Hemorrhoids - Revision history

Mikael Häggström: /* Microscopic report */ Update

2022-04-05T17:29:51Z

Microscopic report: Update

← Older revision		Revision as of 13:29, 5 April 2022
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	:'''Example''':		:'''Example''':
	{\|class=wikitable		{\|class=wikitable
	\| {{Moderate-begin}}Anal tissue, excision:{{Moderate-end}}<br>Hemorrhoids {{Moderate-begin}}with organizing thrombi, and benign anorectal mucosa.{{Moderate-end}}		\| {{Moderate-begin}}Anal/Rectal/Anorectal tissue, excision:{{Moderate-end}}<br>Hemorrhoids {{Moderate-begin}}with organizing thrombi, and benign anoderm/rectal mucosa/anorectal mucosa.{{Moderate-end}}
	\|}		\|}

	{{Bottom}}		{{Bottom}}

Mikael Häggström: test

2022-04-05T17:23:29Z

test

← Older revision		Revision as of 13:23, 5 April 2022
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	\| {{Moderate-begin}}Anal tissue, excision:{{Moderate-end}}<br>Hemorrhoids {{Moderate-begin}}with organizing thrombi, and benign anorectal mucosa.{{Moderate-end}}		\| {{Moderate-begin}}Anal tissue, excision:{{Moderate-end}}<br>Hemorrhoids {{Moderate-begin}}with organizing thrombi, and benign anorectal mucosa.{{Moderate-end}}
	\|}		\|}

	{{Bottom}}		{{Bottom}}

Mikael Häggström: /* Microscopic report */ moved

2021-09-27T12:18:15Z

Microscopic report: moved

← Older revision		Revision as of 08:18, 27 September 2021
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	:'''Example''':		:'''Example''':
	{\|class=wikitable		{\|class=wikitable
	\| {{Moderate-begin}}Anal tissue, excision:~~<br>~~{{Moderate-end}}Hemorrhoids {{Moderate-begin}}with organizing thrombi, and benign anorectal mucosa.{{Moderate-end}}		\| {{Moderate-begin}}Anal tissue, excision:{{Moderate-end}}<br>Hemorrhoids {{Moderate-begin}}with organizing thrombi, and benign anorectal mucosa.{{Moderate-end}}
	\|}		\|}
	{{Bottom}}		{{Bottom}}

Mikael Häggström: /* Microscopic report */ Moved

2021-09-27T12:17:30Z

Microscopic report: Moved

← Older revision		Revision as of 08:17, 27 September 2021
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	===Microscopic report===		===Microscopic report===
	*Diagnosis of '''hemorrhoids'''		*Diagnosis of '''hemorrhoids'''
			*{{Moderate-begin}}Description of thrombi.{{Moderate-end}}
	*{{Moderate-begin}}Even benign epithelium, with specification of types seen, that is, anoderm, rectal, or anorectal if both are seen.{{Moderate-end}}		*{{Moderate-begin}}Even benign epithelium, with specification of types seen, that is, anoderm, rectal, or anorectal if both are seen.{{Moderate-end}}
	*{{Moderate-begin}}Description of thrombi.{{Moderate-end}}
	*{{Comprehensive-begin}}Any epidermal hyperplasia and/or Pagetoid dyskeratosis.{{Comprehensive-end}}		*{{Comprehensive-begin}}Any epidermal hyperplasia and/or Pagetoid dyskeratosis.{{Comprehensive-end}}
	:'''Example''':		:'''Example''':

