Pathology

[1] The word pathology also refers to the study of disease in general, incorporating a wide range of biology research fields and medical practices.

As a field of general inquiry and research, pathology addresses components of disease: cause, mechanisms of development (pathogenesis), structural alterations of cells (morphologic changes), and the consequences of changes (clinical manifestations).

[7] Even so, growth in complex understanding of disease mostly languished until knowledge and experimentation again began to proliferate in the Renaissance, Enlightenment, and Baroque eras, following the resurgence of the empirical method at new centers of scholarship.

By the 17th century, the study of rudimentary microscopy was underway and examination of tissues had led British Royal Society member Robert Hooke to coin the word "cell", setting the stage for later germ theory.

However, pathology as a formal area of specialty was not fully developed until the late 19th and early 20th centuries, with the advent of detailed study of microbiology.

In the 19th century, physicians had begun to understand that disease-causing pathogens, or "germs" (a catch-all for disease-causing, or pathogenic, microbes, such as bacteria, viruses, fungi, amoebae, molds, protists, and prions) existed and were capable of reproduction and multiplication, replacing earlier beliefs in humors or even spiritual agents, that had dominated for much of the previous 1,500 years in European medicine.

To determine causes of diseases, medical experts used the most common and widely accepted assumptions or symptoms of their times, a general principle of approach that persists in modern medicine.

Cytopathology is generally used on samples of free cells or tissue fragments (in contrast to histopathology, which studies whole tissues) and cytopathologic tests are sometimes called smear tests because the samples may be smeared across a glass microscope slide for subsequent staining and microscopic examination.

Sometimes, however, those criteria do not lead to a conclusive diagnosis, and a skin biopsy is taken to be examined under the microscope using usual histological tests.

In some cases, additional specialized testing needs to be performed on biopsies, including immunofluorescence, immunohistochemistry, electron microscopy, flow cytometry, and molecular-pathologic analysis.

Therefore, dermatopathologists must maintain a broad base of knowledge in clinical dermatology, and be familiar with several other specialty areas in Medicine.

[15] Forensic pathology focuses on determining the cause of death by post-mortem examination of a corpse or partial remains.

The methods forensic scientists use to determine death include examination of tissue specimens to identify the presence or absence of natural disease and other microscopic findings, interpretations of toxicology on body tissues and fluids to determine the chemical cause of overdoses, poisonings or other cases involving toxic agents, and examinations of physical trauma.

Neuropathology is the study of disease of nervous system tissue, usually in the form of either surgical biopsies or sometimes whole brains in the case of autopsy.

A physician who specializes in neuropathology, usually by completing a fellowship after a residency in anatomical or general pathology, is called a neuropathologist.

With autopsies, the principal work of the neuropathologist is to help in the post-mortem diagnosis of various conditions that affect the central nervous system.

The renal pathologist must synthesize findings from traditional microscope histology, electron microscopy, and immunofluorescence to obtain a definitive diagnosis.

A biopsy is a small piece of tissue removed primarily for surgical pathology analysis, most often in order to render a definitive diagnosis.

Clinical pathologists work in close collaboration with medical technologists, hospital administrations, and referring physicians.

[19] Immunopathology, the study of an organism's immune response to infection, is sometimes considered to fall within the domain of clinical pathology.

The hematopathologist reviews biopsies of lymph nodes, bone marrows and other tissues involved by an infiltrate of cells of the hematopoietic system.

[citation needed] Molecular pathology is focused upon the study and diagnosis of disease through the examination of molecules within organs, tissues or bodily fluids.

It is often applied in a context that is as much scientific as directly medical and encompasses the development of molecular and genetic approaches to the diagnosis and classification of human diseases, the design and validation of predictive biomarkers for treatment response and disease progression, and the susceptibility of individuals of different genetic constitution to particular disorders.

[23] Techniques are numerous but include quantitative polymerase chain reaction (qPCR), multiplex PCR, DNA microarray, in situ hybridization, DNA sequencing, antibody-based immunofluorescence tissue assays, molecular profiling of pathogens, and analysis of bacterial genes for antimicrobial resistance.

The specialty focuses on the diagnosis, clinical management and investigation of diseases that affect the oral cavity and surrounding maxillofacial structures including but not limited to odontogenic, infectious, epithelial, salivary gland, bone and soft tissue pathologies.

Medical imaging is also central in supplying the biometric data necessary to establish baseline features of anatomy and physiology so as to increase the accuracy with which early or fine-detail abnormalities are detected.

Though they do not strictly relay images, readings from diagnostics tests involving electroencephalography, magnetoencephalography, and electrocardiography often give hints as to the state and function of certain tissues in the brain and heart respectively.

Informed heavily by both psychology and neurology, its purpose is to classify mental illness, elucidate its underlying causes, and guide clinical psychiatric treatment accordingly.

For this reason, as well as their roles as livestock and companion animals, mammals generally have the largest body of research in veterinary pathology.

Damage caused by insects, mites, vertebrate, and other small herbivores is not considered a part of the domain of plant pathology.

The advent of the microscope was one of the major developments in the history of pathology. Here researchers at the Centers for Disease Control in 1978 examine cultures containing Legionella pneumophila , the pathogen responsible for Legionnaire's disease .
A modern pathology lab at the Services Institute of Medical Sciences
A bone marrow smear from a case of erythroleukemia . The large cell in the top center is an abnormal erythroblast : it is multinucleated , with megaloblastoid nuclear chromatin . This is diagnostic of erythroleukemia.
A malignant melanoma can often be suspected from sight, but confirmation of the diagnosis or outright removal requires a biopsy.
Pathologist performing a human dissection of the abdominal and thoracic organs in an autopsy room
An instance of diagnosis via histopathology , this high-magnification micrograph of a section of cardiac tissue reveals advanced cardiac amyloidosis . This sample was attained through an autopsy .
This coronal cross-section of a brain reveals a significant arteriovenous malformation that occupies much of the parietal lobe .
Gross pathology of miliary tuberculosis of the lung
This tissue cross-section demonstrates the gross pathology of polycystic kidneys .
Brain biopsy under stereotaxy . A small part of the tumor is taken via a needle with a vacuum system.
Many conditions, such as this case of geographic tongue , can be diagnosed partly on gross examination, but may be confirmed with tissue pathology.
An anatomical pathology instructor uses a microscope with multiple eyepieces to instruct students in diagnostic microscopy.
Major topics and processes of pathology informatics: Data management from molecular testing, slide scanning , digital imaging and image analysis , networks, databases and telepathology .
This field post-mortem of a ewe has revealed lesions consistent with acute haemolytic pneumonia , possibly due to Pasteurella haemolytica .