Fenoglio-Preiser s Gastrointestinal Pathology
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1 Fenoglio-Preiser s Gastrointestinal Pathology Fourth Edition Noffsinger FM.indd 1
2 Noffsinger FM.indd 2
3 Fenoglio-Preiser s Gastrointestinal Pathology Fourth Edition, MD Gastrointestinal Pathologist Miraca Life Sciences Irving, Texas Noffsinger FM.indd 3
4 Acquisitions Editor: Ryan Shaw Product Development Editor: Kate Heaney Senior Production Project Manager: Alicia Jackson Manufacturing Coordinator: Beth Welsh Marketing Manager: Dan Dressler Design Coordinator: Joan Wendt Production Service: SPi Global 4th edition Copyright 2017 Wolters Kluwer Copyright 2008 Lippincott Williams & Wilkins, a Wolters Kluwer business. Copyright 1997 Lippincott Williams & Wilkins. Copyright 1989 Raven Press. All rights reserved. This book is protected by copyright. No part of this book may be reproduced or transmitted in any form or by any means, including as photocopies or scanned-in or other electronic copies, or utilized by any information storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied in critical articles and reviews. Materials appearing in this book prepared by individuals as part of their official duties as U.S. government employees are not covered by the above-mentioned copyright. To request permission, please contact Wolters Kluwer at Two Commerce Square, 2001 Market Street, Philadelphia, PA 19103, via at permissions@lww.com, or via our website at lww.com (products and services) Printed in China Library of Congress Cataloging-in-Publication Data Names: Noffsinger, Amy, editor. Title: Fenoglio-Preiser s gastrointestinal pathology / [edited by] Amy Noffsinger. Other titles: Gastrointestinal pathology Preceded by (work): Gastrointestinal pathology. Description: 4th edition. Philadelphia : Wolters Kluwer, [2017]. Preceded by Gastrointestinal pathology : an atlas and text / Cecilia M. Fenoglio-Preiser [et al.]. 3rd edition Includes bibliographical references and index. Identifiers: LCCN ISBN (hardback) Subjects: MESH: Gastrointestinal Diseases pathology Digestive System anatomy & histology Classification: LCC RC802.9 NLM WI 140 DDC 616.3/3071 dc23 LC record available at lccn.loc.gov/ This work is provided as is, and the publisher disclaims any and all warranties, express or implied, including any warranties as to accuracy, comprehensiveness, or currency of the content of this work. This work is no substitute for individual patient assessment based upon healthcare professionals examination of each patient and consideration of, among other things, age, weight, gender, current or prior medical conditions, medication history, laboratory data and other factors unique to the patient. The publisher does not provide medical advice or guidance and this work is merely a reference tool. Healthcare professionals, and not the publisher, are solely responsible for the use of this work including all medical judgments and for any resulting diagnosis and treatments. Given continuous, rapid advances in medical science and health information, independent professional verification of medical diagnoses, indications, appropriate pharmaceutical selections and dosages, and treatment options should be made and healthcare professionals should consult a variety of sources. When prescribing medication, healthcare professionals are advised to consult the product information sheet (the manufacturer s package insert) accompanying each drug to verify, among other things, conditions of use, warnings and side effects and identify any changes in dosage schedule or contraindications, particularly if the medication to be administered is new, infrequently used or has a narrow therapeutic range. To the maximum extent permitted under applicable law, no responsibility is assumed by the publisher for any injury and/or damage to persons or property, as a matter of products liability, negligence law or otherwise, or from any reference to or use by any person of this work. LWW.com Noffsinger FM.indd 4
5 Contributors Amber Cockburn, MD Gastrointestinal Pathologist Miraca Life Sciences Irving, Texas Robert M. Genta, MD Chief of Academic Affairs Miraca Life Sciences Irving, Texas Jonathan N. Glickman, MD, PhD Director of Surgical Pathology and Gastrointestinal Pathology Associate Professor of Pathology, Harvard Medical School Department of Pathology Beth Israel Deaconess Medical Center Boston, Massachusetts David Hernandez Gonzalo, MD Assistant Professor Department of Pathology, Immunology and Laboratory Medicine University of Florida College of Medicine Gainesville, Florida Ilyssa O. Gordon, MD, PhD Assistant Professor of Pathology Robert J. Tomsich Pathology and Laboratory Medicine Institute Cleveland Clinic Cleveland, Ohio Nicholas G. Grant, MD Anatomic and Clinical Pathologist Nampa, Idaho William E. Katzin, MD, PhD Clinical Associate Professor Department of Pathology Case Western Reserve University School of Medicine Ameripath Cleveland Oakwood Village, Ohio Lisa Koch, MD, PhD Acting Instructor Department of Pathology University of Washington Medical Center Seattle, Washington Cheryl