaemia, 820, 825, 828

lung, 126-27

unconjugated, 598

Hypoparathyroidism, 817

myocardial, 429-36

unconjugated versus conjugated, 598t

Hypopigmentation, 40

retinal, 510

Hypercalcaemia, 53, 816-17

Hypopituitarism, 794-95

septic, 126, 146f

Hypercholesterolaemia, 393-94, 661

Hypoplasia, 256

spleen, 128

familial, 394

Hypoprothrombinaemia, 337

watershed, 880

Hyperchromatism, 198

Hypospadias, 714

Infections, 174-91

Hypercoagulability of blood, 117, 661

Hypothalamus-pituitary axis, 792f

pulmonary,

Hypereosinophilic syndrome, 494

hyperfunction of, 794

Infectious agent, 174

Hypergastrinaemia, 545

hypofunction of, 795

factors relating to, 174-75

Hyperglycaemia, 818, 821, 827

Hypothermia, 242

identification of, 175t

Hyperinsulinism, 828

Hypothyroidism, 803-04

Infectious mononucleosis, 350-52

Hyperkeratosis, 769

Hypoxic cell injury, 29-31

Infertility, male, 704-05

Hyperlipidaemia, 393-94, 661

irreversible, 30-31

Infestations, 187t

Hypernephroma, 694-96

reversible, 29-30

Infiltrations, 37

Hyperosmolar non-ketotic coma, 825

Hypoxic-ischaemic

Inflammation, acute, 130-47

versus diabetic ketoacidosis, 825t

encephalopathy, 879-80

cardinal signs of, 130

Hyperparathyroidism, 816-17

I

causes of, 130

Hyperphosphataemia, 816, 836

cellular events, 133-36

Hyperpigmentation, 40

 

definition of, 130

Hyperpituitarism, 793-94

Icthyosis, 769-70

factors determining variation in, 144

Hyperplasia, 56-57

Idiopathic pulmonary fibrosis, 495-96

fate of, 147f

atypical, 58

Idiopathic retroperitoneal fibrosis, 591

fever in, 145

breast, epithelial, 756-57

Idiopathic thrombocytopenic purpura (ITP), 322

haemodynamic changes in, 130-31

denture, 524

IgA nephropathy, 674

healing, 146

endometrial, 733-34

Illness, definition of, 1

inflammatory cells in, 141-45

focal nodular, liver, 633

Image analyser, 19

leucocytosis in, 145-46

microglandular, cervix, 725

Immotile cilia syndrome, 484, 705

mediators of, 136-40

prostate, nodular, 717-18

Immune complex disease, 76-77

morphology of, 144-45

skin, pseudocarcinomatous, 56f, 57, 784

kidney, 662-64

regulation of, 140-41

squamous, vulva, 732

Immune complex reaction, 76-77

resolution of, 146

thyroid, primary, 806-07

Immune system, organs of, 61-64

signs of, 130

Hyperprolactinaemia, 794

cells of, 61-64

systemic effects of, 145-46

Hypersensitivity reactions, 73-77

Immunity,

types of, 144

delayed type, 77

diseases of, 66-81

vascular events in, 130-33

Inflammation, chronic, 147-65 granulomatous, 149-65, 150t

Inflammatory bowel disease, 565-69 Inflammatory cells, 141-44 Inflammatory response,

factors determining, 144 Influenza viruses, 184-86 In situ hybridisation, 17 Insecticides, 219t, 242

Insufficiency, valvular, 449-52 aortic, 451

mitral, 450

Insulin metabolism, 819-20 Insulinoma, 826

Insulitis, 822 Integrins, 25, 203 Interferon, 25, 138-39 Interleukin, 25, 138-39

Intermediate filaments, 16, 23-24 Internal environment, 93-94 Interphase, 26

Interstitial cell tumour, testis, 713 Interstitial lung diseases (ILDs), 487t

defintion of, 486

with connective tissue diseases, 495 with immunologic lung diseases, 493-95 with smoking, 496

Interstitial tumour, medullary, 694 Intestinal biopsy, 574-76 Intestinal obstruction, 562-63 Intestine, large, 579-90

normal structure of, 579 polyps, 581-86

Intestine, small, 560-71 atresia of, 561 adhesions of, 562 bands of, 562 biopsy, 574 malrotation of, 561

normal structure of, 560-61 obstruction of, 562-63 tumours of, 576-77

Intra-abdominal desmoplastic small cell tumour, 591

Intracellular accumulations, 37-40 of fat, 37-39

of glycogen, 40 of proteins, 39

Intracellular fluid compartment, 93 Intracerebral haemorrhage, 881-82 Intracranial haemorrhage, 881-82 Intraepithelial neoplasia, 207

breast, 760-61 bronchus, 498f cervix, 271-72, 725-28 skin, 782

vulval, 723

Intratubular germ cell neoplasia, 709 Intravascular haemolysis, features of, 311 Intrinsic factor (IF), 303, 308, 545 Intussusception, 563

Inversions, chromosomal, 259 Involucrum, 832

Ionising radiation, 34, 221 Iron cycle, 296f

Iron metabolism, 295-96 Irreversibility of shock, 112 Irreversible cell injury, 30-31 Ischaemia, 124-26

brain, 879-81 definition of, 124

effects of, 125-26 etiology of, 124

factors determining, 125 myocardial, 428

Ischaemic bowel disease, 563-65 Ischaemic brain damage, 879-81 Ischaemic heart disease (IHD), 427-37

chronic, 436

coronary atherosclerosis in, 427 effects of, 428 etiopathogenesis of, 427-28 lesions in, 429-37

sudden cardiac death in, 436-37 Islet cell changes in diabetes, 822-23 Islet cell tumours, 828-29 Isochromosome, 259

Isograft, 65

Ito cells, 593, 618

J

Jamshidi needle, 286 Janeway’s spots, 448 Jaundice, 42, 596-600

classification of, 597-98

conjugated hyperbilirubinaemia, 599-600 neonatal, 600-01

unconjugated hyperbilirubinaemia, 598 Jaw, lumpy, 163

cysts of, 529-31 Jenner, Edward, 3 Jodbasedow disease, 802 Joints, disease of, 850-56 Joint mice, 851

Joint, normal structure of, 850 Jones’ criteria, revised, 443 Jugular paraganglioma, 515 Junctions, intercellular, 24-25 Juvenile melanoma, 787

Juvenile (retention) polyps, 582-83 Juvenile polyposis syndrome, 586 Juvenile rheumatoid arthritis, 852 Juxtaglomerular apparatus, 650-51

tumour of, 694

K

Kallikrein, 140f Kangri cancer, 218, 783

Kaposi’s sarcoma, 225, 226, 415-16 Kartagener’s syndrome, 484, 705 Karyolysis, 30

Karyorrhexis, 30

Karyotypic abnormalities, 257-59 Karyotyping, 257

Kawasaki’s disease, 404 Keloid, 170 Keratoconjunctivitis, 508 Keratohyaline granules, 772 Keratoma, 514-15 Keratomalacia, 247 Keratosis follicularis, 770 Keratosis, solar, 782

Keratosis palmaris et plantaris, 770 Keratosis, smokers’, 525

solar, 782 Kerley lines, 101

Kernicterus, 42, 600-01 Ketoacidosis, diabetic, 825

versus non-ketotic coma, 825t

Ketonuria, 827

Kidney, 649-98 adenocarcinoma of, 694-96 biopsy, 652

clearance tests, 653 concentration test, 652-53

congenital malformations of, 656-60 CVC, 107

cystic disease of, 656-60 dilution test, 652-53 end-stage, 674-75 flea-bitten, 666, 688 function tests, 652-53 horse shoe, 656 infarcts, 127-28

large white, 667

normal structure of, 649-52 papilla of, 649, 682

shock, 113, 679

small contracted, 687 stones, 690-92 tumours, 693-98

Kiel classification, 366 Killing, bacterial, 135-36

Kimmelstiel-Wilson lesions, 677-78 Kinin system, 139

Klinefelter syndrome, 258, 704 Knock knee, 249

Knudson two-hit hypothesis, 213 Koch’s bacillus, 149

Koch’s phenomenon, 152 Koch, Robert, 4

KOH preparation, 183 Koilocytosis, 271-72 Korsakoff psychosis, 240, 252 Kraurosis vulvae, 721

Krukenberg tumour, 202-03, 750 Kulchitsky cells, 561

Kupffer cells,143, 593 Kussmaul’s respiration, 104 Kviem test, 165 Kwashiorkor, 246

L

Laboratory values of clinical significance, 897-903

Lacis cells, 651

Lactate dehydrogenase (LDH), 30, 434-35 Laennec’s cirrhosis, 622-24

Laennec, RTH, 3 Lambl’s excrescences, 444 Laminin, 170 Landsteiner, Karl, 5

Langerhans’cells, 64, 143, 385-86 Langerhans’cell

histiocytosis (histiocytosis-X), 385-86 Langhans’ giant cells, 143, 153 Laryngitis, 519

