Image
|
Slide # |
Tissue |
Mag |
Feature |
 |
1 |
Lung |
LP |
Hyaline Membrane Disease. Results from lack of surfactant and
consequent pulmonary instability. Within each lobule, the expanded
respiratory bronchiole and alveolar ducts are lined by eosinophilic
hyaline membranes and are surrounded by collapsed air spaces. |
 |
2 |
Lung |
MP |
HMD. Central alveolar duct lined by hyaline membrane and surrounded by
collapsed alveolar spaces. |
 |
3 |
Lung |
HP |
HMD. Hyaline membranes (which are not distinctive or specific) and
close view of immature lung with thick septa. |
 |
5 |
Lung |
LP |
Bronchopulmonary dysplasis. Represents the effect of prolonged
ventilation (barotrauma) and high concentration of oxygen on neonatal lung
which initially had HMD (or other injury). Characteristic features are
irregular aeration (some areas dilated and others collapsed) and alveolar
septa thickened by mononuclear inflammatory cells and fibroblasts. |
 |
6 |
Lung |
MP |
Bronchopulmonary dysplasia. Poorly aerated areas with alveolar septa
thickened by fibroblasts and mononuclear inflammatory cells. |
 |
7 |
Lung |
LP |
Bronchopulmonary dysplasia. Alveolar spaces expanded, but septa
thickened by edema, mononuclear inflammatory cells and fibroblasts. |
 |
8 |
Lung |
MP |
Bronchopulmonary dysplasia. Squamous metaplasia of bronchioles. |
 |
10 |
Lung |
LP |
Massive aspiration. Occurs in mature or postmature infant with
intrauterine distress. Note mature lung (thin septa) with large numbers of
squamous epithelial cells and meconium within the air spaces which
indicates the diagnosis. |
 |
11 |
Lung |
MP |
Massive aspiration. Meconium is more easily seen. Numerous squamous
epithelial cells also are present. |
 |
13 |
Lung |
MP |
Pneumonia of intrauterine origin. Again note the mature lung. The air
spaces contain some squamous epithelial cells and loose collection of
neutrophils without accompanying fibrin. The lack of fibrin distinguishes
pneumonia of intrauterine origin from postnatally acquired
pneumonia. |
 |
14 |
Lung |
MP |
Same. |
 |
15 |
Lung |
HP |
The thin septa with inconspicuous epithelium and one narrow capillary.
Some squamous epithelial cells within air spaces. |
 |
16 |
Lung |
HP |
Pneumonia of intrauterine origin. Neutrophils without fibrin. The
inflammatory cells enter the fetal airway from the infected amniotic
sac. |
 |
18 |
Fetal membranes |
MP |
Acute chorioamnionitis. A dense purulent (neutrophilic) imflammatory
infiltrate occupies the chorion with extension into the amnion but with
preservation of the amniotic epithelium. Represents an ascending infection
from the birth canal, usually accompanying premature rupture of the
membranes. |
 |
19 |
Same |
|
Same. Potential sequelae are premature labor, prematurity and fetal
infection. |
 |
21 |
Pancreas |
LP |
Cystic fibrosis, mucoviscidosis. (Most common metabolic disorder in
childhood. Abnormal transport of cellular chloride. Inspissated secretions
of exocrine glands.) Pancreatic acini are dilated with intraacinar
inspissated secretion smaking distinction of acini from ducts difficult.
There is interstitial fibrosis. |
 |
22 |
Pancreas |
MP |
Cystic fibrosis. Atrophy of glands, fibrosis, and preservation of
islets. |
 |
23 |
Same |
|
Same. |
 |
24 |
Same |
MP |
Cystic fibrosis. Dilated acini with inspissate secretions. |
 |
26 |
Neuroblastoma |
Gross |
Neuroblastoma. Soft, white, with hemorrhage and focal necrosis. |
 |
27 |
Same |
Gross |
Neuroblastoma. Encapsulated gray-white tumor with hemorrhage and
yellow foci of calcifications. |
 |
28 |
Same |
Gross |
Same. Cut and external surface. |
 |
30 |
Adrenal |
MP |
Neuroblastoma. Small blue cell tumor with occasional cluster of cells
arranged in pseudorosettes with central fibrillar material. The cells have
indistinct cytoplasmic borders, round or oval nuclei and densely clumped
chromatin. |
 |
31 |
Same |
MP |
Same. Neuroblastomas, ganglioneuroblastomas, and ganglioneuromas are
neoplasms arising from neuroepithelium showing different degrees of
differentiation. |
 |
32 |
Same |
HP |
Same. Histology is less useful in predicting the prognosis in
neuroblastomas than location, age, staging an dpresence of oncogenes. It
is useful in separating out the benign
ganglioneuroma. |