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One year with autopsy and case reports: an immense educational experience

机译:一年的尸检和病例报告:丰富的教育经验

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Last year in February I was looking for an appropriate and related journal to submit an autopsy case report when I came across the journal “Autopsy and case reports” (A&CR). Ever since, it has been a great educational experience. Today, there are limited PubMed indexed journals that are open access, A&CR is one of them. The journal publishes unique and original autopsy and clinical case reports. The cases range from rare entities to unusual presentation of common entities and concise yet comprehensive reviews of common entities. The journal has a dedicated section, “image in focus” for gross images. Being a pathology resident this section always fascinates me and I came across some wonderful images of different diseases including endomyocardial fibrosis, 1 holoprosencephaly, 2 gelatinous transformation of bone marrow, 3 Eisenmenger syndrome, 4 fibrinous pericarditis, 5 periprostatic venous thrombosis, 6 cardiac myxoma 7 and punched out skull lesions of multiple myeloma. 8 This list goes on and on and the archives of the journal 9 has a great collection of images. These images come with a brief description of the diseases which is definitely a great resource for quick review of these entities. Autopsy cases section of the journal focuses of detailed autopsy findings of rare and unusual causes of death. Thorough and intrigue discussion about a number of unusual causes of death including coronary amyloidosis, 10 disseminated aspergillosis, 11 gastrointestinal cytomegalovirus disease, 12 Morquio syndrome associated with gastric adenocarcinoma, 13 mycotic aneurysm with aortoduodenal fistula, 14 miliary tuberculosis in a renal transplant recipient, 15 disseminated toxoplasmosis diagnosed at autopsy 16 and thymic teratoma causing non-immune hydrops fetalis, 17 can be found in this section. Again, these are just a few examples from a long list of cases available in the archives. 9 Similarly, the clinical cases are also of great educational value. Only within the last volume of the journal, there were some clinical case reports of rare entities including, undifferentiated carcinoma of the pancreas with osteoclast-like giant cells, 18 concurrent BRAF V600E mutation driven hairy cell leukemia and melanoma, 19 spontaneous regression of a pulmonary adenocarcinoma, 20 phosphaturic mesenchymal tumor, 21 perianal Langerhans cell histiocytosis, 22 pulmonary placental transmogrification, 23 native-valve endocarditis caused by Achromobacter xylosoxidans, 24 centronuclear myopathy 25 and migrainous infarction. 26 Even if the cases are not rare entities, the intrigue discussions are always worth reading. Moreover, the image quality in all the sections of the journal is one of the finest. Lastly, the editorial and letters to the editor are usually related to the issue of autopsies. A&CR not only provided me with the latest updates in the field of autopsy including “Diagnostic and Management Autopsy 27 ” and “virtual autopsy 28 ” but also offered me an opportunity to discuss the autopsies in relation to pathology residents. 29 , 30 I believe A&CR will keep providing us with the latest updates in the field of autopsy and quality discussion about rare diseases.
机译:去年2月,当我遇到“尸检和病例报告”(A&CR)杂志时,我正在寻找一本合适的相关期刊来提交尸检病例报告。从那时起,它一直是一次很棒的教育经历。如今,公开检索的PubMed索引期刊数量有限,A&CR就是其中之一。该期刊发表独特而原始的尸检和临床病例报告。案例的范围从稀有实体到常见实体的不寻常呈现,以及对通用实体的简洁而全面的审查。该杂志有专门的部分,“聚焦图像”,用于显示总图像。作为病理学家,本节总是让我着迷,我遇到了许多不同疾病的奇妙影像,包括心肌内膜纤维化,1个全脑性先天性,2个骨髓的胶质转化,3个艾森曼格综合征,4个纤维性心包炎,5个前列腺周围静脉血栓形成,6个心脏粘液瘤7并打出多发性骨髓瘤的颅骨病变。 8这份清单不胜枚举,期刊9的档案库中有大量的图像。这些图像带有对疾病的简短描述,绝对是快速查看这些实体的绝佳资源。该杂志的尸检病例部分重点介绍了罕见和异常死亡原因的详细尸检结果。全面而有趣地讨论了许多非正常死亡原因,包括冠状动脉淀粉样变性病,10种弥散性曲菌病,11种胃肠道巨细胞病毒病,12例与胃腺癌相关的Morquio综合征,13例主动脉十二指肠瘘的霉菌性动脉瘤,14例肾移植受者的粟粒性结核病,15例在尸检中诊断出的弥漫性弓形虫病16和导致非免疫性胎儿水肿的胸腺畸胎瘤17可在本节中找到。同样,这些只是档案库中大量可用案例中的几个示例。 9同样,临床病例也具有很大的教育价值。仅在该期刊的最后一卷之内,才有一些罕见病例的临床病例报告,包括未分化的胰腺癌和破骨细胞样巨细胞,18例同时发生的BRAF V600E突变驱动的毛细胞白血病和黑色素瘤,19例肺自发性消退腺癌,20磷酸间充质肿瘤,21肛周朗格汉斯细胞组织细胞增生,22肺胎盘透湿,23氧化木脱色杆菌引起的自然瓣膜心内膜炎,24中心性肌病25和偏头痛。 26即使案例不是罕见的实体,有趣的讨论也总是值得一读。此外,期刊所有部分的图像质量都是最好的之一。最后,社论和致编辑的信通常与尸体解剖问题有关。 A&CR不仅为我提供了包括“诊断和管理尸检27”和“虚拟尸检28”在内的尸检领域的最新信息,而且还为我提供了一个与病理学家讨论尸检的机会。 29,30我相信A&CR将继续为我们提供有关罕见病的尸检和质量讨论方面的最新信息。

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