Larynx, 519-20 carcinoma of, 520

normal structure of, 519 oedema of, 519 papilloma, 519

polyp of, 519 tuberculosis of, 519 tumours of, 519

Laser microdissection, 19 Lateral aberrant thyroid, 812 Lateral vaginal smear, 267t, 268 Lavage, gastric, 273

923

INDEX

924

INDEX

LE cell phenomenon, 79

Leukoplakia, 525-26, 714, 721-22

acute, 343

Lead poisoning, 240-41

Leukotrienes, 138

chronic, 343-45

Lecithin, 639

Lewis experiment, 134

Lymphadenopathy, angioimmunoblastic, 344

Leeuwenhoek, von, 3

Lewy bodies, 885

angiofollicular, 343-44

Legionnaire’s disease, 474

Leydig cell tumour, 713, 749

dermatopathic, 344

Leiomyoblastoma, 559

Leydig cells, 703

HIV-related, 344-45

Leiomyoma, 737

Libman-Sack endocarditis, 444-45

Lymphangioma, 412, 521

epithelioid cell, 559

Lichen planus, 778-79

Lymphangiosarcoma, 414

Leiomyosarcoma, 559, 737-38

Lichen sclerosis et atrophicus, 714, 721-22, 775

Lymphangitis, 97, 410

Leishman, Sir William, 5

Li-Fraumeni syndrome, 213, 759, 860

Lymphatic obstruction, 97, 410

Lentigo, 40, 787

Ligandin, 597

Lymphatic spread of tumours, 200-01

Leonardo da Vinci, 3

Line of separation, 49, 50

Lymphatics, 410-11

Lepra reaction, 159-60

Lines of Zahn, 117

Lymphoblast, 347

Lepromin test, 159

Linitis plastica, 557, 559f, 560f

Lymphoblast versus myeloblast, 347t

Leprosy, 157-61

Lipid cell tumour, ovary, 749-50

Lymphocytes, 61, 142, 349

bacterial index (BI) in, 158

Lipiduria, 661

atypical, 352

borderline, 160-61

Lipoblast, 866

differences between T and B, 62t

causative organism of, 157

Lipodystrophy, intestinal, 576

subpopulations of, 61-64

classification of, 159

Lipofuscin, 43

Lymphocytosis, 142, 179, 349

clinical features of, 161

Lipogranuloma, 39, 621

Lymphoedema, 97, 410, 706

histopathology of, 160-61

Lipoid nephrosis, 669-70

Lymphogranuloma venereum (LGV), 186

immunology of, 158-59

Lipoma, 865-66

Lymphoid hyperplasia, 343-44

incidence of, 158

Lipooxygenase pathway, 137-38

angiofollicular, 343-44

indeterminate, 161

Lipopolysaccharides, 110

follicular, 342

lepromatous, 160

Lipoproteins, 339-40

Lymphoid neoplasms, 365-84

lepromatous versus tuberculoid, 159t

HDL, 394

classifications, 365-68

multibacillary, 158

LDL, 394

general comments, 368-69

nose, 517

VLDL, 394

Hodgkin’s disease, 369-73

paucibacillary, 158

Liposarcoma, 866-67

peripheral (mature) B cell malignancies,

reactions in, 159-60

Liver, 592-637

374-79

Ridley-Jopling classification, 159

abscess, 614-15

peripheral (mature) T cell malignancies,

Leptocytosis, 293

biopsy, 596

379-80

Leptomeninges, 872

chemical and drug injury, 617-18

precursor (immature) B and T cell

Lesions, definition of, 1

coagulation disorders, 336-37

leukaemia-lymphomas, 373-74

Lethal midline granuloma, 380, 403, 517

CVC, 106-07

Lymphoid series, 347

Letterer Siwe disease, 386

fatty change, 37-39, 621-22

Lymphokines, 138

Leucocytes in health and disease, 347-50

metastasis in, 637

Lymphomas, general, 353-56

Leucocytoclastic vasculitis, 403, 404

normal structure of, 592-93

adult T cell (ATLL), 227-28, 379-80

Leucocytosis, 145, 147-51, 348

tumours and tumours-like lesions, 632-37

bowel,

Leucodema, 522

Liver cell necrosis, types of, 604-05

Burkitt’s, 225, 377-78

Leucoderma, 40

bridging, 612

classifications, 353-54, 365-68, 368t

Leucodystrophy, progressive multifocal, 878

piecemeal, 611

CNS, 889

Leucoerythroblastic reaction, 326

Liver function tests, 593-96, 594t

contrasting features of, 373t

Leucopenia, 347-51

Lobar pneumonia, 468-71

cutaneous T cell, 379

Leukaemias-lymphomas,

Lobule, liver, 592

etiology, 354-55

classifcation of, 353-54

Lock jaw, 180

gut, 559-60

etiology of, 354-55

Löeffler’s endocarditis, 456

Hodgkin’s, 369-73

general aspects, 353-56

Löeffler’s syndrome, 494

nasopharynx, 380

pathogenesis of, 355-56

Loose bodies, joints, 851

non-Hodgkin’s (NHL), 373-80

Leukaemia, lymphoid, 354

Lordosis, 249

pathogenesis, 355-56

acute (ALL), 373-74

Ludwig’s angina, 517

staging of, 372t, 380

ALL versus AML, 375t

Lukes-Collins classification, 366

testis, 713

chronic lymphoid (CLL), 375-77

Lung, 461-504

WHO classification of, 368t

etiology of, 354-55

abscess, 475-76

Lymphopenia, 349

FAB classification of, 366t

CVC, 106

Lymphopoiesis, 347

hairy cell (HCL), 378-79

fungal infections, 476-77

Lyon hypothesis, 257

pathogenesis of, 355-56

normal structure of, 461-62

Lysosomal components, 138

WHO classification of, 368t

oedema, 100-01

Lysosomal storage diseases, 261-62

Leukaemia, myeloid, 354

paediatric disease, 462-65

Lysosomes, 24, 37

acute (AML), 362-65

shock, 113

changes in, 37

AML versus ALL, 375t

tuberculosis, 155-57

 

chronic myeloid (CML), 357-59

tumours, 496-504

M

classification of AML, 362t

Lupus erythematosus (LE) cell, 79

etiology of, 354-55

Lupus nephritis, 80t, 675-77

 

