Review of pediatric autopsies performed at a university hospital in Ribeirão Preto, Brazil.

Abstract:

CONTEXT:Autopsy continues to provide important data for quality assurance, teaching, scientific purposes, and health planning, especially if performed according to a comprehensive protocol. OBJECTIVE:To describe and analyze data from all perinatal and pediatric autopsies performed at a university hospital in Brazil. DESIGN:Review of data from 1716 autopsies performed between April 1993 and April 1999, consisting of age at death, congenital defects, gender, and cause of death. RESULTS:Age at death distribution: early neonatal deaths, 31.7%; stillbirth, 25.7%; 1 to 11 months, 19.6%; 1 to 5 years, 10.3%; late neonatal deaths, 6.3%; 11 to 15 years, 4%; 6 to 10 years, 2.5%. Cause of death: perinatal conditions, 51%; congenital malformation(s), 24.4%; infection, 11.9%; neoplasm, 3%; hematologic/immunologic, 2.3%; neurologic, 1.6%; gastrointestinal, 1.5%; cardiovascular, 0.7%; respiratory, 0.6%; genitourinary, 0.3%; other disorders, 0.5%. Gender distribution: male, 54.31%; female, 45.22%; indeterminate, 0.41%; data unavailable, 0.06%. Congenital anomalies were found in 31.5% of the autopsies and were the cause of death in 24.41% of the autopsies. CONCLUSIONS:High autopsy rates, combined with a comprehensive autopsy protocol, allowed the characterization of perinatal and pediatric deaths. The high proportion of perinatal deaths and stillbirths indicates the need for improvement in the prenatal care program. Congenital anomalies were highly prevalent because few pregnancies are interrupted in Brazil. The low number of cancer cases autopsied was attributed to the fact that most patients die at home, and to the high level of trust between the oncology team and the family, with the erroneous assumption that no relevant information would be provided.

journal_name

Arch Pathol Lab Med

authors

Peres LC

doi

10.1043/1543-2165(2006)130[62:ROPAPA]2.0.CO;2

subject

Has Abstract

pub_date

2006-01-01 00:00:00

pages

62-8

issue

1

eissn

0003-9985

issn

1543-2165

pii

OA5450

journal_volume

130

pub_type

杂志文章
  • Intraosseous lipoma. A clinicopathologic study of four cases.

    abstract::We describe the clinical, radiologic, and pathologic features of four cases of intraosseous lipoma. The patients ranged in age from 37 to 48 years, and three of them were men. Three patients presented with pain; in the fourth patient, the lesion was discovered incidentally. The involved bones were distal radius (in on...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:

    authors: Barcelo M,Pathria MN,Abdul-Karim FW

    更新日期:1992-09-01 00:00:00

  • Redesigned proficiency testing materials improve survey outcomes for prostate-specific antigen. A College of American Pathologists Ligand Assay Survey tool.

    abstract:CONTEXT:Large disparities in prostate-specific antigen (PSA) results from different assays have been observed in the College of American Pathologists (CAP) Ligand Assay Survey, with interassay results varying severalfold. Survey specimens are predominately composed of free PSA and do not reflect the composition of typi...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:10.1043/0003-9985(2000)124<1608:RPTMIS>2.0.CO;2

    authors: Sokoll LJ,Witte DL,Klee GG,Chan DW

    更新日期:2000-11-01 00:00:00

  • Quality and liability issues with the Papanicolaou smear: lessons from the science of error prevention.

    abstract::The pathologists and cytologists who study Papanicolaou smears perform a highly successful cancer screening test in a low-prevalence population. This leads to a mathematically inevitable false-negative error rate even in the most competent professional hands. The US judicial system supports a public expectation of per...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Derman H

    更新日期:1997-03-01 00:00:00

  • Detection of BRAF p.V600E Mutations in Melanoma by Immunohistochemistry Has a Good Interobserver Reproducibility.

    abstract:CONTEXT:Assessment of BRAF p.V600E mutational status has become necessary for treatment of patients with metastatic melanoma. Detection of p.V600E mutation by immunohistochemistry was recently reported in several tumor types. OBJECTIVE:To evaluate the interobserver reproducibility of BRAF p.V600E detection by immunohi...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:10.5858/arpa.2013-0031-OA

    authors: Marin C,Beauchet A,Capper D,Zimmermann U,Julié C,Ilie M,Saiag P,von Deimling A,Hofman P,Emile JF

    更新日期:2014-01-01 00:00:00

  • Radiology estimates of viable tumor percentage in hepatocellular carcinoma ablation cavities correlate poorly with pathology assessment.

