Pathology
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Fetopathology and developmental pathology of the embryo and fetus
Marta Ježová, Josef Feit et al.
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+ Atlas of fetal pathology
+ Congenital malformations
+ Physiological developement of an embryo and fetus, growth and changes of the external shape
+ Congenital malformations and congenital anomalies
+ Basic terminology
+ Etiology of congenital anomalies (CA)
+ Environmental causes of congenital anomalies, congenital infections
+ Rubella
+ Cytomegalovirus
+ Syphilis
+ Toxoplasmosis
+ Diabetes mellitus (DM) and pregnancy
+ Diabetic embryopathy
+ Diabetic fetopathy
+ Genetic causes of congenital malformations
+ Chromosomal abnormalities
+ Down syndrome
+ Klinefelter syndrome
+ Turner syndrome
+ Patau syndrome
+ Edwards syndrome
+ Triploidy
+ Single gene disorders
+ Tuberous sclerosis
+ Miscellaneous malformation syndromes, sequences and associations, unclassified
+ Sirenomelia (Mermaid syndrome)
+ Hydrops fetalis
+ Immune hydrops (erythroblastosis fetalis, hemolytic disease of the newborn)
+ Nonimmune hydrops
+ Hygroma colli cysticum
+ Pierre-Robin sequence
+ Caudal regression syndrome (sacral agenesis)
+ VACTERL association
+ Pathology of twinning
+ Complications of monochorionic diamnionic placentation
+ Chronic twin transfusion syndrome
+ Acute twin-twin transfusion
+ Complications of monochorionic monoamnionic placentation
+ Congenital malformations in twins
+ Chorangiopagus parasiticus (acardius)
+ Pathology of higher multiple gestations: triplets
+ Monsters
+ Monstra duplicia
+ Gemini monochoriati inequales
+ Duplicitas symmetros
+ Asymmetric dual monsters
+ Monstra simplicia
+ Congenital malformations of individual organ systems
+ Congenital malformations of the central nervous system
+ Congenital malformations of the spinal cord
+ Spina bifida
+ Myeloschisis (rachischisis posterior)
+ Congenital malformations of the brain
+ Anencephaly
+ Iniencephaly
+ Encephalocele
+ Arnold-Chiari malformation
+ Disorders of formation of the structures derived from the mediobasal prosencephalon
+ Migration disorders
+ Destructive lesions of fetal brain (disruptions)
+ Porencephaly
+ Hydranencephaly
+ Hydrocephalus
+ Dandy-Walker malformation
+ Intracranial non-neoplastic cysts
+ Arachnoid cyst
+ Neuroepithelial cyst
+ Congenital malformations of the respiratory system
+ Congenital cystic adenomatoid malformation (CCAM)
+ Lobar sequestration
+ Congenital lobar emphysema
+ Pulmonary hyperplasia
+ Pulmonary hypoplasia
+ Congenital pulmonary lymphangiectasia
+ Diaphragm and congenital malformations
+ Congenital malformations of kidneys and efferent urinary tracts
+ Renal agenesis
+ Variations of shape and position of the kidneys
+ Renal cystic disease
+ Infantile polycystic kidneys (ARKPD)
+ Renal dysplasia
+ Adult polycystic kidneys (ADPKD)
+ Autosomal dominant polycystic kidney disease in infant and fetus
+ Lower urinary tract obstruction
+ Posterior urethral valves
+ Congenital tubular renal dysgenesis
+ Urinary bladder
+ Hypospadia
+ Congenital malformations of genital system and somatosexual congenital disorders
+ Somatosexual disorders
+ Somatosexual disorders with normal karyotype
+ Pseudohermaphroditism masculinus
+ Androgen insensitivity syndrome, testicular feminization syndrome, female XY
+ Pseudohermaphroditism femininus
+ Congenital adrenal hyperplasia
+ Somatosexual disorders with pathologic karyotype
+ Congenital malformations of female genitalia
+ Congenital malformations of the internal genitalia
+ Congenital malformations associated with congenital malformations of urinary system
+ Congenital malformations of the vulva
+ Congenital malformations of the male genital organs
+ Cryptorchidism
+ Congenital malformations of penis and scrotum
+ Smith-Lemli-Opitz syndrome (SLOS)
+ Congenital tumors
+ Sacrococcygeal teratoma
+ Congenital cardiac rhabdomyoma
+ Congenital heart defects
+ Defects of heart septum
+ Atrial septal defects
+ Ventricular septal defects
+ AV septal defects
+ Anomalies of the great arteries
+ Transposition of the great arteries
+ Truncus arteriosus
+ Double-outlet right ventricle
+ Malformations of the valves
+ Tricuspid atresia
+ Stenosis and atresia of the mitral valve, the hypoplastic left heart syndrome
+ Stenosis of the pulmonary artery
+ Pulmonary atresia with intact ventricular septum
+ Tetralogy of Fallot
+ Aortic stenosis
+ Malformations of the aortic arch system
+ Persistence of ductus arteriosus
+ Coarctation of the aorta
+ Interruption of the aortic arch
+ Right-sided aortic arch
+ Malformations of the venous system
+ Anomalies of situs and heart position
+ Di George syndrome
+ Congenital malformations of the gastrointestinal tract
+ Oral cavity and the palate
+ Cleft lip and palate
+ Congenital defects of the esophagus
+ Atresia
+ Congenital esophagus stenoses
+ Congenital malformations of the stomach
+ Congenital malformations of the intestines
+ Atresia
+ Malrotation of the intestine
+ Remnants of the omphalomesentric duct
+ Anorectal malformations
+ Duplicatures
+ Defects of the abdominal wall
+ Omphalocele
+ Gastroschisis
+ Limb-body wall complex
+ Pentalogy of Cantrell
+ Developemental anomalies of the skeleton
+ Defects of growth of tubular bone and/or spine
+ Thanatophoric dysplasia
+ Diastrophic dysplasia
+ Abnormalities of density of cortical diaphyseal structure or metaphyseal modeling
+ Osteogenesis imperfecta
+ Limb malformations