FAB classification of, 362t

Lupus vulgaris, 774

M-band, 383

pathogenesis of, 355-56

Lupus, nose, 517

MacCallum’s patch, 441

WHO classification of, 357t

Luteal phase defect, 732

Macrocytes, 292, 306

Leukaemoid reaction, 352-53

Lymph nodes, 342-85

Macroglossia, 522

lymphoid, 353

metastatic tumours, 385

Macrophage,

myeloid, 353

structure of, 342

alveolar, 106, 143

versus CML, 354

Lymphadenitis, reactive, 343-45

Macular degeneration, retina, 510

Madura foot, 182

uveal, 512

Milroy’s disease, 97, 410

Maffucci’s syndrome, 844

versus nevus, 788

Minimal change disease, 669

Major histocompatibility complex, 64-65

versus retinoblastoma, 513

Mitochondrial changes, 37

Malabsorption syndrome, 573-76

Melanosis coli, 40

Mitosis, 26-27, 165-66

classification of, 573

Membrane attack complex (MAC), 76, 139-40

Mitotic counts, 18

Malakoplakia, 699

Membrane damage, cell, 30

Mitotic figures, 198

Malaria, 188-89, 313

Membrane filter, 134

Mitral stenosis and insufficiency, 450-51

Malformations, 256-57

Membranous colitis, 181, 565, 580t

Mitral valve prolapse, 451-52

arteriovenous, 413

Memory cells, 62

Mitsuda reaction, 159

Malignant melanoma, skin, 787-88

MEN syndrome, 206, 829

Mixed salivary tumour, 534-35

uveal, 512

Mendelian disorders, 259-60

malignant, 537

Malignant peripheral nerve

Ménétrier’s disease, 549

MMTV, 207, 227, 760

sheath tumour (MPNST), 894-95

Meningioma, 890-91

Mole, hydatidiform, 751-53

Mallasez cells, 529

Meningitis, 874-76

Molecular genetics, cancer, 208-16

Mallory hyaline, 35, 621-22

CSF in, 876t

Molecular pathology, 17-18

Mallory Weiss syndrome, 540

Meningocele, 873

Molluscum contagiosum, 773

Malpighi, Marcello, 3

Meningomyelocele, 873

Mönckeberg’s arteriosclerosis, 52, 392

MALT, 61, 142, 342

Mercury chloride nephropathy, 680

Moniliasis, 182, 270, 723

Malt-workers’ lung, 494

Merkel cells, 769

Monoblast, 346

MALToma, 378

Mesangial cells, 650

Monoclonal gammopathy, 380-85

small intestine, 576

Mesonephroid tumour, ovary, 745

of undetermined significance (MGUS),

stomach, 559-60

Mesothelioma, 505-06, 591

384-85

Mammary duct ectasia, 755

Metachromasia, 87-88

Monoclonal hypothesis, 397

Mammary dysplasia, 755-57

Metamyelocyte, 345

Monoclonality of tumours, 208

Mantoux test, 152

Metaphyseal fibrous defect, 838

Monocyte-macrophage series, 64, 143, 346

Maple-bark disease, 494

Metaplasia, 57

Monocytes, 349-50

Mapping, human genome, 7

cartilaginous, 58

Monocytosis, 350

Marasmus, 245f

bronchus, 57, 498f

Monokines, 139, 143, 346

Marble bone disease, 834

cervix, 57, 269, 725

Mononuclear phagocyte system, 64, 143, 346

Marek’s disease virus, 225

columnar, 57

Mononucleosis cells, 352

Marfan syndrome, 36, 331, 407, 451

epithelial, 57

Monosomy, 258

Margination, 116, 133

intestinal, 57,

Morphometry, 19

Marjolin’s ulcer, 207, 783

mesenchymal, 58

Morgagni, Giovanni, 3

Markers in hepatitis B, 607

oesophagus, 57-58

Mostofi classification, 701

Masson, Pierre, 5

osseous, 58

M-protein, 383

Mast cells, 136, 141-42, 350

squamous, 57, 269, 497

Mucinous tumours of ovary, 743-44

Mastitis, 755

Metastasis, 200-04

Mucocele,

granulomatous, 755

biology of, 203-04

appendix, 579

plasma cell, 755

haematogenous, 201-02

gallbladder, 641

Masugi’s nephritis, 664

lymphatic, 200-01

oral cavity, 524

Matrix, extracellular, 170

mechanisms of, 203-04

sinus, 515

Maturation index (MI), 269t

prognostic markers in, 204

Mucocutaneous syndrome lymph node, 404

M. avium-intracellulare, 72, 151, 155

retrograde, 201-02

Mucoepidermoid carcinoma, 536-37

May-Grunwald, 4

routes of, 200-03

Mucoid degeneration, 35-36

McArdle’s disease, 262

skip, 200

Mucopolysaccharidoses, 262

McClintock, Barbara, 6

transcoelomic, 202-03

Mucormycosis, 176f, 181t

MCH, 289, 901t

Metastatic calcification, 51, 53

Mucoviscidosis, 645

MCHC, 289, 901t

Metatypical carcinoma, 785

Multifactorial inheritance, 263

MCV, 289, 901t

Michaelis-Gutmann bodies, 699

Multiple endocrine neoplasia (MEN), 206, 829

Meckel’s diverticulum, 561

Microalbuminuria, 687

Multiple myeloma, 86, 380-84

Medial calcific sclerosis, 392

Microangiopathy, thrombotic, 689

Multiple (isseminated) sclerosis, 883-84

Medial necrosis, cystic,

Microarrays, 7, 19

Mumps, 533

Erdheim’s, 36, 407

Microcytes, 292, 299, 323

Munro abscess, 778

Mediators of inflammation, 136-40

Microfilaments, 23

Muramidase, serum, 364

Medullary sponge kidney, 658-59

Microfilaria, 190

Muscle, skeletal, diseases of, 856-59

Medullary, definition of, 199

Microglia, 872

Muscular dystrophies, 858-59

Medulloblastoma, 889

Microglossia, 522

Mushroom-workers’ lung, 494

Megacolon, 569, 580

Microorganisms, identification of, 175t

Mutagenesis, 220, 222-24

Megakaryocyte, 327

MicroRNAs in cancer, 216

Mutations, 208-09, 259-60

Megakaryopoiesis, 327

Microsatellite instability mechanism, 587

Mutator gene, 215

Megaloblasts, 307

Microscopy,

Myasthenia gravis, 857

Megamitochondria, 37

basic, 13-14

Mycetoma, 182

Meigs’ syndrome, 505, 749

light, 13-14

Mycobacteria, atypical, 72, 149-51

Meissner’s corpuscle, 769

electron, 14-15

Mycobacteriosis, 72, 149

plexus, 561, 579

fluorescent, 14

Mycobacterium,

Melaena, 554, 591t

Microtubules, 24

avium intracellulare, 72, 151

Melanin, 40

Microvilli, 23

Mycobacterium leprae, 157

Melanocytic tumours, 787-89

Mikulicz syndrome, 81, 511

Mycobacterium tuberculosis, 72, 149

Melanoma, 787-89

Miliaria, 771

Mycosides, 152

oesophagus, 542

Milk spots, 458-59

Mycosis fungoides, 379, 790

skin, 787-89

Milk-alkali syndrome, 53

Mycosis, superficial, 183, 773-74

925

INDEX

926

INDEX

Mycotoxin, 219, 222, 634 MYC gene, 211t, 212 Myelin figures, 31f Myeloblast, 345

Myeloblast versus lymphoblast, 347t Myelocele, 873

Myelocyte, 345

Myelodysplastic syndrome (MDS), 361-62 FAB classification of, 361

WHO classification, 361 Myelofibrosis, 325-26

Chronic idiopathic, 360-61 Myelogram, 287t

Myeloid metaplasia, 360-61 Myeloid neoplasms, 356-65, 357t

acute myeloid leukamia, 362-64 chronic idiopathic myelofibrosis, 360-61 chronic myeloid leukaemia, 357-59 essential thrombocytosis, 360 myelodysplastic syndromes, 361-62 polycythaemia vera, 359

Myeloid series, 345-46 Myelolipoma, 800 Myeloma, 380-84

kidney, 382, 684 multiple, 380-84 neuropathy, 382 Myeloma cells, 382f

Myeloproliferative disorders, 357-61 Myoblastoma, granular cell, 525, 869 Myocardial blood supply, 418 Myocardial depressant factor (MDF), 112 Myocardial infarction, 429-38

changes in early, 434

chemical and histochemical, 434 changes in, 431-34

clinical features of, 434-35 complications of, 435-36 CK in, 434

diagnosis of, 434-35 ECG changes in, 434

electron microscopic changes in, 434 enzyme determination in, 434-35 etiopathogenesis of, 429-30

gross changes in, 431-33 incidence of, 429

LDH in, 434-35 location of, 430-31 myoglobin in, 435

morphologic features of, 431-33 serum cardiac markers in, 434-35 transmural versus subendocardial, 430t troponins in, 435

types of, 430

Myocardial ischaemia, non-infarct effects of, 429f

Myocarditis, 452-54 classification of, 452t Fiedler’s, 453 granulomatous, 453 idiopathic, 453

in connective tissue diseases, 453 infective, 453

miscellaneous types of, 453-54 rheumatic, 441-42

Myofibroblast, 167, 396 Myoglobin, 435 Myometritis, 732 Myometrium, 730-38

normal structure of, 730 Myopathies, 858-59

Myositis ossificans, 869-70 Myxoedema, 803-04 Myxoma heart, 459 Myxoma, odontogenic, 532 Myxomatosis, 226

Myxomatous degeneration of cardiac valves, 451-52

N

Naevi, naevocellular, 41f, 787 Naevus sebaceus, 785 Nail-patella syndrome, 678

Nasopharyngeal carcinoma, anaplastic, 225-26, 518-19

Natural killer (NK) cells, 64, 230, 368, 380 Neck, 520-21

cysts of, 520-21 tumours in, 521

Necrosis, 44-46

avascular, bone, 833-34 bridging, 611-12 caseous, 45, 155

centrilobular, haemorrhagic, 106 coagulative, 45

colliquative, 45 cortical, renal, 690 fat, 45-46 fibrinoid, 46 liquefactive, 45 liver cells, 604-05 massive, 613-14 piecemeal, 611 submassive, 613-14 types of, 45-46

versus apoptosis, 48t Necrotising enterocolitis, 181, 565 Necrotising papillitis, 678, 682 Negri bodies, 186

Neonatal hepatitis, 601-02

Neoplasia, (also see under Tumours), 192-235 characteristics of, 194-205

classification of, 193t clinical aspects of, 228-35 definition of, 192 diagnosis of, 232-35 epidemiology of, 205-08 etiology of, 208-28 intraepithelial, 207 pathogenesis of, 208-28

Neoplastic cells, 196-99 Neovascularisation, 167, 199, 215 Nephritic syndrome, 99, 660

versus nephrotic syndrome, 662t Nephritic versus nephrotic oedema, 99t, 662t Nephritis, hereditary, 678