Mikael Häggström: /* Microscopic evaluation */ Expanded

2021-09-27T12:17:02Z

Microscopic evaluation: Expanded

← Older revision		Revision as of 08:17, 27 September 2021
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	===Common findings===		===Common findings===
	<gallery mode=packed heights=170>		<gallery mode=packed heights=170>
	File:Anorectal mucosa with hemorrhoid.jpg\|~~Benign anorectal mucosa. It may be~~ '''~~hyperplastic~~''' as shown.		File:Anorectal mucosa with hemorrhoid.jpg\|'''Hyperplasia''' (anorectal mucosa shown)
	File:Histopathology of pagetoid dyskeratosis in epidermis of hemorrhoid.jpg\|'''Pagetoid dyskeratosis''', with pale cells, occurs in most hemorrhoids. Look mainly for nuclear enlargement, which may indicate [[koilocyte]]s (having raisin-like dark nuclei), extramammary Paget's disease (having prominent nucleoli)<ref>{{cite web\|url=https://plasticsurgerykey.com/mammary-and-extramammary-pagets-disease/#56061750\|title=Mammary and Extramammary Paget’s Disease\|website=Palstic Surgery Key\|date=2016-06-11}}</ref> or superficial spread of carcinoma or [[melanoma]] (look at basal layer and surrounding epidermis.<ref name="pmid11473458">{{cite journal\| author=Val-Bernal JF, Pinto J\| title=Pagetoid dyskeratosis is a frequent incidental finding in hemorrhoidal disease. \| journal=Arch Pathol Lab Med \| year= 2001 \| volume= 125 \| issue= 8 \| pages= 1058-62 \| pmid=11473458 \| doi=10.5858/2001-125-1058-PDIAFI \| pmc= \| url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11473458 }} </ref>		File:Histopathology of pagetoid dyskeratosis in epidermis of hemorrhoid.jpg\|'''Pagetoid dyskeratosis''', with pale cells, occurs in most hemorrhoids. Look mainly for nuclear enlargement, which may indicate [[koilocyte]]s (having raisin-like dark nuclei), extramammary Paget's disease (having prominent nucleoli)<ref>{{cite web\|url=https://plasticsurgerykey.com/mammary-and-extramammary-pagets-disease/#56061750\|title=Mammary and Extramammary Paget’s Disease\|website=Palstic Surgery Key\|date=2016-06-11}}</ref> or superficial spread of carcinoma or [[melanoma]] (look at basal layer and surrounding epidermis.<ref name="pmid11473458">{{cite journal\| author=Val-Bernal JF, Pinto J\| title=Pagetoid dyskeratosis is a frequent incidental finding in hemorrhoidal disease. \| journal=Arch Pathol Lab Med \| year= 2001 \| volume= 125 \| issue= 8 \| pages= 1058-62 \| pmid=11473458 \| doi=10.5858/2001-125-1058-PDIAFI \| pmc= \| url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11473458 }} </ref>
	</gallery>		</gallery>
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	*Diagnosis of '''hemorrhoids'''		*Diagnosis of '''hemorrhoids'''
	*{{Moderate-begin}}Even benign epithelium, with specification of types seen, that is, anoderm, rectal, or anorectal if both are seen.{{Moderate-end}}		*{{Moderate-begin}}Even benign epithelium, with specification of types seen, that is, anoderm, rectal, or anorectal if both are seen.{{Moderate-end}}
			*{{Moderate-begin}}Description of thrombi.{{Moderate-end}}
	*{{Comprehensive-begin}}Any epidermal hyperplasia and/or Pagetoid dyskeratosis.{{Comprehensive-end}}		*{{Comprehensive-begin}}Any epidermal hyperplasia and/or Pagetoid dyskeratosis.{{Comprehensive-end}}
	:'''Example''':		:'''Example''':
	{\|class=wikitable		{\|class=wikitable
	\| {{Moderate-begin}}Anal tissue, excision:<br>{{Moderate-end}} ~~hemorrhoids~~ {{Moderate-begin}}and benign anorectal mucosa{{Moderate-end}}		\| {{Moderate-begin}}Anal tissue, excision:<br>{{Moderate-end}}Hemorrhoids {{Moderate-begin}}with organizing thrombi, and benign anorectal mucosa.{{Moderate-end}}
	\|}		\|}
	{{Bottom}}		{{Bottom}}