+ Terminal transverse limb defects
+ Radial ray defects
+ Finger anomalies
+ Club foot
+ Constriction (amniotic) band syndrome
+ Placental inflammation
+ Ascending infections
+ Placental inflammation, acute
+ Hematogenous infections
+ Fetomaternal listeriosis
+ Pathology of the fetal membranes
+ Amniotic band syndrome
+ Meconium staining
+ Candida infection of the placenta
+ Pathology of the placenta
+ Normal placenta
+ Extrauterine gravidity
+ Gestational trophoblastic disease (GTD)
+ Hydatidiform mole
+ Complete mole
+ Partial mole
+ Invasive mola (mole proliferans, mole destruens)
+ Gestational choriocarcinoma
+ Placental site trophoblastic tumor
+ Placenta and major chromosomal abnormalities
+ Hydropic placenta
+ Pathology of the umbilical cord
+ Abnormal length
+ Short cord
+ Long cord
+ Insertion abnormalities
+ Abnormal coiling
+ Umbilical vessels pathology
+ Umbilical cord accidents which compromise the blood flow
+ Thrombosis of umbilical blood vessels
+ Umbilical cord inflammation
+ Acute funisitis
+ Subacute necrotizing funisitis
+ Miscellaneous rare cord lesions
Physiological developement of an embryo and fetus, growth and changes of the external shape
1st lunar month
Presomite stage of development: fertilized oocyte quickly develops into a blastocyst, in which the embryo itself is represented by embryoblast, which will soon turn into an embryonic disc. The disc becomes oval and from the end of the 3rd week it begins to bend in the craniocaudal and also dorsoventral axis and finally becomes the cylindrical embryo body. The somite stage of development follows. The embryo is bent, it has the shape of the letter C, the convexity is dorsal. In a very large head part, there is the forebrain with a frontal prominence, then (dorsally from from the forebrain) midbrain (mesencefalon) with a dorsal curve (flexura cephalica). Another bend forms flexura occipitalis in the hindbrain region. On the concave dorsal side of the embryo body somites are plainly visible. Caudal end of the embryo body is also ventrally bent and ends with a tail. On the ventral side of the body there are the heart and liver prominences. Face and limb prominences begin to form (the limbs resemble tiny fins). At the end of the first lunar month, the body is cca 4 mm long.
2nd lunar month
Development of the facial structures continues — eyes, ears and nose are formed. The body begins to straighten and the head rounds out. In the brain the 4th ventricle is formed. The tail is shorter. Limbs continue to develop, fingers become separate. The neck begins to form and also the insertion of the umbilical cord narrows. The genitalia prominence is being formed. Slowly embryo gains human features and becomes distinguishable from embryos of other mammals. The crown to rump length at the end of the 2nd month is approximately 28 mm. At this stage, terminology changes and the embryo becomes fetus.
3rd lunar month
The fetus continues to grow quickly, most of the internal organs are in their final positions. Its trunk lengthens, but the head still remains rather large compared to the rest of the body (the head is approx. 1/3 of body length). External genitalias are completely developed and gender can be told. Body length at the end of the 2nd month is cca 90 mm, C-R length cca 70 mm. The fetus weights approximately 20 g.
4th lunar month
Rapid growth continues, nails begin to appear and skin is covered with first (very fine) hair (lanugo). The body is about 150 mm long, C-R length is cca 130 mm, weight is approx. 120 g.
5th lunar month
Growth slows down, the head becomes smaller compared to the rest of the body. The fetus is covered with lanugo, vernix caseosa is produced. The fetus moves and its mother begins to feel its movement — primigravida around 19th w.g., multigravida aprox. 2 weeks earlier. Heartbeat can be detected with a stetoscope. Body length at the end of the month is cca 250 mm, C-R is cca 180 mm, weight is approximately 300 g
6th lunar mmonth
Because there is no subcutaneous fat, the skin is soft, transparent, purple-red with blood vessels clearly visible. The head is covered with short hair, eye lashes and eyebrows begin to grow. Body length at the end of the month is cca 300 mm, C-R is cca 230 mm, weight is approximately 600 g.
7th lunar month
Subcutaneous fat begins to form, skin stretches Eyes open; epitelial suture between eyelids reopens. Testes begin to descend into the scrotal pouch. Body length is cca 350 mm, C-R is cca 270 mm, weight approximately 1200 g.
8th lunar month
The ammount of subcutaneus fat increases, the fetus is plump, pink with hair on its head, nails reach to the ends of fingertips. There is plenty of vernix caseosa on the body surface. Body length is cca 400 mm, C-R is cca 310 mm, the fetus weights approximately 1800 g.
9th lunar month
Changes which began in the 8th lunar month continue. Descend of testes is finished. Body length is cca 450 mm, C-R is cca 340 mm, weight is approximately 2600 g.
10th lunar month
By this time a full-term baby is ready to be born: its body is plump, skin is smooth without lanugo. Nails reach over the ends of fingertips, hair is at least 10 mm long. Bones on the head are hard, cartilage is firm and fontanels are palpable. Perimeter of the chest is slightly larger than perimeter of the head. Body length is approximately 500 mm, C-R length is approximately 360 mm, average weight is 3300 g. These signs are evaluated by a neonatologist right after the delivery.
Pictures