Nephritis, tubulointerstitial, 680-85 Nephroblastoma, 696-98 Nephrocalcinosis, 53f, 684-85, 816 Nephrolithiasis, 690-92 Nephroma, mesoblastic, 694 Nephron, structure of, 649-52 Nephronophthiasis-medullary

cystic kidney disease complex, 659

Nephropathy,

analgesic (phenacetin abuse), 681t diabetic, 677-78

IgA, 674 lupus, 675-76

mercuric chloride, 680 myeloma, 382, 684 reflux, 682

Nephrosclerosis, 687-89 benign, 687-88 malignant, 688-89

Nephrotic syndrome, 99, 660 versus nephritic syndrome, 662t

Nerve sheath tumours, 893-95 Nervous system, 871-95

central, 871-91 healing of, 172, 891-92

normal structure of, 871-72 peripheral, 891-95

Neurilemmoma, 893

versus neurofibroma, 895t Neuroblastoma, 517, 800-01, 886t Neuroendocrine system, 791-829 Neurofibrillary tangles, 884 Neurofibroma, 893-94

plexiform, 894

versus schwannoma, 895t Neurofibromatosis, 206, 893 Neurofibrosarcoma, 894-95 Neurofilaments, 16, 23-24 Neuroglia, 871-72 Neurohypophysis, 793 Neuronophagia, 872 Neuroma, acoustic, 515, 893

traumatic, 893 Neuromuscular diseases, 857-59

Neuropathy, peripheral, 892-93, 826 Neuropeptide, 137

Neuropil, 871 Neurosyphilis, 163 Neutropenia, 141, 348

Neutrophil alkaline phosphatase (NAP), 353, 358

Neutrophilia, 141, 348 Neutrophils, 64, 141, 347-49

toxic granules in, 349f vacuoles in, 349f

Nexus, 25

Niacin, 253

Niemann-Pick disease, 262-63 Nissl substance, 871

Nitric oxide mechanism, 139 Nitrosamines, 219, 555

NK cells, 64, 230, 368, 380 Nodular fascitis, 862 Nodule, vocal, 519 Noma, 523

Non-Hodgkin’s lymphomas (NHL), 373-380 adult T cell (ATLL), 379-80

anaplastic large cell (ALCL), 380 Burkitt type, 377-78

CD markers in, 367f classification of, 365-68 etiology of, 354-55 pathogenesis of, 355-56 extranodal, 378 follicular, 377 maltoma, 378 marginal zone, 378

mycosis fungoides, 379-80 mantle cell, 378

mature B cell type, 374-79 mature T cell type, 379-80 monocytoid, 379

periperal B cell type, 374-79 peripheral T cell type, 379-80

precursor B and T cell type, 377-78 splenic margina;l zone, 379 SLL/CLL, 375-77

staging of, 380

versus Hodgkin’s disease, 373t

working formulations for clinical usage, 366 WHO classification, 367-68, 368t

Noncirrhotic portal fibrosis, 629-30 Nondisjunction, 258 Nonossifying fibroma, 838-39 Normal values, 896-903

in clinical chemistry, 898-900 in haematology, 901-03 other body fluids, 900-01

weights and measurements of organs, 896-97

Normoblastaemia, 292

Normoblasts, 287-88

Nose and paranasal sinuses, 515-17 carcinoma of, 517

inflammatory conditions of, 515-17 normal structure of, 515

tumours of, 517 Notochord, 849

Nucleocytoplasmic ratio, 197-98, 271 Nucleolar organiser regions (NORs), 198 Nucleolus, 23

Nucleotides, 23

Nucleus, structure of, 22-23 Nutmeg liver, 106-07 Nutritional diseases,

of brain, 886

O

Oat cell carcinoma, lung, 500 Obesity, 243-44 Occupational lung diseases

(also see under Pneumoconiosis), 43, 487-93 Ochronosis, 40-41

Odontogenic tumours, 531-32 Odontomas, 532

Oedema, 96-102 angioneurotic, 76, 97, 770 cardiac, 99-100

cerebral, 101-02 definition and types of, 96 dependent, 99

hepatic, 102 high altitude, 101 inflammatory, 97

morphology of, 99-102 nephritic, 99, 660 nephrotic, 99,660

nephritic versus nephritic, 99t pathogenesis of, 96-99 pitting versus non-pitting, 99 postural, 97

pulmonary, 100-01 nutritional, 102 renal, 99

Oesophagitis, 540-41

Barrett’s, 540-41 infective, 541 reflux (peptic), 540

Oesophagus, 538-43 atresia of, 538 cancer, 541-43

congenital anomalies of, 538 diverticula of, 539

muscular dysfunctions of, 538-39 normal structure of, 538

rings of, 539 rupture of, 540 tumours of, 541-43 varices, 539-40 webs of, 539

Oestrogen, 207, 731 Oligodendrocytes, 872 Oligodendroglioma, 882 Oliguria, 654, 679f Ollier’s disease, 844 Omega-3 fatty acids, 394

Oncocytoma, 37, 535-36, 694 Oncofoetal antigens, 234, 709 Oncogenes, 209-12

versus anti-oncogenes, 214

Oncogenesis, (also see under Carcinogenesis), 208-28

Oncogenic viruses, 222-28 DNA, 224t

RNA, 227t Oncology, 192 Oncomirs in cancer, 216

Oncotic pressure, 95, 96-97 Ontogenesis, 264

Opportunistic infections, 72f, 181, 449, 523t Opsonins, 135

Opsonisation, 135 Oral soft tissues, 522-27

developmental anomalies of, 522 normal structure of, 522 tumours of, 523-27

white lesions of, 522 Orchitis, 705

granulomatous, 705 tuberculous, 705

Organelles, 23-24 Organoid pattern, 814 Ormond’s disease, 591 Osler’s nodes, 448

Osler-Weber-Rendu disease, 331, 525, 860 Osmolality, 94

Osmolarity, 94

Osmotic fragility, 315, 324 Osmotic pressure, 95

colloid, 95 crystalloid, 95

Ossification, 839 Osteitis deformans, 837

Osteitis fibrosa cystica, 835-36 Osteoarthritis, 850-51 Osteoblast, 830

Osteoblastic tumours, 840-43 Osteoblastoma, 841 Osteochondroma, 843-44 Osteoclastoma, 846-48 Osteocyte, 830 Osteodystrophy, renal, 836-37 Osteogenesis, 831,842 Osteogenesis imperfecta, 834 Osteoid osteoma, 841 Osteoma, 841

Osteomalacia, 250 Osteomyelitis, 831-33

pyogenic, 831-33 tuberculous, 833 Osteonecrosis, 833-34

Osteopetrosis, 834

Osteophytes, 851

Osteoporosis, 835

Osteosarcoma, 841-43 central, 841-43

central versus surface, 844t juxtacortical, 843 medullary, 841-43 surface, 843

periosteal, 843 parosteal, 843 telangiectatic, 842

Otitis media, 514 Otic polyp, 514 Otosclerosis, 514 Ovalocytosis, 315

Ovarian tumours, 740-51 clinical features of, 741 classification of, 742t etiopathogenesis of, 740-41 germ cells, 745-48 metastatic, 750 miscellaneous, 749-50

sex cord stromal, 748-49 staging of, 751t

surface epithelial, 741-45 Ovary, 739-51

non-neoplastic cysts of, 740 normal structure of, 739-40 tumours of, 740-51

Overhydration, 102-03 Overinflation, lung, 482-83 Oxygen dissociation, 290f Oxygen-derived radicals, 31-33, 139 Ozone, 236

P

Paan, in oral cancer, 206 Pacinian corpuscles, 769 P-component, 83, 88 Paediatric diseases, 263-65 Paediatric lung disease, 462-65