Mikael Häggström: /* Microscopic evaluation */ +Pagetoid

2021-09-27T12:10:17Z

Microscopic evaluation: +Pagetoid

← Older revision		Revision as of 08:10, 27 September 2021
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	*Have a brief scroll through the tissue to confirm the diagnosis of '''hemorrhoids''' (submucosal vessels with dilation, thick walls and congestion, often thrombosed)<ref>{{cite web\|url=https://www.pathologyoutlines.com/topic/anushemorrhoids.html\|title=Anus & perianal area - Other nonneoplastic - Hemorrhoids\|author=Elliot Weisenberg, M.D.\|website=Pathology Outlines}} Topic Completed: 1 May 2014. Minor changes: 7 June 2021</ref>		*Have a brief scroll through the tissue to confirm the diagnosis of '''hemorrhoids''' (submucosal vessels with dilation, thick walls and congestion, often thrombosed)<ref>{{cite web\|url=https://www.pathologyoutlines.com/topic/anushemorrhoids.html\|title=Anus & perianal area - Other nonneoplastic - Hemorrhoids\|author=Elliot Weisenberg, M.D.\|website=Pathology Outlines}} Topic Completed: 1 May 2014. Minor changes: 7 June 2021</ref>
	*Look at the '''epithelium''' for any [[anal intraepithelial neoplasia]].		*Look at the '''epithelium''' for any [[anal intraepithelial neoplasia]].

			===Common findings===
			<gallery mode=packed heights=170>
			File:Anorectal mucosa with hemorrhoid.jpg\|Benign anorectal mucosa. It may be '''hyperplastic''' as shown.
			File:Histopathology of pagetoid dyskeratosis in epidermis of hemorrhoid.jpg\|'''Pagetoid dyskeratosis''', with pale cells, occurs in most hemorrhoids. Look mainly for nuclear enlargement, which may indicate [[koilocyte]]s (having raisin-like dark nuclei), extramammary Paget's disease (having prominent nucleoli)<ref>{{cite web\|url=https://plasticsurgerykey.com/mammary-and-extramammary-pagets-disease/#56061750\|title=Mammary and Extramammary Paget’s Disease\|website=Palstic Surgery Key\|date=2016-06-11}}</ref> or superficial spread of carcinoma or [[melanoma]] (look at basal layer and surrounding epidermis.<ref name="pmid11473458">{{cite journal\| author=Val-Bernal JF, Pinto J\| title=Pagetoid dyskeratosis is a frequent incidental finding in hemorrhoidal disease. \| journal=Arch Pathol Lab Med \| year= 2001 \| volume= 125 \| issue= 8 \| pages= 1058-62 \| pmid=11473458 \| doi=10.5858/2001-125-1058-PDIAFI \| pmc= \| url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11473458 }} </ref>
			</gallery>

	===Microscopic report===		===Microscopic report===
	~~[[File:Anorectal mucosa with hemorrhoid.jpg\|thumb\|220px\|Benign anorectal mucosa. It may be hyperplastic as shown, which does not need mentioning.]]~~
	*Diagnosis of '''hemorrhoids'''		*Diagnosis of '''hemorrhoids'''
	*{{Moderate-begin}}Even benign epithelium, with specification of types seen, that is, anoderm, rectal, or anorectal if both are seen.{{Moderate-end}}		*{{Moderate-begin}}Even benign epithelium, with specification of types seen, that is, anoderm, rectal, or anorectal if both are seen.{{Moderate-end}}
			*{{Comprehensive-begin}}Any epidermal hyperplasia and/or Pagetoid dyskeratosis.{{Comprehensive-end}}
	:'''Example''':		:'''Example''':
	{\|class=wikitable		{\|class=wikitable