Mather, MD Clinical Lecturer University of Alberta Edmonton, Alberta, Canada Maria G. McIntire, MD, PhD Gastrointestinal and Liver Pathologist Miraca Life Sciences Newton, Massachusetts Rish K. Pai, MD, PhD Associate Professor Department of Laboratory Medicine and Pathology Mayo Clinic Scottsdale, Arizona tanya A. Rege, MD, PhD Gastrointestinal and Liver Pathologist Miraca Life Sciences Newton, Massachusetts David F. Schaeffer, MD, FRCPC Assistant Professor Department of Pathology and Laboratory Medicine University of British Columbia Consultant Pathologist Department of Pathology and Laboratory Medicine Vancouver General Hospital Vancouver, British Columbia, Canada Kevin Turner, DO Gastrointestinal Pathologist Miraca Life Sciences Irving, Texas v Noffsinger FM.indd 5
6 vi Contributors Maria Westerhoff, MD Associate Professor Department of Pathology University of Washington Medical Center Seattle, Washington Rebecca Wilcox, MD Associate Professor of Pathology University of Vermont Medical School Chief Gastrointestinal/Liver Pathology University of Vermont Medical Center Burlington, Vermont Noffsinger FM.indd 6
7 Preface The fourth edition to this book has been a long time coming. With the huge volume of new research in gastrointestinal diseases of all types, it became increasingly clear that a group of only a few individuals could not possibly keep pace and author an entire comprehensive gastrointestinal pathology textbook. As a result, this text has now become an edited volume, with contributions from a greater number of authors, all of whom are experts in gastrointestinal disorders. The overall format of the book has not been altered from the previous edition, but the content has been extensively revised and updated. As before, the chapters for nonneoplastic disorders for each gastrointestinal site are arranged to begin with a discussion of normal anatomy, physiology, and histology. These sections are then followed by sections covering congenital disorders, acquired structural alterations, infectious diseases, drug-related injury, diseases related to altered blood flow, and other entities. Separate chapters exist for in-depth discussion of motility disorders and inflammatory bowel disease. The nonneoplastic disease chapters for each gastrointestinal site are followed by a chapter dedicated to the neoplastic disorders affecting that site. Separate chapters discuss hereditary polyposis and cancer syndromes, as well as neuroendocrine, hematopoietic, and mesenchymal neoplasms. As in previous editions, this book is intended to be a comprehensive resource for the pathologist evaluating biopsies, cytologic, or resection specimens from all gastrointestinal sites. It contains not only information about both benign and malignant gastrointestinal diseases that are not included in most other texts but also in-depth discussion of pathophysiologic processes and molecular mechanisms where possible. Many new photomicrographs have been added to supplement the text. In addition to the changes in content of the fourth edition of this book, it has been renamed Fenoglio-Preiser s Gastrointestinal Pathology in honor of Dr. Cecilia Fenoglio- Preiser who has been the driving force behind this text since its inception. This textbook would not exist without her lifelong collection of educational materials, her enthusiasm for teaching, and her boundless energy. I consider myself extremely lucky to have had Dr. Fenoglio-Preiser as a mentor and as a friend. It has been a privilege for me to have been involved in the development and evolution of this textbook over the years, and I hope that this book will continue to serve as a valuable resource for pathologists, radiologists, gastroenterologists, and others interested in gastrointestinal diseases. vii Noffsinger FM.indd 7
8 Contents Contributors v Preface vii 1 General Features of the Gastrointestinal Tract and Evaluation of Specimens Derived from It Nonneoplastic Esophagus...11 Tanya A. Rege and 3 The Neoplastic Esophagus...96 Cheryl Mather, Lisa Koch, and Maria Westerhoff 4 The Nonneoplastic Stomach Kevin Turner and Robert M. Genta 5 The Neoplastic Stomach Rebecca Wilcox 6 The Nonneoplastic Small Intestine Jonathan N. Glickman 7 Epithelial Tumors of the Small Intestine Nonneoplastic Diseases of the Appendix Neoplastic Appendix Motility Disorders Inflammatory Bowel Disease Ilyssa O. Gordon 12 Polyposis and Hereditary Cancer Syndromes Nonneoplastic Diseases of The Colon Kevin Turner 14 Epithelial Neoplasms of the Colon Rish K. Pai, David Hernandez Gonzalo, and David F. Schaeffer 15 The Nonneoplastic Anus Maria G. McIntire 16 Neoplastic Lesions of the Anus viii Noffsinger FM.indd 8
9 Contents ix 17 Gastrointestinal Neuroendocrine Lesions Amber Cockburn and Tanya A. Rege 18 Lymphoproliferative and Related Disorders of the Gastrointestinal Tract William E. Katzin 19 Mesenchymal Tumors Nicholas G. Grant and Index 1223 Noffsinger FM.indd 9
10 Noffsinger FM.indd 10
11 Fenoglio-Preiser s Gastrointestinal Pathology Fourth Edition Noffsinger FM.indd 11
12 Noffsinger FM.indd 12
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