    abstract:CONTEXT:No study has evaluated radiology/pathology correlation of percentage viable tumor (PVT) estimates in ablated hepatocellular carcinoma (HCC) to examine the reliability of radiologic estimates. OBJECTIVE:To determine how well interdisciplinary PVT estimates correlate and identify pathologic factors that influenc...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:10.5858/arpa.2012-0126-OA

    authors: Hanson JA,Ason R,Weinreb J,Van Dyke A,Mitchell KA

    更新日期:2013-03-01 00:00:00

  • Confocal laser endomicroscopy: a primer for pathologists.

    abstract:CONTEXT:The advent of new endoscopic optical techniques is likely to change pathologists' role in diagnosis. OBJECTIVE:To describe how confocal laser endomicroscopy (CLE) works, show its advantages and limitations compared to cytohistologic biopsy, and explore how it may affect the practice of pathology. DATA SOURCES...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章,评审

    doi:10.5858/arpa.2010-0264-RA

    authors: Paull PE,Hyatt BJ,Wassef W,Fischer AH

    更新日期:2011-10-01 00:00:00

  • Liposarcoma of the pleural cavity: clinical and pathologic features of 4 cases with a review of the literature.

    abstract:BACKGROUND:Primary liposarcomas of the pleura are extremely rare malignancies, and relatively few reports appear in the world literature. DESIGN:We compiled a small series of 4 cases of primary pleural liposarcoma from the files of the Armed Forces Institute of Pathology (Washington, DC) and compared the histopatholog...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章,评审

    doi:10.1043/0003-9985(2000)124<0699:LOTPC>2.0.CO;2

    authors: Okby NT,Travis WD

    更新日期:2000-05-01 00:00:00

  • Tissue handling for genome-wide expression analysis: a review of the issues, evidence, and opportunities.

    abstract:CONTEXT:Molecular diagnostic applications that use microarrays to analyze large numbers of genes simultaneously require high-quality mRNA. As these genome-wide expression assays become more commonly used in medical practice, pathologists and oncologists will benefit from understanding the importance of obtaining high-q...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章,评审

    doi:10.1043/1543-2165(2007)131[1805:THFGEA]2.0.CO;2

    authors: Medeiros F,Rigl CT,Anderson GG,Becker SH,Halling KC

    更新日期:2007-12-01 00:00:00

  • Regulators of apoptosis in cholangiocarcinoma.

    abstract:CONTEXT:Dysregulation of mediators of apoptosis is associated with carcinogenesis. For biliary duct cancers, p53 gene mutation is an important contributor to carcinogenesis. Mutations in the p53 gene affect transcription of the Fas gene, resulting in lack of Fas expression on cell membrane. It has been previously shown...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:10.1043/1543-2165(2005)129<481:ROAIC>2.0.CO;2

    authors: Jhala NC,Vickers SM,Argani P,McDonald JM

    更新日期:2005-04-01 00:00:00

  • A rare case of 'coccidioidoma' of the breast.

    abstract::Coccidioidomycosis has been reported in almost every tissue of the human body. The gastrointestinal tract and breast have been uniquely spared from this fungal infection. Despite the exceedingly large number of screening mammographies that are performed every year, to our knowledge subcutaneous breast tissue involveme...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:

    authors: Bocian JJ,Fahmy RN,Michas CA

    更新日期:1991-10-01 00:00:00

  • Myocardial fibrosis in the elderly.

    abstract::The increasing interest in geriatric medicine demands an understanding of aging in human tissues. The changes in the human heart are an important aspect of this understanding because cardiovascular diseases are a leading medical problem in the elderly. The published data about age-related changes in the human myocardi...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:

    authors: Klima M,Burns TR,Chopra A

    更新日期:1990-09-01 00:00:00

  • Malignant fibrous histiocytoma of the skin and the conjunctiva in xeroderma pigmentosum.

    abstract::Patients with xeroderma pigmentosum (XP) experience cutaneous and ocular abnormalities, including neoplasia of epithelial and melanocytic cellular origin. Black patients with XP display more severe ocular abnormalities and neoplasia. We report the clinicopathologic findings in two black young children with XP who pres...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Pe'er J,Levinger S,Chirambo M,Ron N,Okon E

    更新日期:1991-09-01 00:00:00

  • The 1990 Comprehensive Blood Bank Surveys of the College of American Pathologists.

    abstract::The performance of participants on the 1990 Comprehensive Blood Bank Surveys of the College of American Pathologists was consistent with the high quality of past surveys. The surveys include challenges in ABO and Rh typing, crossmatching, transfusion decisions, unexpected antibody detection and identification, and sup...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:

    authors: Cooper ES,Walker RH,Schmidt PJ,Polesky HF

    更新日期:1993-02-01 00:00:00

  • Placental mesenchymal dysplasia.