Mikael Häggström: /* Microscopic evaluation */ Expanded

2021-09-24T23:11:35Z

Microscopic evaluation: Expanded

← Older revision		Revision as of 19:11, 24 September 2021
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	*Have a brief scroll through the tissue to confirm the diagnosis of '''hemorrhoids''' (submucosal vessels with dilation, thick walls and congestion, often thrombosed)<ref>{{cite web\|url=https://www.pathologyoutlines.com/topic/anushemorrhoids.html\|title=Anus & perianal area - Other nonneoplastic - Hemorrhoids\|author=Elliot Weisenberg, M.D.\|website=Pathology Outlines}} Topic Completed: 1 May 2014. Minor changes: 7 June 2021</ref>		*Have a brief scroll through the tissue to confirm the diagnosis of '''hemorrhoids''' (submucosal vessels with dilation, thick walls and congestion, often thrombosed)<ref>{{cite web\|url=https://www.pathologyoutlines.com/topic/anushemorrhoids.html\|title=Anus & perianal area - Other nonneoplastic - Hemorrhoids\|author=Elliot Weisenberg, M.D.\|website=Pathology Outlines}} Topic Completed: 1 May 2014. Minor changes: 7 June 2021</ref>
	*Look at the '''epithelium''' for any [[anal intraepithelial neoplasia]].		*Look at the '''epithelium''' for any [[anal intraepithelial neoplasia]].
	:'''Example ~~report~~''':
			===Microscopic report===
			[[File:Anorectal mucosa with hemorrhoid.jpg\|thumb\|220px\|Benign anorectal mucosa. It may be hyperplastic as shown, which does not need mentioning.]]
			*Diagnosis of '''hemorrhoids'''
			*{{Moderate-begin}}Even benign epithelium, with specification of types seen, that is, anoderm, rectal, or anorectal if both are seen.{{Moderate-end}}
			:'''Example''':
	{\|class=wikitable		{\|class=wikitable
	\| {{Moderate-begin}}Anal tissue, excision:<br>{{Moderate-end}} hemorrhoids {{Moderate-begin}}and benign anorectal mucosa{{Moderate-end}}		\| {{Moderate-begin}}Anal tissue, excision:<br>{{Moderate-end}} hemorrhoids {{Moderate-begin}}and benign anorectal mucosa{{Moderate-end}}
	\|}		\|}
	{{Bottom}}		{{Bottom}}

Mikael Häggström: /* Microscopic evaluation */ Ref

2021-09-24T22:31:57Z

Microscopic evaluation: Ref

← Older revision		Revision as of 18:31, 24 September 2021
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	==Microscopic evaluation==		==Microscopic evaluation==
	[[File:Histopathology of hemorrhoid.jpg\|thumb\|A hemorrhoid; a dilated vein with an organized thrombus, below benign anal epithelium.]]		[[File:Histopathology of hemorrhoid.jpg\|thumb\|A hemorrhoid; a dilated vein with an organized thrombus, below benign anal epithelium.]]
	*Have a brief scroll through the tissue to confirm the diagnosis of '''hemorrhoids'''.		*Have a brief scroll through the tissue to confirm the diagnosis of '''hemorrhoids''' (submucosal vessels with dilation, thick walls and congestion, often thrombosed)<ref>{{cite web\|url=https://www.pathologyoutlines.com/topic/anushemorrhoids.html\|title=Anus & perianal area - Other nonneoplastic - Hemorrhoids\|author=Elliot Weisenberg, M.D.\|website=Pathology Outlines}} Topic Completed: 1 May 2014. Minor changes: 7 June 2021</ref>
	*Look at the '''epithelium''' for any [[anal intraepithelial neoplasia]].		*Look at the '''epithelium''' for any [[anal intraepithelial neoplasia]].
	:'''Example report''':		:'''Example report''':

Mikael Häggström: /* Microscopic evaluation */ benign

2021-09-22T23:37:15Z

Microscopic evaluation: benign

← Older revision		Revision as of 19:37, 22 September 2021
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	==Microscopic evaluation==		==Microscopic evaluation==
	[[File:Histopathology of hemorrhoid.jpg\|thumb\|A hemorrhoid; a dilated vein with an organized thrombus, below anal epithelium.]]		[[File:Histopathology of hemorrhoid.jpg\|thumb\|A hemorrhoid; a dilated vein with an organized thrombus, below benign anal epithelium.]]
	*Have a brief scroll through the tissue to confirm the diagnosis of '''hemorrhoids'''.		*Have a brief scroll through the tissue to confirm the diagnosis of '''hemorrhoids'''.
	*Look at the '''epithelium''' for any [[anal intraepithelial neoplasia]].		*Look at the '''epithelium''' for any [[anal intraepithelial neoplasia]].

Mikael Häggström: /* Microscopic evaluation */ Wording

2021-09-21T19:31:06Z

Microscopic evaluation: Wording

← Older revision		Revision as of 15:31, 21 September 2021
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	:'''Example report''':		:'''Example report''':
	{\|class=wikitable		{\|class=wikitable
	\| {{Moderate-begin}}Anal tissue, excision:<br>~~Benign~~ anorectal mucosa ~~with~~{{Moderate-end}} ~~hemorrhoids<br>~~		\| {{Moderate-begin}}Anal tissue, excision:<br>{{Moderate-end}} hemorrhoids {{Moderate-begin}}and benign anorectal mucosa{{Moderate-end}}
	\|}		\|}
	{{Bottom}}		{{Bottom}}