Normal 7-week fetus: Fetus, 7-week, Macro, autopsy (73329) Fetus, 7-week, Macro, autopsy (73330)

Normal 10-week fetus: Fetus, 10-week, Macro, autopsy (73325) Fetus, 10-week, Macro, autopsy (73326) Fetus, 10-week, Macro, autopsy (73327) Fetus, 10-week, Macro, autopsy (73328)

Normal 14-week fetus: Fetus, normal, 14-week, Macro, autopsy (73645) Fetus, normal, 14-week, Macro, autopsy (73646)

Normal 15-week fetus: Normal fetus, 15 w.g., Macro, autopsy (73053)

Normal 15-week fetus: Normal fetus, 15-week, Macro, autopsy (73697) Normal fetus, 15-week, Macro, autopsy (73698)

Normal 16-week fetus: Normal fetus, 16 w.g., Macro, autopsy (73054) Normal fetus, 16 w.g., Macro, autopsy (73055)

Normal 17-week fetus: Normal fetus, 17th week of pregnancy, Macro, autopsy (72075) Normal fetus, 17th week of pregnancy, Macro, autopsy (72076) Normal fetus, 17th week of pregnancy, Macro, autopsy (72077) Normal fetus, 17th week of pregnancy, Macro, autopsy (72078)

Normal 18-week fetus: Normal fetus, 18-week, Macro, autopsy (73699) Normal fetus, 18-week, Macro, autopsy (73700)

Normal 17-week fetus: Normal fetus, 17 w.g., Macro, autopsy (73056)

Normal 19-week fetus: Normal fetus, 19 w.g., Macro, autopsy (73057)

Normal 19-week fetus: Normal fetus, 19-week, Macro, autopsy (73701) Normal fetus, 19-week, Macro, autopsy (73702) Normal fetus, 19-week, Macro, autopsy (73703) Normal fetus, 19-week, Macro, autopsy (73704)

Normal 21-week fetus: Normal fetus, 21 w.g., Macro, autopsy (73058)

Normal 22-week fetus: Normal fetus, 22-week, Macro, autopsy (73705) Normal fetus, 22-week, Macro, autopsy (73706)

Normal 24-week fetus: Fetus, 24 week, Macro, autopsy (73998)

Normal 25-week fetus: Normal fetus, 25 w.g., Macro, autopsy (73059)

Normální plod, 25. týden gravidity: Fetus, 28 week, Macro, autopsy (73999)

Histology

Tissues in various stages of embryonal development.

Pictures

Normal myocardium, 20-week fetus: Fetus, 20th week, myocardium, HE 40x (72612)

Normal brain, radial glia, developing cortex, 20-week fetus: Fetus, 20th week, periventricular area, HE 40x (72611)

Normal lung, canallicular, (with focal adnate pneumonia), 20-week fetus: Fetus, 20th week, lung, pneumonia, HE 40x (72613) Fetus, 20th week, lung, pneumonia, HE 40x (72614)

Extramedullar hemopoesis, fetus, 20-week, spleen: Spleen, fetus, 20th week of gravidity, HE 40x (72553)

Normal kidney, fetus, 20-week: Normal fetal kidney, HE 40x (72658)

Ovary with follicular cyst: Follicular cyst, ovary, newborn, HE 40x (72884)