    abstract::Placental mesenchymal dysplasia is a rare placental lesion characterized by stem villous cystic dilation and vesicle formation, placentomegaly, and vascular abnormalities. It can be associated with growth restriction, stillbirth, Beckwith-Wiedemann syndrome, and some chromosomal abnormalities, and needs to be distingu...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章,评审

    doi:10.5858/arpa.2013-0399-RS

    authors: Pawoo N,Heller DS

    更新日期:2014-09-01 00:00:00

  • Platelets: preparations, transfusion, modifications, and substitutes.

    abstract:OBJECTIVE:To summarize current knowledge and recent progress pertaining to platelet concentrate preparations, modifications, and future prospects for platelet substitutes. METHODS:Current publications identified through a search of an electronic literature database were evaluated and reviewed. Relevant data were abstr...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章,评审

    doi:10.1043/0003-9985(1999)123<0889:P>2.0.CO;2

    authors: Silberman S

    更新日期:1999-10-01 00:00:00

  • Pulmonary and cardiovascular complications of obesity: an autopsy study of 76 obese subjects.

    abstract:CONTEXT:Obesity is associated with sleep disordered breathing and cardiovascular morbidity, but the relationship between pulmonary hypertension, heart disease, and obesity is unknown. OBJECTIVE:To determine the prevalence of pulmonary and cardiovascular disease in obese subjects undergoing autopsy at a large medical c...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:10.1043/1543-2165(2008)132[1397:PACCOO]2.0.CO;2

    authors: Haque AK,Gadre S,Taylor J,Haque SA,Freeman D,Duarte A

    更新日期:2008-09-01 00:00:00

  • Angiomyxoma of the umbilical cord with massive cystic degeneration of Wharton's jelly.

    abstract::Tumors of the umbilical cord, and especially angiomyxomas, are extremely unusual placental lesions. Sonography three weeks after the finding of a slightly elevated amniotic fluid alpha-fetoprotein, detected a cystic lesion of the umbilical cord in a 35-year-old woman at 19.5 weeks gestation. Two prior sonograms had be...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:

    authors: Yavner DL,Redline RW

    更新日期:1989-08-01 00:00:00

  • An Organ System-Based Approach to Differential Diagnosis of Amyloid Type in Surgical Pathology.

    abstract:CONTEXT.—:Amyloidosis is an uncommon but important entity. A protein-based classification of amyloidosis defines the underlying disease process, directing clinical management and providing prognostic information. However, in routine surgical pathology there often is no attempt to classify amyloid other than staining to...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章,评审

    doi:10.5858/arpa.2018-0509-RA

    authors: Giannini G,Nast CC

    更新日期:2020-03-01 00:00:00

  • Chordoma. An immunohistochemical study of 20 cases.

    abstract::Twenty chordomas from 20 patients, including 17 nonchondroid and three chondroid types, were studied with a variety of antibodies directed against cytokeratin (AE-1/3), epithelial membrane antigen, carcinoembryonic antigen, S100 protein, vimentin, alpha 1-antichymotrypsin, and lysozyme. All 17 nonchondroid chordomas s...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:

    authors: Meis JM,Giraldo AA

    更新日期:1988-05-01 00:00:00

  • Antithrombin deficiency: issues in laboratory diagnosis.

    abstract:OBJECTIVE:To review the current understanding of the pathophysiology of antithrombin deficiency and its role in congenital thrombophilia. Recommendations for diagnostic testing of antithrombin function and concentration, derived from the medical literature and consensus opinions of recognized experts in the field, are ...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章,评审

    doi:10.1043/0003-9985(2002)126<1326:AD>2.0.CO;2

    authors: Kottke-Marchant K,Duncan A

    更新日期:2002-11-01 00:00:00

  • Immunophenotypic study of basophils by multiparameter flow cytometry.

    abstract:CONTEXT:The immunophenotypic profile of basophils is not yet fully established, and the immunophenotypic changes in chronic myelogenous leukemia are not fully characterized. OBJECTIVE:To establish a comprehensive immunophenotypic spectrum of normal basophils and to assess the range of immunophenotypic aberrations of b...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:10.1043/1543-2165(2008)132[813:ISOBBM]2.0.CO;2

    authors: Han X,Jorgensen JL,Brahmandam A,Schlette E,Huh YO,Shi Y,Awagu S,Chen W

    更新日期:2008-05-01 00:00:00

  • BRAF mutations in melanocytic lesions and papillary thyroid carcinoma samples identified using melting curve analysis of polymerase chain reaction products.

    abstract:CONTEXT:Mutations of the proto-oncogene B-raf (BRAF) have been detected in melanocytic lesions and papillary carcinomas of the thyroid, and identification of these mutations could be useful in resolving some diagnostic problems. OBJECTIVE:To develop a method to evaluate mutations of BRAF that could provide results muc...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:10.1043/1543-2165(2007)131[1361:BMIMLA]2.0.CO;2

    authors: Hay R,MacRae E,Barber D,Khalil M,Demetrick DJ

    更新日期:2007-09-01 00:00:00

  • Biphasic acute myeloid leukemia with near-tetraploidy and immunophenotypic transformation.

