HISTOPATHOLOGY INDIA.COM

Adult Respiratory Distress Syndrome

 
 

         

 HEART TRANSPLANTS - PATHOLOGICAL EXAMINATION: CLICK HERE

REPORTING OF ENDOMYOCARDIAL BIOPSY (ALLOGRAFT REJECTION ): CLICK

The Internationational Society for Heart and Lung Transplantation (ISHLT) System for Grading Rejection:

Old term               Grades Notes Proposed simplification (1994)
No rejection             0 Biopsies with very sparse lymphoid infiltrates should be included in this grade.  
Mild rejection            1A Focal perivascular or interstitial infiltrates. The mild intensity and lack of myocyte damage distinguish this from higher grades.  Grade 1
Mild rejection  1B  Diffuse but sparse infiltrate. As with 1A, there must be no myocyte damage.  Grade 1
‘Focal’ moderate rejection         2 One focus only with  aggressive infiltration and/or focal myocyte damage. The choice of a single focus as the cut-off from higher grades is arbitrary in practice, with the amount of tissue usually submitted, one is unlikely to be faced with the problem of biopsy fragments with only two foci     Grade 1
                                     Usual treatment threshold
‘Low’ mod rejection     3A Multifocal aggressive infiltrates and/or     myocyte damage. The multiple foci may be present in only one fragment or may be scattered through out several fragments.     Grade 3A
‘Low’ mod rejection    3B Diffuse inflammatory  process .The   intensity of the lymphoid infiltrate     varies considerably. It may be little more than grade 1B, the important distinguishing feature being the presence of myocyte damage. This damage must be present in at least two fragments, but some degree of infiltration is present in the majority of fragments.  Grade 3B
‘Severe’ acute  rejection             4  A diffuse and polymorphous infiltrate with or without oedema,         haemorrhage and vasculitis. The          infiltrate is more intense and more widespread than 3B and myocyte          is conspicuous. There are often neutrophils and/or haemorrhage, though neither is essential for diagnosis of this grade.  Grade 4

         

Abstracts:

Nodular endocardial infiltrates (Quilty lesions) cause significant variability in diagnosis of ISHLT Grade 2 and 3A rejection in cardiac allograft recipients.J Heart Lung Transplant. 2005 Jul;24(7 Suppl):S219-26

Effect of adopting a new histological grading system of acute rejection after heart transplantation.Heart. 1997 Dec;78(6):603-7.

A revision of the 1990 working formulation for the classification of lung allograft rejection. J Heart Lung Transplant 1996;15:1-15

Acute rejection: significance of lapsed time post transplant. J Heart Lung Transplant 1994;13:862-868

A classification of cardiac allograft rejection. A modification of the classification by Billingham. Am J Surg Pathol 1987;11(7):503-515

                  

 
February  2009
Histopathology-India.net

diagnostichistopathology. blogspot.com

Pathopedia-India.com

Surgical-Pathology.com

Pathology-India.com

Pancreatic Pathology Online

Gall Bladder Pathology Online

Paediatric Pathology Online

Paraganglioma-Online

Endocrine Pathology Online

Eye Pathology Online

Ear Pathology Online

Cardiac Path Online

Lung Tumour-Online

Mesothelioma-Online

Pulmonary Pathology Online

Nutritional Pathology Online

Environmental Pathology  Online

Pathology Quiz Online

Dermpath-India

GI Path Online

Soft Tissue Pathology

Case Index

Infectious Disease Online; INDEX: A-D ; INDEX: E-L ; INDEX: M-P INDEX: Q-Z ; FUNGAL DISEASE ; VIRAL DISEASE.

E-book - History of  Medicine with special reference to India.

Basic Pathology Blog

          
FUNCTIONAL ANATOMY OF THE HEART

ANATOMY OF THE ATRIUM

ANATOMY OF THE VENTRICLE

ANATOMY OF THE CORONARY ARTERIES

AUTOPSY EXAM. OF CORONARY ARTERIES

EXAMINATION  OF CARDIAC  VALVES

CARDIAC  VALVE  DISEASE

MITRAL  VALVE LESIONS

PULMONARY VALVE DISEASE

TRICUSPID VALVE DISEASE

CARDIOMYOPATHY

CONGESTIVE HEART FAILURE

congenital heart disease

Ischemic heart disease    

Angina pectoris

Myocardial infarction                
 
hypertensive heart disease  
 
RHEUMATIC FEVER AND RHEUMATIC HEART DISEASE
 
PATHOLOGY OF ASCHOFF BODIES OR NODULES
 
myocardiTIS
 
GIANT CELL MYOCARDITIS    

pericardial disease  

INFECTIVE ENDOCARDITIS

CARDIAC HEMOCHROMATOSIS

CARDIAC AMYLOIDOSIS

HISTOPATHOLOGY REPORTING OF PERICARDIAL SPECIMEN

HEART TRANSPLANTS - PATHOLOGICAL EXAMINATION

ENDOMYOCARDIAL BIOPSY-(ALLOGRAFT REJECTION):

ISHLT SYSTEM FOR GRADING REJECTION

POST-OPERATIVE CARDIAC PATHOLOGY

PERIOPERATIVE CARDIAC PATHOLOGY

PRIMARY TUMOURS OF THE HEART

REPORTING OF CARDIAC TUMOURS

CARDIAC MYXOMA

CARDIAC RHABDOMYOMA

PAPILLARY FIBROELASTOMA

CARDIAC FIBROMA

CARDIAC LIPOMA

CARDIAC HEMANGIOMA

CARDIAC TERATOMA

MESOTHELIOMA OF ATRIOVENTRICULAR NODE

PURKINJE CELL TUMOUR

CARDIAC PARAGANGLIOMA

MALIGNANT TUMOURS OF THE HEART

CARDIAC LYMPHOMA


      Copyright © 2009  histopathology-india.net
    All rights reserved