Paediatric tumours, 206-07, 263-64 Paget’s disease,

of bone, 837

of nipple, 764-65 of vulva, 722

Pancarditis, rheumatic, 440-42 Pancoast’s syndrome, 502 Pancreas, 644-48

carcinoma, 647-48 cystic fibrosis of, 645 endocrine, 818-29 exocrine, 644-48

fat necrosis of, 45-46 heterotopia, 545

normal structure of, 644-45 pseudocyst of, 647

Pancreatitis, 646-48 acute, 646 chronic, 646-47

Pancytopenia, 325t Panhypopituitarism, 794-95 Panniculitis, 771

Pannus formation, 852 Papanicolaou, George, 5, 266

Papanicolaou’s (Pap) smear, 268-72, 275-76 stain, 277

Papillitis, necrotising (papillary necrosis), 678, 683

Papilloedema, 511

927

INDEX

928

INDEX

Papilloma, 193t

Permeability factors, 136-40

rheumatoid, 490

breast, intraductal, 759

Permeability, vascular, 131-33

silicosis, 490-91

choroid plexus, 889

Pertussis, 178

Pneumocytes, 461-62

juvenile, 224

Petechiae, 107, 329, 331

Pneumonia, 467-75

larynx, 519

Peutz-Jeghers syndrome, 582

aspiration, 474-75

mouth, 524

Peyronie’s disease, 170

atypical, 472-74

nose and paranasal sinuses, 517

p53 gene, 213

bacterial, 468-71

skin, 780

pH of blood, abnormalities of, 103-04

broncho (lobular), 471-72

urinary bladder, 701

Phagocytes, 64, 143

caseous, 156

Papilloma viruses, 224-25

Phagocytosis, 64, 134-36, 143

classification of, 468t

Papillomatosis, florid, 224, 757

Phagolysosome, 135f

hypostatic, 475

Papovaviruses, 224-25

Phagosome, 135f

Legionella, 474

Pappenheimer bodies, 300

Pharynx, 517-19

lipid, 475

Paradoxical embolus, 119

Phase reactant proteins, 83, 140

lobar, 468-71

Paraganglioma, extra-adrenal, 801

Pheochromocytoma, 79-800

lobar versus bronchopneumonia, 473t

Parakeratosis, 769

Philadelphia chromosome, 199, 353, 355, 356f,

lobular, 471-72

Paranasal sinuses, 515-17

358

pathogenesis of, 467-68

Paraneoplastic syndrome (PNS), 231-32, 502

Phimosis and paraphimosis, 714

Pneumocystis carinii, 474

Paraphimosis, 714

Phlebothrombosis, 409

primary atypical, 472-74

Paraproteinaemias, 380-85

Phlebotomy, 359

viral and mycoplasmal, 472-74

Parasitic diseases, 187-91

Phlegmasia, 410

Pneumonitis, 467-75

Parasitism, 174

Phocomelia, 256

allergic, 493-94

Parathormone, 816

Phosphatidylserine, 48

hypersensitivity, 493-94

Parathyroid gland, 815-18

Phthisis bulbi, 510

interstitial, 472-74

normal structure of, 815-16

Phyllodes tumour, 758-59

rheumatic, 443

tumours of, 817-18

Physaliphorous cells, 849

Pneumothorax, 505

Parkinsonism, 884-85

Physical carcinogenesis, 220-22

Podocytes, 650, 669

Paronychia, 182

Physical injury, 28, 34, 242-43

Poikilocytosis, 292

Paroxysmal cold haemoglobinuria (PCH), 313

Pica, 298

Poisoning,

Paroxysmal nocturnal haemoglobinuria (PNH),

Pickwickian syndrome, 244-45

aluminium phosphide, 242

314

Pigmented villonodular synovitis, 855

carbon monoxide, 241

Partial thromboplastin time with kaolin (PTTK),

Pigments, 40-44

cyanide, 242

330

malarial, 42

lead, 240-41

Pasteur, Louis, 4

wear and tear, 43

mercuric chloride, 680

Patent ductus arteriosus (PDA), 424

Piles, 581

organophosphate, 242

Patent truncus arteriosus, 425

Pilomatricoma, 785

Pollutants, 236-37

Pathology, definition of, 1

Pinguecula, 510

Polyarteritis nodosa (PAN), 402

evolution of, 1-7

Pinocytosis, 143

Polyarthritis, 442-43, 851

history of, 1-7

Pituitary gland, 79296

migratory, 442-43

subdivisions of, 7-8

normal structure of, 792-93

Polychondritis, relapsing, 514

Paul-Bunnel test, 352

tumours of, 795-96

Polychromasia, 292

Pavementing, 116, 133

Placenta, 751-53

Polyclonal, 15, 383

Pelger-Huet anomaly, 349

normal structure of, 751

Polycystic kidney disease, 657-58

Pellagra, 253

Plague, 175-77

adult, 657-58

Pelvic inflammatory disease (PID), 738-39

Plaque, bacterial, 528

infantile, 658

Pelvis, kidney, 649

Plaque, pericardial, 458-59

Polycystic ovary disease, 740

tumours of, 700-02

Plaques, atheromatous, 398-99

Polycythaemia vera, 359

Pelviureteric junction (PUJ) obstruction, 690t,

Plasma cell, 63, 142-43, 349, 380

Polyembryoma, 711, 742t

692

granuloma, 384

Polyglandular autoimmune syndromes, 829

Pemphigoid, 777

Plasma cells, disorders of, 380-84

Polymerase chain reaction (PCR), 6, 18

Pemphigus, 776-77

Plasmacytoma, localised, 384

Polymorphonuclear neutrophils (PMN), 64,

Penis, 714-16

Plasmacytosis, reactive, 382

141, 347-49

carcinoma of, 715-16

Plasmin, 116f, 139, 141f, 330f

Polymyositis-dermatomyositis, 81, 495

normal structure of, 715

Platelet, 327-28

Polyol mechanism in diabetes, 825

Pepsin, 545

activating factor (PAF), 138

Polyoma virus, 225

Peptic ulcer, 549-54

adhesion, 115, 328

Polyploidy, 258

acute (stress), 550

aggregation, 115, 328

Polyps,

benign versus malignant, 557

release reaction, 115, 327

adenomatous, 584

chronic duodenal versus gastric, 551

tests for, 329

antrochoanal, 515-16

duodenal, 550-54

Pleomorphic adenoma, salivary gland, 534-35

aural, 514

gastric, 550-54

Pleomorphism, 197

cervical, 725

Pericardial fluid accumulations, 456-57

Pleura, 504-06

colorectal, 582-86

Pericardial plaques, 458-59

tumours of, 505-06

endometrial, 735

Pericarditis, 457-59

Pleuritis, (pleurisy), 504-05

fibroepithelial, 722, 780

Periodontal disease, 529

Plummer-Vinson syndrome, 298, 526, 539, 541

gastric, 554

Periodontal tissue,

Pneumoconiosis, 487-93

hamartomatous, 554, 582

normal structure of, 527-28

asbestos disease, 492-93

hyperplastic, 554, 582

Peritoneal bands and adhesions, 562-63

berylliosis, 493

inflammatory, 583

Peritoneum, 590-91

Caplan, 490

juvenile, 582, 586

tumors, 591

classification of, 488t

lymphoid, 583

Peritonitis, 590-91

coal-workers’, 488

retention, 582

nasal, 515-16

Pseudocartilage, 535

Raynaud’s disease and phenomenon, 405

neoplastic, colorectal, 583-85

Pseudocyst of pancreas, 647

RB gene, 213

Peutz Jeghers, 582

Pseudogout, 855

REAL classification, 366-67

stomach, 554

Pseudolymphoma, 81, 560

Recessive inheritance, 260

stromal, 722, 780

Pseudomembrane, 181, 565

Red blood cells, 287-326

Polyribosomes, 24

Pseudomembranous inflammation, 144

Red cell membrane, 289

Polyserositis, 458

Pseudomyxoma peritonei, 203, 579, 743

hereditary abnormalities of, 314-15

Pompe’s disease, 262

Pseudopolyp, 568

Red line response, 131

Porcelain gallbladder, 642

Pseudotumour, inflammatory, 511

Reed-Sternberg (RS) cell, 369-70

Pores of Kohn, 462

Pseudoxanthoma elasticum, 31

Reflux nephropathy, 682

Porphyria, 42-43

Psoriasis, 778-79

Regeneration, 165-66

Porphyrins, 42-43

PTEN gene, 759, 787

Regurgitation, valvular, 449-51

Porta hepatitis, 592

Pterygium, 510

Reid index, 478

Portal hypertension, 630-32

Ptyalism, 533

Reidel’s struma, 805-06

Portal venous obstruction, 604

Pulmonary embolism, 120-21

Reinke’s crystals, 703

Portwine stain, 411

Pulmonary eosinophilia, 456, 494

Reiter’s syndrome, 81-82, 699

Post-myocardial infarction syndrome, 436

Pulmonary fibrosis, idiopathic, 495-96

Rejection reactions, 65-66

Pott’s disease, 833

Pulmonary hypertension, 466-67

Renal cell carcinoma, 694-96

Pott, Sir Percival, 3

Pulmonary oedema, 100-01

Renal clearance tests, 653

Poxviruses, 186, 226

Pulmonary tuberculosis

Renal cortical necrosis, 690

PPD test, 152

(see under Tuberculosis), 149-57

Renal cysts (also see under Cysts, kidney),