    abstract::This report describes a case of acute myeloid leukemia (subtype M1) with biphasic morphology. The bone marrow biopsy showed 2 distinct regions of blasts, one containing large cells and the other small cells. Morphometric and DNA ploidy analysis showed that the mean nuclear area and mean DNA index for the large cell re...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:10.1043/1543-2165(2004)128<448:BAMLWN>2.0.CO;2

    authors: Imkie M,Davis MK,Persons DL,Cunningham MT

    更新日期:2004-04-01 00:00:00

  • Concurrent spindle cell peripheral pulmonary carcinoid tumor and Merkel cell tumor of the skin.

    abstract::To our knowledge this is the first reported case of concurrent Merkel cell (trabecular carcinoma) tumor and peripheral pulmonary carcinoid tumor. Both tumors are considered to neuroendocrine in nature. The significance of concurrent neuroendocrine tumors is described with respect to multiple endocrine neoplasia syndro...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:

    authors: Nelson EL,Houghton DC

    更新日期:1990-04-01 00:00:00

  • Claudin-7 immunohistochemistry in renal tumors: a candidate marker for chromophobe renal cell carcinoma identified by gene expression profiling.

    abstract:CONTEXT:The differential diagnosis of eosinophilic renal tumors can be difficult by light microscopy. In particular, chromophobe renal cell carcinoma (RCC) is difficult to distinguish from oncocytoma. This differential diagnosis is important because chromophobe RCC is malignant, whereas oncocytoma is benign. Furthermor...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:10.1043/1543-2165(2007)131[1541:CIIRTA]2.0.CO;2

    authors: Hornsby CD,Cohen C,Amin MB,Picken MM,Lawson D,Yin-Goen Q,Young AN

    更新日期:2007-10-01 00:00:00

  • Morphological features and healing of stress ulcers induced by alcohol and restraint.

    abstract::Gastric mucosal damage was produced in 130 mice by forced ingestion of alcohol, followed by restraint in the cold. Animals were killed at intervals from six hours to 27 days following the stress. Linear hemorrhagic erosions and diffuse hemorrhagic patches were found grossly, predominantly in the glandular portion of t...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:

    authors: Lev R,Kawashima K,Glass GB

    更新日期:1976-10-01 00:00:00

  • Augmented Reality Technology Using Microsoft HoloLens in Anatomic Pathology.

    abstract::Context Augmented reality (AR) devices such as the Microsoft HoloLens have not been well used in the medical field. Objective To test the HoloLens for clinical and nonclinical applications in pathology. Design A Microsoft HoloLens was tested for virtual annotation during autopsy, viewing 3D gross and microscopic patho...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:10.5858/arpa.2017-0189-OA

    authors: Hanna MG,Ahmed I,Nine J,Prajapati S,Pantanowitz L

    更新日期:2018-05-01 00:00:00

  • Age-related changes in T- and B-lymphocyte subpopulations in the peripheral blood.

    abstract::Quantitation of T and B lymphocytes in infants and children is an important test in the diagnosis of a suspected immuno-deficiency. Previous studies indicated that the absolute and relative numbers of lymphocyte subpopulations vary with age, but these data in the pediatric age group are incomplete and often contradict...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Hicks MJ,Jones JF,Minnich LL,Weigle KA,Thies AC,Layton JM

    更新日期:1983-10-01 00:00:00

  • Fluorescence techniques for diagnosing intestinal microsporidiosis in stool, enteric fluid, and biopsy specimens from acquired immunodeficiency syndrome patients with chronic diarrhea.

    abstract:OBJECTIVE:To evaluate three fluorescent chitin stains for detecting microsporidia spores in specimens from acquired immunodeficiency syndrome (AIDS) patients with chronic diarrhea. METHODS:We compared the Fungifluor, Calcofluor White, and Fungiqual A fluorochrome stains for identifying Enterocytozoon bieneusi and Sept...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:

    authors: Conteas CN,Sowerby T,Berlin GW,Dahlan F,Nguyen A,Porschen R,Donovan J,LaRiviere M,Orenstein JM

    更新日期:1996-09-01 00:00:00

  • Primary intraocular T-cell-rich large B-cell lymphoma.

    abstract::We report a primary intraocular T-cell-rich large B-cell lymphoma in a 57-year-old woman who underwent 3 diagnostic vitrectomies for a presumed diagnosis of panuveitis. She developed no light perception in the left eye and underwent enucleation. Histopathologic and immunohistochemical studies on the enucleated globe d...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:10.1043/1543-2165(2005)129[1050:PITLBL]2.0.CO;2

    authors: Cummings TJ,Stenzel TT,Klintworth G,Jaffe GJ

    更新日期:2005-08-01 00:00:00