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Pathology of the Medical Kidney, An Issue of Surgical Pathology Clinics, E-Book

Pathology of the Medical Kidney, An Issue of Surgical Pathology Clinics, E-Book

Anthony Chang

(2014)

Additional Information

Abstract

Non-neoplastic diseases are the focus of coverage in this issue of Surgical Pathology Clinics. Topics include: Non-neoplastic diseases in kidney cancer; Nephrectomy for non-neoplastic causes; Autopsy renal pathology; Practical approach to kidney donation workup; Kidney allograft pathology; Renal infections; Amyloidosis - all subtypes; Histologic classifications in renal pathology - pros and cons; Renal molecular pathology; Emerging concepts and controversies in renal pathology. This issue is intended for surgical pathologists and those with clinical practices in diagnostic renal pathology and kidney research. Anthony Chang, whose clinical practice and research is focused on renal pathology, leads this issue.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Pathology of theMedical Kidney i
Copyright\r ii
Contributors iii
Contents v
Surgical pathology clinics viii
Preface ix
Non-neoplastic Pathology in Tumor Nephrectomy Specimens 291
Abstract 291
Overview 291
Chronic kidney disease after nephrectomy procedure 291
Evaluation of non-neoplastic pathology in tumor nephrectomy specimens 293
Practical recommendations 294
Common non-neoplastic renal parenchymal lesions seen in tumor nephrectomy specimens 295
Changes Related to Neoplastic Growth 297
Changes Related to Medical Kidney Disease, Independent of Tumor Growth 299
Vascular Sclerosing Disease 299
Diabetic Renal Disease 300
Tubulointerstitial Disease 302
Other Medical Renal Diseases 303
References 304
Nephrectomy for Non-neoplastic Kidney Diseases 307
Abstract 307
Overview 307
Chronic pyelonephritis 307
Gross Features of Chronic Pyelonephritis 308
Microscopic Features 308
Reflux nephropathy 310
Autopsy Renal Pathology 321
Abstract 321
Approach to gross dissection 321
Tissue Allocation 321
Postmortem Alterations 321
Medical Renal Diseases 322
Dissection and Examination of the Kidneys 323
Adults 323
Children 323
Common pathologic changes of kidneys at autopsy 324
Congenital Anomalies of the Kidney and Urinary Tract 324
Donor Kidney Evaluation 357
Abstract 357
Overview 357
Classification of donors 358
ECD 358
SCD 358
DBD 358
DCD 358
Clinical and laboratory evaluation of donors 358
Donor biopsy assessment 358
Donor Biopsy Pathology Evaluation and Report 359
Glomerular Changes 360
Vascular Changes 361
Tubulointerstitial Changes 361
Living donor biopsies 361
Clinical and histopathologic scoring systems for donor biopsies 362
Molecular evaluation of donor biopsies 363
References 363
The Basics of Renal Allograft Pathology 367
Abstract 367
Overview 367
Allograft biopsy laboratory preparation 368
Acute rejection: T-cell mediated 368
Overview 368
Microscopic Description 371
Differential Diagnosis 371
Diagnosis 373
Clinical Correlation, Treatment, and Prognosis 373
Acute rejection: antibody-mediated (humoral rejection) 373
Overview 373
Microscopic Description 373
C4d Studies 374
Differential Diagnosis 374
Diagnosis 374
Clinical Correlation, Treatment, and Prognosis 376
Polyomavirus nephropathy 376
Overview 376
Microscopic Description 376
Differential Diagnosis 376
Diagnosis 376
Prognosis 377
Drug toxicities 377
Overview: Calcineurin Inhibitors 377
Microscopic Description: Calcineurin Inhibitors 378
Differential Diagnosis: Calcineurin Inhibitors 378
Diagnosis: Calcineurin Inhibitors 381
Sirolimus 381
Prognosis: Drug Toxicities 381
Acute tubular necrosis and related injury 381
Overview: ATN 381
Microscopic Description: ATN 381
Differential Diagnosis: ATN 381
Diagnosis: ATN 381
Tubulointerstitial Calcification 381
Prognosis: Tubular Injury 382
Chronic rejection and chronic allograft injury 382
Overview 382
Microscopic Description 382
Differential Diagnosis 382
Diagnosis 384
Prognosis 384
Posttransplant lymphoproliferative disorder 384
Other allograft biopsy findings 384
Summary 385
Acknowledgments 385
References 385
Renal Infections 389
Abstract 389
Overview 389
Acute bacterial pyelonephritis 389
Gross Features 389
Microscopic Features 390
Differential Diagnosis 390
Chronic pyelonephritis 390
Gross Features 391
Microscopic Features 392
Xanthogranulomatous pyelonephritis 392
Gross Features of XGP 392
Microscopic Features of XGP 392
Differential Diagnosis of XGP 394
Malacoplakia 394
Gross Features of MCP 394
Microscopic Features of MCP 396
Differential Diagnosis of MCP 396
Viral infections in the kidney 396
Polyomavirus Nephropathy 396
Gross Features 398
Microscopic Features 398
Differential Diagnosis 399
Adenovirus Infection of the Kidney 400
Microscopic Features 400
Differential Diagnosis 400
Cytomegalovirus 401
Microscopic Features 402
Differential Diagnosis 402
Fungal and mycobacterial infections of the kidney 403
Mycobacterial Infection of the Kidney 403
Gross Findings 403
Microscopic Findings 403
Fungal Infections of the Kidney 403
Renal Candidiasis 404
Aspergillosis in the Kidney 405
Renal Infection by Cryptococcus 406
References 406
Renal Amyloidosis 409
Abstract 409
Overview 409
Amyloidosis types that affect the kidney 409
Clinical presentation 410
Pathogenesis 411
Renal biopsy 412
Light Microscopy 412
Immunofluorescence 415
Electron Microscopy 416
Differential diagnosis 417
Amyloid typing (classification) 420
Proteomics 421
Treatment and outcome 422
References 423
Classification Systems in Renal Pathology 427
Abstract 427
Overview 427
Pathologic classification: goals and general limitations 427
Lupus nephritis 428
Renal allograft rejection 430
Focal segmental glomerulosclerosis 431
IgA nephropathy 433
Diabetic nephropathy 434
ANCA-associated glomerulonephritis 436
Summary 437
References 438
Renalomics 443
Abstract 443
Overview: molecular pathology in kidney biopsies 443
Techniques, platforms, analytical methods, and pitfalls 443
Molecular pathology and genetic alterations of native kidney diseases 445
Molecular pathology of renal allograft biopsies 446
Molecular Pathology of the Donor Biopsy 446
Molecular Pathology of Cell-Mediated Rejection 447
Molecular Pathology of Allograft Urine 449
Molecular Pathology of Chronic Allograft Damage 449
Molecular Pathology of Antibody-Mediated Rejection 450
Molecular Pathology of Polyomavirus Nephropathy (PVN) 451
Summary 451
References 451
Emerging Concepts and Controversies in Renal Pathology 457
Abstract 457
Introduction 457
C4d-negative antibody-mediated rejection 458
Role of antibody in arterial lesions 460
Revised (2013) Banff criteria for antibody-mediated rejection 464
Acknowledgments 465
References 465
Index 469