Precocious puberty, 794, 838

Pulmonary valve, atresia, 426

656-60

Predisposing factors in tumours, 205-08

stenosis, 426

Renal dysplasia, 657

Pregnancy tumour, 412, 524

Pulpitis, 529

Renal failure, 653-56

Preleukaemic syndrome, 361-62

Pulseless disease, 404

acute (ARF), 654

Premalignant lesions, 207

Punctate basophilia, 292

chronic (CRF), 654-56

Pre-proinsulin, 819

Pure red cell aplasia, 326

Renal function tests, 652-53

Pressure gradients, 94-95

Purines, 23

Renal osteodystrophy, 836-37

Primary complex, 153-55

Purpura, 107, 331-34

Renal pelvis, tumours of, 702

Primitive neuroectodermal tumour (PNET),

Henoch-Schonlein, 331

Renal vascular disease, 685-90

836t

idiopathic thrombocytopenic (ITP), 332-34

Renin-angiotensin-aldosterone

Prinzmetal’s angina, 429

thrombotic thrombocytopenic (TTP), 334

mechanism, 98, 686-87, 796

Prion proteins, 83, 174, 878

Pus, 145

Reninoma, 694

Probe, 17, 18

Putrefaction, 49

Repair, 166-73

Procallus, 171-72

Pyaemia, 145

Reperfusion injury, 31-33

Proerythroblast, 287

Pyelitis, 681

in myocardial infarction, 433

Progeria, 60

Pyelonephritis, 680-84

Residual bodies, 24, 43

Progestrogen, 208, 731

acute, 680-82

Resistance, 66

Progressive massive fibrosis, 489-90

chronic, 682-84

Respiratory burst, 135

Progressive multifocal leucoencephalopathy

diabetic, 678

Respiratory distress syndrome (RDS), 462-65

(PML), 878

obstructive, 682

adult, 462-65

Progressive systemic sclerosis, 80-81

tuberculous, 684

neonatal, 462-65

Proinsulin, 819

xanthogranulomatous, 683

Respiratory syncytial virus (RSV), 472

Prolapse, mitral valve, 451-52

Pyknosis, 30

Response-to-injury hypothesis, 395-97

Promyelocyte, 345

Pyknotic index, 269

Reticulocyte, 288

Pronormoblast, 287

Pyloric stenosis, 546

Reticuloendothelial system (RES), 64, 143

Properdin, 664

Pyogenic granuloma, 412, 524

Retinal detachment, 510

Prostacyclin, 137

Pyonephrosis, 682

Retinitis pigmentosa, 507

Prostaglandins, 137

Pyorrhoea, 529

Retinoblastoma, 512-13

Prostate, 716-20

Pyridoxine, 253

versus malignant melanoma, 513t

acid phosphatase (PAP), 720

Pyruvate kinase (PK) deficiency, 317

Retinol, 247-48

carcinoma, 718-20

Q

Retinopathy,

cytology of, intraepithelial neoplasia

diabetic, 508-09, 826

(PIN), 719

 

hypertensive, 509-10

nodular hyperplasia, 717-18

Quality control in histopathology, 11

prematurity, 507

normal structure of, 716-17

Quick’s one stage method, 330

Retrolental fibroplasia, 507

specific antigen (PSA), 720

Quinacrine banding, 257

Retroperitoneal fibromatosis, 591

Prostatitis, 716-17

Quinsy, 518

Retroviruses, 183, 227-28

granulomatous, 717

R

Reversible cell injury, 29-30

Protease inhibitor, 479-80, 628

morphology of, 34-36

Protease-antiprotease hypothesis, 479-80

Reye’s syndrome, 38, 602

 

Protein, serum, 595

Rabies, 186

Rhabdomyoma, 455, 867

Protein-energy malnutrition (PEM), 245-46

Rachitic rosary, 249

Rhabdomyosarcoma, 867-68

Proteinuria, 99t, 652, 660-61

Radiation carcinogenesis, 34, 220-22, 242

embryonal, 867

highly selective, 660, 669

Radicals, free, 31-33, 139

Rhesus system, 339

non-selective, 660, 671

Radioautography, 18

Rheumatic fever and RHD, 438-44

Proteoglycans, 83, 170, 262

Radiolysis, 34f

acute stage, 440

Prothrombin time, 330

Ranula, 524

cardiac lesions in, 439-42

Prothrombotic factors, 114

Rappaport classification, 365

causes of death in, 443-44

Prussian blue reaction, 13t, 41, 301

RAS gene, 210-11

chronic stage, 441

Psammoma bodies, 52, 813, 890

Ray fungus, 164

clinical features of, 443-44

929

INDEX

930definition of, 438 endocarditis, 441 etiopathogenesis of, 438-39 extra-cardiac lesions in, 442-43 incidence of, 438

morphologic features of, 439-43 myocarditis in, 441-42 pericarditis in, 442

pleuritis, 443 pneumonitis, 443 stigmata of, 443 valvulitis in, 440-41 vasculitis in, 443

vegetations in, 441, 442f, 447t

Rheumatoid arthritis, 78t, 851-53

Rheumatoid factor, 851

Rheumatoid nodules, 852

Rheumatoid pneumoconiosis, 490

Rheumatoid spondylitis, 853

Rhinitis, 515

Rhinoscleroma, 516

Rhinosporidiosis, 181t, 516

Riboflavin, 253

Ribosomes, 24

Rickets, 249

Ridley-Jopling classification, 159

Ring chromosome, 259f

RNA oncogenic viruses, 227t

Rodent ulcer, 784-85

Rokitansky’s protuberance, 746

Rokitansky, Carl F, 4

Rokitansky-Aschoff sinus, 642

Romanowsky, DL, 4

Rosettes, 62t

Rotor’s syndrome, 601

Rouleaux formation, 382

Round cell tumours, 848, 861

RS cell marker, 369, 371f

Russell bodies, 35, 382

Rye classification, 371

INDEX

S

 

 

Sacrococcygeal teratoma, 264t

 

Saddle nose deformity, 163

 

Saddle thrombus, 120

 

Salah bone marrow needle, 287f

 

Salivary glands, 533-37

 

normal structure of, 533

 

tumours of, 534-37

 

tumours of minor, 534t

 

Salmonellosis, 176t, 572

 

Salpingitis, 738-39

 

tuberculous, 739

 

Salt deficiency, 103t

 

Saponification, 46

 

Saprophytism, 174

 

Sarcoidosis, 164-65

 

Sarcoma, botryoides, 519, 724, 867, 868f

 

Sarcoma, definition of, 192

 

SARS, 185

 

Scab, 169

 

Scar, hypertrophic, 170

 

Schaumann bodies, 165

 

Schiller Duval body, 748

 

Schiller’s test, 727

 

Schilling test, 308, 545,901t

 

Schistocytosis, 293

 

Schistosomiasis, 222, 700, 722

 

Schwann FT, 5

Schwannoma, 893-95 acoustic, 515, 893

versus neurofibroma, 895t Scirrhous tumours, 199, 557, 762 Scleroderma (systemic sclerosis), 80-81 Sclerosing adenosis, breast, 757 Scotomas, 509

Scurvy, 251-52

Sebaceous gland tumours, 785-86 Seborrheic keratosis, 780, 781f Seed-soil theory, 201

Selectin, 25, 134

Semen examination, 703, 900t Seminoma, spermatocytic, 710 Seminoma, classic, 709-10 Senile keratosis, 782

Senile plaques, 87, 884 Sentinel lymph node, 765 Septicaemia, 145

Sequestration, bronchopulmonary, 462 Sequestrum, 832

Serotonin, 137

Serous tumours of ovary, 742-43 Sertoli cell tumour, 713, 749

Severe acute respiratory syndrome (SARS), 185 Sex chromatin, 23, 257f, 275

Sex chromosomes, 23, 257 Sex cord-stromal tumours,

ovary, 748-39 testis, 713

Sezary syndrome, 379, 790 Sheehan’s syndrome, 794 Shift-to-left, 348, 353 Shift-to-right, 307, 348-49 Shigella, disentery, 176t, 572 Shingles, 185, 773

Shock, 108-13 adrenal in, 113

anaphylactic, 73, 109 brain in, 112-13 cardiogenic, 109, 110 clinical features of, 113

compensated (reversible), 111-12 complications of, 113 decompensated (irreversible), 112-13 definition of, 108

etiology and classification of, 109 hypovolaemic, 109 inflammatory mediators of, 111f kidney in, 113

lungs in, 113

morphologic features in, 112-13 neurogenic, 109

pathogenesis of, 109-11 septic, 109, 110-11 stages of, 111-12

true, 108

Shock, kidney, 113, 679 Shock, lung, 113 Shunts, heart, 423-26

left to right, 423-24 right to left, 424-26

Sialadenitis, 533-34

Sialolithiasis, 533

Sialorrhoea, 533

Sicca syndrome, 81, 533 Sickle cell syndrome, 318-19 Sideroblasts, 300-01

ring, 300f Siderocytes, 301

Siderofibrotic nodule, 106-07, 108f

Siderosis, 42, 627 Sigmoid curve, 289

Signal transduction proteins, 212, 216f Signet ring carcinoma, 557, 560f Silicosis, 490-91

Silo-filler’s disease, 494 Simmond’s syndrome, 794 Simple cyst, bone, 839-40 Single gene defect, 259-60 Sinus histiocytosis, 344 Sinusitis, 515

