Diagnostic Gynecologic and Obstetric Pathology: An Atlas and Text

648 Pages·2011·2.5 MB·English

by  Roger A. Reichert

Diagnostic
Gynecologic and
Obstetric Pathology
AN
ATLAS AND TEXT

Diagnostic
and
Gynecologic
Obstetric Pathology
AN ATLAS
AND TEXT
Roger A. Reichert, M.D., Ph.D.
Consultant in Gynecologic Pathology
http://www.reichenpathology.com
Emeritus Chief of Pathology
St. Luke's Hospital
St. Louis, Missouri
I
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Lihrary of Congress Cataloging-in-Publication Data
Reichert, Roger Alan.
Diagnostic gynecologic and obstetric pathology : an atlas and text I Roger A Reichert. - 1st ed.
p.;cm.
Includes bibliographical references.
ISBN 978-1-60831-077-7
I. Tide.
[DNLM: 1. Genital Diseases, Female-diagnosis. 2. Genital Diseases, Female-pathology. 3. Genital
Diseases, Female-diagnosis-Atlases. 4. Genital Diseases, Female-pathology-Atlases. WP 141]
618.1 '075-dc23
2011028222
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10 9 8 7 6 5 4 3 2 1
Legends for Cover Figures: Top Left: Endophytic ovarian serous borderline tumor (see Fig. 7.8). Top
Right: Simple hyperplasia without atypia of the endometrium (see Fig. 4.130). Bottom Left: Pap smear
with high-grade squamous intraepitheliallesion, metaplastic type {see Fig. 3.128). Bottom Right: Vesi
cles from a complete hydatidiform mole (see Fig. 10 .1).
To Valerie, Elaine, and Elizabeth

I
• •
~FACE
I
n covering the topic of gynecologic and obstetric and the beginning of each chapter lists the entities discussed
I
pathology, this book attempts to carve out its own and their corresponding page numbeB. The bibliography sec
niche midway between an atlas and a traditional text tions include both recommendations for general reading and
book.. It takes an image-intensive and practical approach that selective lists of references.
provides the reader with the information necessary to evalu This book is intended to be used by pathologists in
ate the vast majority of the wide range of diseases encountered community and academic practices, as well as pathologists
within this subspecialty. Much can be learned from the gross in-training, as a source of high-quality images and condensed
examination of pathology specimens, and this often neglected diagnosis-related information in this complex field of pathol
and wtdervalued aspect of pathology practice is herein given ogy. My target audience also includes gynecologists and obste
its proper respect. The gross and microsc:opic images in this ttkians with an interest in clinicopathologic correlation, and
work are presented exclusively in color, and are supplemented I hope that cytopathologists and cytotecbnologists will appre
by pertinent clinical information and disCU88ions of differential ciate the nwuerous Pap smear images and the sections on peri
diagnostic considerations. When deemed appropriate, images toneal cytology. Pathologists-in-mining and those responsible
ofimmwtObistochemical and "special" stains are included. This for the billing of gynecologic surgical pathology specimens
book also includes nwuerous Pap smear images and cytologic may also find the material in the appendices to be of use.
histologic correlations. In addition to coverage of pathology This work. represents the culmination of25 years ofe ffort.
of the organs of the female genital tract, brief overviews of the Taking a page from my childhood hobby of collecting baseball
normal histology of these sites are provided as necessary back cards, I painstakingly collected and organiud. slides and images
ground information. Separate chapters are also devoted to pla of gynecologic and obstetric pathology specimens as I encowt
cental and peritoneal pathology. tered them during my training at Stanford and throughout my
The material presented places an emphasis on diagnostic career as a pathologist at St. Luke's Hospital. Years of bands-on
related issues pertaining to common lesions and their variants, experience at the surgical pathology bench have allowed me
although attention is also given to classic forms of many rare to personally photograph most of the surgical specimens that
lesions. In selected instances, recommendations on the pro are presented. After a 25-ycar gestat:ion period, it is with great
cessing of gross pathology specimens, discussions regarding satisf.u:tion that I deliver this book to you, and I hope that it
the optimal approach for intraoperative consultations, and reo exceeds your expectations.
ommendarions on the phrasing of key portions of pathology
reports are provided. The 10 chapteB are organized by site, Roger A. IU:icbert, M.D, Ph.D
For iafOrmation on how to scad anuulwions in gynecologic patholo&f to
Dr. Roger Reithert. please vUit http:l/www.reichertpathology.com. This web
sire abo contains information on how to contribute images to Dr. IWchert to
coha.nc::e poaible funue .:ditio~U of this book.
All image~ were optimized using Adobe Photoshop. In some iDsta.o.ces. this
included cha.ngiDg the cofor oft he badrpUDd, balancing me color_ col'l.'eCting
miaor impcdi:c:rioDS in the JtaiD.cd tisruc sections, and/or removing c:mane
ou.J tinue and objects. In rare situatioDS in which I could best demonstrate a
putieu.Lu: diseue pi:OCQI3 by UJ.iag imagc:s from anothc.r orpn, this approach
wu utilized. My iun:nt if ttot to da:eive me reader with th~ mancuven, but
nuhet to provide the highest qwality im:lgu poaible.
Please uo~ that imaf;a that •pan me full width of both oolwnru in~
mr
ten 6 and 8 were stlectecl. etdargemeat by the compositor.