[S2k guidelines for the diagnosis and treatment of endometriosis-Recommendations for pathology].

Autor: Horn LC; Abteilung Mamma‑, Gynäko- & Perinatalpathologie, Institut für Pathologie, Universitätsklinikum Leipzig AöR, Liebigstraße 26, 04103, Leipzig, Deutschland. hornl@medizin.uni-leipzig.de., Höhn AK; Abteilung Mamma‑, Gynäko- & Perinatalpathologie, Institut für Pathologie, Universitätsklinikum Leipzig AöR, Liebigstraße 26, 04103, Leipzig, Deutschland., Burghaus S; Frauenklinik, Universitätsklinikum Erlangen, Erlangen, Deutschland., Schäfer SD; Klinik für Frauenheilkunde und Geburtshilfe, Universitätsklinikum Münster, Münster, Deutschland., Ulrich UA; Frauenklinik, Martin-Luther-Krankenhaus, Berlin, Deutschland., Schmidt D; Institut für Pathologie Trier, Trier, Deutschland.
Jazyk: němčina
Zdroj: Der Pathologe [Pathologe] 2022 Mar; Vol. 43 (2), pp. 117-125. Date of Electronic Publication: 2021 Oct 01.
DOI: 10.1007/s00292-021-00978-x
Abstrakt: The present article summarises the recommendations for the handling, histopathological workup, diagnostics and reporting in surgical pathology of biopsies and resection specimens in patients with the clinical diagnosis of endometriosis. In addition to practical aspects of pathology, the guidelines also take into account the clinical requirements for histopathology for the optimal diagnosis and therapy of the patients.Based on the definition of endometriosis of the corpus uteri (adenomyosis uteri) most commonly used in the pathological literature, this was defined in the guidelines as the detection of the endometriosis focus in the myometrium at a distance from the endomyometrial border of a medium-sized visual field (100× magnification), which in metric units corresponds to around 2.5 mm. In bowel resection specimens, the status of the resection margins had to be documented within the histopathological report.Also mentioned are the requirements for the reporting of carcinomas associated with endometriosis, including the immunohistochemical evaluation of steroid hormone receptors and mismatch repair proteins.
(© 2021. The Author(s).)
Databáze: MEDLINE
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