Sipple syndrome, 829 Sjögren’s syndrome, 81, 533

Skeletal muscles, structure of, 856-57 tumours, 867-68

Skeletal system, 830-56 Skin, 768-90

dermatoses, 769-79 normal structure of, 768-69 tumours of, 779-90

Slow releasing substance of anaphylaxis (SRS-A), 137

Slow transforming viruses, 227 Sludge, biliary, 639f

Small cell carcinoma lung, 500-01 versus non-small cell carcinoma, 500t

Small cell tumour, desmoplastic, 591 Smog, 236

Smoking, 218, 237, 480f, 497-98 passive, 237

Sodium and water, 94, 687 deficiency of, 103 retention of, 97

Soft tissue tumours, 860-70 classification of, 860 diagnostic criteria of, 860-61

etiology and pathogenesis of, 860 general features of, 860

staging and grading of, 861 Solar keratosis, 782

Soldiers’ spots, 459 Solitary cyst, bone, 839-40

Solitary rectal ulcer syndrome, 581 Somogyi effect, 825

Sorbitol mechanism, 824-25 Southern blot, 17

Special stains, 11-13 Spectrin, 289, 314-15

Speech recognition system, 19 Spermatic granuloma, 705-06 Spherocytosis, 314-15

Spina bifida, 256, 873 Spinal cord defects, 256, 873 Spiradenoma, 786

Spleen, 386-88 CVC of, 106

normal structure of, 386 Splenectomy, effects of, 387-88 Splenic rupture, 388

Splenic tumour, acute, 388 Splenitis, 388 Splenomegaly, 387t

congestive, 387 Splenosis, 388 Spondylitis, 853

Spongiform encephalopathy, 878 Spongiosis, 769

Spread of tumours, 200-03 Sprue, 575

Sputum examination, 272, 275-76 Squamocolumnar junction, 724

Squamous cell carcinoma, 192f cervix, 728-29

lung, 499-500 oesophagus, 541-42 oral cavity, 526-27 penis, 715-16

skin, 783-84 vulva, 723

Squamous intraepithelial lesions (SIL), H-SIL, 271

L-SIL, 271

Squamous metaplasia, 57, 269, 497 Staghorn stone, 691

Staging of tumours, 205, 861 AJC, 205, 861 Enneking’s, 861

TNM, 205, 861 Staphylococcal infections, 179-80 Starling’s hypothesis, 420 Starvation, 245

Stasis, vascular, 131 Steatocystoma multiplex, 782 Steatohepatitis,

alcoholic, 37-39, 621-22 non-alcoholic (NASH), 629

Steatorrhea, 574 Steatosis, 37-39, 621-22

Stein-Leventhal syndrome, 740 Stem cells, haematopoietic, 285 Stem cell research, 7

Stenosis, valvular, 425-26, 449-51 aortic, 426, 450-51

mitral, 449-50 pulmonary, 426 tricuspid, 425-26

Stevens-Johnson syndrome, 522, 777 Stitch abscess, 168

Stomach, 543-60

acute dilatation of, 546 cancer of, 555-60

normal structure of, 543-44 rupture of, 546

tumours and tumour-like lesions of, 554-60

Stomatitis, 522-23

Stomatocytosis, 316 stomatin in, 316

Stones, gallbladder, 638-41 Stones, kidney, 690-92 Storage diseases, 260-63

neuronal, 885 Storage iron, 295

Storiform pattern, 860, 864-65 Stout, AP, 5

Streptococcal infections, 180-81 Stroke syndrome, 400, 879 Stromal fatty infiltration, 39 Struma ovarii, 747

Struvite (staghorn) stone, 691 Sty, 508

Subarachnoid haemorrhage, 882 Subependymoma, 889

Sudden cardiac death, 429f, 436-37 Sulfur granules, 164

Suppuration, 145

Surfactant, 462

Surgical pathology, protocol, 9-11 Sushruta, 3

Suture tracks, 168

Sweat gland tumours, 786 Swine flu, 185-86

Sydney classification, gastritis, 548 Symbiosis, 174

Sympathetic ophthalmia, 508 Sympathicoblastoma, 800 Synovial sarcoma, 868-69 Synovioma, benign, 855 Synovitis, villonodular, 855 Syphilis, 161-63

aortitis, 401 cardiovascular, 163 causative organisms of, 161 congenital, 163 immunology of, 161-62

mode of transmission of, 162 nose, 163

primary, 162 secondary, 162 stages of, 162-63 tertiary, 162-63

Syphilitic aortitis versus aortic atheroma, 402t Syringobulbia, 873

Syringomyelia, 873 Syringomyelocele, 873 Syrinx, 873

Systemic lupus erythematosus (SLE), 78-80, 495, 675-77

heart in, 444

Systemic sclerosis, 80-81, 495

T

Tabes dorsalis, 163

Tabes mesenterica, 154, 570 Takayasu’s arteritis, 404 Tamm-Horsfall protein, 382, 652 Target cell, 293

Tart cell, 79 Tattooing, 44

Teare’s disease, 454-55

Teeth, normal structure of, 527-28 Telepathology, 19-20 Telomerase, 215

Telomere, 59

Tenascin, 170 Tenosynovitis, nodular, 855 Teratogens, 256 Teratology, 256

Teratoma,

of ovary, 746-47 of testis, 711-12

sacrococcygeal, 264t Testicular tumours, 706-13 Testis, 703-13

normal structure of, 703 torsion of, 706 tumours of, 706-13

Tetanus, 180 Tetralogy of Fallot, 425 Thalassaemias, 320-24

alpha, 321 anaemia in, 320 beta, 322-24

classification of, 321t definition of, 320

Thalidomide malformations, 256 Thecoma, 749

Thermal injury, 34, 242 Thiamine, 252 Thioflavin, 88 Thrombasthenia, 334 Thrombin time, 320, 329t

Thromboangiitis obliterans (Buerger’s disease), 404

Thrombocytopenias, 332-34 drug-induced, 332-34 heparin-induced, 332 immune, 332-34 thrombotic, 334

Thrombocytosis, 334 essential, 360

Thromboembolism, 120-21, 435 Thrombogenesis, 114-17 Thrombogenic theory, 395 Thrombolytic therapy, 433 Thrombomodulin, 114 Thrombophlebitis, 409-10

migrans, 410 Thrombopoiesis, 327-28 Thrombopoietin, 327 Thrombosis, 113-19,

clinical effects of, 119 coronary, 430 definition of, 113-14 fate of, 118-19 morphology of, 117-18

pathophysiology of, 114-17 predisposing factors in, 117

Thrombospondin, 328 Thrombotic microangiopathy, 689 Thrombotic thrombocytopenic,

purpura (TTP), 334 Thromboxane, 137 Thrombus, 113

antemortem versus postmortem, 118t arterial versus venous, 118t

ball valve, 118 morphology of, 117-18

Thrush, oral, 182, 523 Thymocytes, 388 Thymoma, 388-89 Thymus, 388-89 Thyroglossal cyst, 520 Thyroid cancer, 811-15

etiolopathogenesis of, 812 follicular, 813

medullary, 813-14 papillary, 812-13

undifferentiated (anaplastic), 814-15 Thyroid gland, 801-15

function tests, 802

functional disorders of, 802-04 normal structure of, 801-02 tumours of, 810-15

Thyroiditis, 804-06 autoimmune, 804-05 deQuervain’s, 805 granulomatous, 805 Hashimoto’s, 804-05 infectious, 805 lymphocytic, 805 Riedel’s, 805-06

Thyrotoxicosis (hyperthyroidism), 802-03 Tinea, 773-74

Tissue tension, 95 TNM staging, 205, 861

Tobacco smoking, 218, 237, 480f, 497-98 Tocoferol, 250-51

Tolerance, immune, 77 Tongue, lesions of, 522-23 Tonsillitis, 517-18

Tooth, 527-32 diseases of, 528-32

normal structure of, 527-28

931

INDEX

932

INDEX

Tophi, 854f

meninges, 876

stress, 550

TORCH complex, 190-91

miliary, 162

Ulcerative colitis, versus Crohn’s disease, 566t

Torsion testis, 706

nose, 517

Ultimate carcinogens, 218

Torticollis, 521

open, 155

Ultraviolet light, 34, 221

Toxic granules, in neutrophils, 348

oral cavity, 523

Unicameral, bone cyst, 839-40

Toxic shock, 109, 110-11

primary, 153-55

Union, wounds, 168-69

Toxoplasmosis, 191

pulmonary, 154-56

primary, 168

TP53 gene, 213

secondary, 155-56

secondary, 168-69

Trace elements, 254

sinus tracts in, 153

Urachal abnormalities, 698

Tracheo-oesophageal fistula, 538

spread of, 151-52

Urachal cyst, 698

Trachoma, 508

transmission of, 151

Uraemia, 655-56

Tram-track appearance, 671

Tuberculous meningitis, 876

Uraemic manifestations, 655-56

Transaminases, 595, 898

Tubular necrosis, acute (ATN), 679-80

Urate nephrolithiasis, 692

Transcellular fluid, 93

Tubules,

Ureter, normal structure of, 698

Transcobalamin, 253, 303-04

diseases of, 678-80

Ureterocele, 698

Transcoelomic spread, 202-03, 750

structure of, 651-52

Urethra, normal structure of, 698

Transferrin, 295

Tubulointerstitial disease, 680-85

Urethral carcinoma, 702

Transfusion, of blood, 339-40

Tumoral calcinosis, 779

Urethral caruncle, 702

complications of, 339-40

Tumour host interrelationship, 228-32

Urethritis, 699-700

Transient ischaemic attacks (TIA), 879

Tumour markers, 233-34, 709, 720

Uric acid stones, 692

Transitional cell carcinoma,

Tumour necrosis factor (TNF), 25-26, 109,

Urinary bladder, 698-700

nasopharynx, 518-19

138-39, 146, 230, 381

normal structure of, 698

urinary bladder, 700-02

Tumours (also see under Neoplasia), 192-235

tumours of, 700-702

Translocations, 199, 259, 353, 355, 356f, 358

anaplasia in, 197

Urinary calculi, 690-92

reciprocal, 259

angiogenesis in, 199, 215

Urinary cytology, 273, 276

Robertsonian, 259

benign versus malignant, 194

Urinary tract infection (UTI), 681, 682, 698

Transplant rejection, 65-66

characteristics of, 194-204

Urinary tract, lower, 698-702

Transplantation, 65

classification of, 193t

Urine analysis, 652

cardiac, 460

cytomorphology of, 197-99

Urobilinogen, 593

bone marrow, 326, 365, 374

diagnosis of, 232-35

Urolithiasis, 690-92

Transposition of great arteries, 425-26

differentiation in, 197

Uropathy, obstructive, 690-93

Transthyretin, 83

epidemiology of, 205-07

Urothelial tumours, 700-02

Transudate versus exudate, 96t

etiology and pathogenesis of, 208-28

Urticaria, 97, 770

Trauma to brain, 882-83

functional changes in, 198

Urticaria pigmentosa, 770

Trephine, 286-87

genetic abnormalities in, 199

Uveal melanoma, 512

Treponema, 161

grading of, 204

Uveitis, 508

Trichoepithelioma, 785

gross features of, 196

 

Trichomoniasis, 270f

growth rate of, 194-96

V

Trigone, 698

inflammatory reaction in, 199-200

Triphenyl tetrazolium chloride (TTC), 432

invasion of, 200-04

 

Triple response, 131f

metastasis in, 200-04

Vaccines, hepatitis, 614

Trisomy, 258

microscopic features of, 196-200

Vaccinia, 186, 773

Tropical pulmonary eosinophilia, 456, 494

phenotype of, 196

Vagina, 723-24

Troponins, cardiac, 417, 435

spread of, 200-04

normal structure of, 723

Trouisier’s sign, 557

staging of, 205

tumours of, 723-24

Trousseau’s syndrome, 232, 410, 503, 648

stem cells in, 196

Vaginal smear, 268-72, 275

Truncus arteriosus, persistent, 425

stroma of, 199

Vaginitis, 723

Trypanosomiasis, 453, 538, 580

vascular invasion of, 201-02

monilial, 270, 723

Tryptophan, 243

Tunicae, arteries, 390

Valvular deformities, 426, 449-51

Tubercle, 152-53,

Turban tumour, 786

Valvulitis, rheumatic, 440-41

evolution of, 152-53, 155, 156

Turbulence, 116, 133

van den Bergh diazo reaction, 593

hard and soft, 153

Turcot’s syndrome, 586

Vanillyl mandellic acid (VMA), 800

Tubercle bacillus, 149

Turk cell, 349

Varicella-zoster infection, 186, 773

Tuberculin test, 152

Turner’s syndrome, 258

Varices, 539-40, 631-32

Tuberculoma, brain, 877

Typhoid fever, 571-72

Varicocele, 706

Tuberculosis, 149-57

Typhoid ulcers, 572f

Varicosities, 409

brain, 877

Tyrosinase, 40

Variola, 186, 773

caseous necrosis in, 45, 153, 155, 156

 

Vasa recta, 650

caseous pneumonia in, 156

U

Vasa vasora, 390

causative organism in, 149

Vascular purpuras, 331

cavitary, 155-56

 

Vascular permeability, 130-33

clinical features of, 156-57

Ubiquitin, 26

alterations of, 131

dystrophic calcification in, 52f

UICC staging, 205

mechanisms of, 131-33

fibrocaseous, 155-56

Ulcer,

Vascular tumours, 411-16

hypersensitivity and immunity in, 152

amoebic, 187-88

Vasculitis, 400-05

incidence of, 151

aphthous, 522-23

allergic, 402-03

intestinal, 569-71

Curling’s, 113, 550

hypersensitvity, 402-03, 404

kidney, 156, 684

Cushing’s, 550

leucocytoclastic, 403f

liver, 162, 615-16

peptic, 549-54

lymphocytic, 403

lymph node, 45, 154f

rodent, 784-85

Vasoactive amines, 136-37

Vasopressin, 98, 794 VDRL, 162

Vegetations, distinguishing features of, 447t Veins, 409-11

normal structure of, 409 varicose, 409

Vena caval syndrome, 410 Venous congestion, 105-06

Ventricular hypertrophy, 55, 421-22 Ventricular septal defect (VSD), 423 Verocay bodies, 893

Verrucae, 224, 440, 771-72 Verrucous carcinoma, 527, 542, 784 Vesalius, 3

Vesico-ureteric reflux, 682 Vessels, 390-416

tumour and tumour-like lesions of, 411-16 Villonodular tenosynovitis, 855

Villous atrophy, 575 Vimentin, 16, 23-24, 861 Vincent’s angina, 517 Viral diseases, 183t

Viral hepatitis, (also see under Hepatitis, viral), 605-14

Viral oncogenesis, 222-28 DNA, 222, 224-26, 224t RNA, 223-24, 227-28, 227t

Virchow cells, 160 Virchow’s node, 200 Virchow’s sign, 557 Virchow-Robin space, 872 Virchow, Rudolf, 5 Virilism, adrenal, 798 Virtual microscopy, 19

Viruses and human cancer, 228 Viruses, diseases caused by, 183t Vital reaction, 44

Vital staining, 288 Vitalism, theory of, 3

Vitamins, disorders of, 246-55 A, 247-48

B1, 252-53 B2, 253 B3, 253 B6, 253 B12,

B-complex, 252

B12 metabolism, 303-04 biotin, 253-54

C, 251-52 choline, 254 D, 248-50 E, 250

fat-soluble, 247-51

flavonoids, 254 folate, 253

folate metabolism, 304-05 K, 250-51

niacin, 253 water-soluble, 251-54

Vitellointestinal duct, 561-62 Vitiligo, 40

Vocal nodules, 519-20 Volkman’s ischaemic contracture, 172

Volvulus, 563

von Gierke’s disease, 261-62

von Hippel-Lindau syndrome, 694, 829 von Kossa stain, 13t, 51

von Recklinghausen’s disease, 206, 893 von Willebrand’s disease, 336

Vulva, 721-24

normal structure of, 721 tumours of, 722-24

W

Waldenstrom’s macroglobulinaemia, 384

Wallerian degeneration, 172, 892 Walthard cell rests, 738 Warthin’s tumour, 535

Warts, 224, 771-72 Wassermann reaction, 162 Water-soluble vitamins, 251-54 Water, total body, 93

deficiency of (dehydration), 102 excess of (overhydration), 102

Watershed (border zone) infarcts, brain, 880 Watson, Crick, 6

Wax-D, 152

Wear and tear pigment, 43 Webs, oesophageal, 539

Wegener’s granulomatosis, 403, 495, 517 limited form, 402

Weights and measurements, normal organs, 896-97

Wermer’s syndrome, 829 Wernicke’s encephalopathy, 252

Wet-fixed versus air-dried smear, 280t Wheal, 131

Whipple’s disease, 576

White blood cells, diseases of, 342-86 White lesions, 525-26, 714, 721-22 Whooping cough, 178

Wilms’ tumour, 696-98 Wilson’s disease, 628

Wilmut, Ian, 7

933

Wintrobe, MM, 6

 

Wolffian cyst, 723

 

Working formulation for clinical usage, 366

 

Wound,

 

complications of, 169-70

 

contraction of, 167

 

healing of, 167-73

 

strength, 170

 

Woven bone callus, 830

 

Wry neck, 521

 

Wuchereria bancrofti, 97, 190

 

X

X-chromosome, 23, 257 X-linked disorders, 260t X-ray crystallography, 82 Xanthelasma, 39 Xanthine stones, 692 Xanthofibroma, 855 Xanthogranuloma, 864

Xanthogranulomatous pyelonephritis, 683 Xanthomas, 39, 626

Xenograft, 65

Xeroderma pigmentosum, 215, 770, 783 Xerophthalmia, 247

Xerostomia, 81, 533

Y

Y-chromatin, 257, 275 Yellow atrophy, acute, 613 Yellow fever, 183-84

Yolk sac tumour, ovary, 748 testis, 711

Z

Zahn, infarct of, 129

INDEX

Zarda, 237

lines of, 117

 

Zeiss glands, 508

 

Zenker’s degeneration, 35

 

Zenker’s fluid, 371

 

Ziehl-Neelsen staining, 149, 157

 

Zollinger-Ellison syndrome, 545, 829

 

Zonal necrosis, liver, 604-05

 

Zones, hepatic lobules, 592f

 

Zonula adherens, 25

 

Zonula occludens, 24-25

 

Zoster virus infection, 186, 773

 

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