medical terminology for anatomical pathology technicians an overview
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Medical terminology for anatomical pathology technicians An overview. A.Gharib,MD,AP&CP. August 2008. What does a histopathology technician do?. Prepares grossing area and specimens Prepares and performs routine biological staining techniques; - PowerPoint PPT PresentationTRANSCRIPT
Medical terminology for anatomical pathology
techniciansAn overview
A.Gharib,MD,AP&CP August 2008
What does a histopathology technician do?
• Prepares grossing area and specimens • Prepares and performs routine biological staining techniques;• Assists Pathologist with setting up surgical specimens, gross
description, etc.;• Prepares tissue specimens for routine and special procedures • Embeds, cuts and stains tissue for histologic examination;• Prepares frozen sections;• Maintains and operates equipment and instruments;• Records and files findings as directed;• Maintains all records, updates, standard operating procedures, etc. • Enters information such as demographics, order numbers, etc. into
automated systems;• Attends pertinent seminars to remain abreast of methodology and
instrumentation in the field;• May use computer applications or other automated systems such as
spreadsheets, word processing, calendar, e-mail and database software in performing work assignments;
• May perform other incidental tasks, as needed.
To perform all of the above tasks, a histopathologytechnician requires a vocabulary of words that describevery specific concepts unique to this field. Most of thisvocabulary is related to surgical procedures and specimens.So in this section, we will begin with a generaldescription of the most common terms used insurgical pathology section, and then proceed to specificorgan systems, explaining the specific terminology for eachpart.
Introduction to anatomy
Planes of the body:
-Vertical (frontal, coronal) plane: divides the body to create a posterior (back) and an anterior (front) portion.
-Mid-sagittal (median) plane: passes through the center of head, chest and pelvis, dividing the body into two equal right and left portions.
-Transverse (horizontal) plane: divides the body horizontally into an upper and a lower portion.
Planes of the body
Cavities of the body
-Cranial cavity: contains the brain
-Thoracic cavity (including the pleural cavity and the mediastinum): contains the heart, lungs and large blood vessels.
-Abdominal cavity: contains the stomach, intestine, kidneys, liver, gallbladder, pancreas and spleen.
-Pelvic cavity: contains the urinary bladder, rectum, and internal parts of the reproductive system.
Cavities of the body
Terms describing orientation
Anterior (ventral)Toward the front of body
Posterior(dorsal)Toward the back of body
Superior(cephalic)Toward the head
Inferior(caudal)Toward the feet
MedialToward the median plane of body
LateralAway from median plane of body
ProximalNearest to the trunk
DistalFarthest from the trunk
SuperficialNearest to the skin surface
DeepFarthest from the skin surface
Terms describing consistency
SoftGelatinousBrittleElasticFirmHardStonyBony
Common Prefixes
PrefixMeaningExample
Contra-AgainstContralateral
Ex-Out, away fromExcise
Inter-BetweenIntermuscular
Intra-WithinIntra-abdominal
Peri-About, aroundPericardium
Retro-BackwardRetroperitoneum
Sub-Under, belowsubpleural
Common Suffixes
SuffixMeaningExample-ectomyExcision, surgical
removalTonsillectomy, appendectomy
-stomySurgical creation of an opening
Colostomy
-tomyIncision, to cut intoLaparatomy:surgical incision of the abdomen
-pexySurgical fixationOrchiopexy
-tomeInstrument for cuttingMicrotome
-rrhaphySurgical repair, sutureHerniorraphy
-tripsyCrushingLithotripsy: crushing of a stone
-celeProtrusion of an organcystocele
-centesisPuncture,tapThoracocentesis
Surgical terms
Excisional biopsy
Complete removal of lesion
Incisional biopsy
Removal of a fragment of tumor to establish a diagnosis
En bloc resection
Tumor and organ are completely removed along with a large area of surrounding tissue
AnastomosisA passage or a communication between two vessels or organs, mostly used in gastrointestinal surgeries
CatheterizationIntroduction of a tube into a passage
DebridementRemoval of dead or damaged tissue
Gross pathological description of tumors
CysticForming large spaces filled with fluid
SolidOpposed to cystic
FungatingMushrooming pattern of growth
PolypoidGrowths that are like projections extending outward from a base into a hollow space
Ulcerating
verrucousResembling a wart-like growth
Gastrointestinal system,Combining forms, suffixes, and terminology
Parts of the body, Combining forms
MeaningExample
An/oanusperianal
Append/oAppendixAppendectomy
Appendic/oAppendixAppendicitis
Bucc/oCheekBuccal mucosa
Cec/oCecumCecal
Celi/oAbdomenCeliac
Cheil/olipCheilosis
Gastrointestinal system,Combining forms,cont.
Parts of the body
MeaningExample
Cholecyst/oGallbladderCholecystectomy
Choledoch/oCommon bile ductCholedochotomy
Col/oLarge intestineColostomy
Colon/oLarge intestineColonoscopy
Dent/iToothDentibuccal
Duoden/oDuodenumDuodenal
Enter/oIntestine, usually small intestine
enterocolitis
Gastrointestinal system,Combining forms,cont.
Parts of the body
MeaningExample
Esophag/oEsophagusesophagectomy
Gastr/oStomachGastrectomy
Gingiv/oGumsGingivitis
Ile/oIleumIleocecal valve
Jejun/oJejunungastrojejunostomy
Labi/olipLabial
Lapar/oabdomenlaparoscopy
Gastrointestinal system,Combining forms,cont
Parts of bodyMeaningExample
Lingu/oTonguesublingual
Or/oMouthOral
Palat/oPalatePalatoplasty
Pancreat/oPancreasPancreatectomy
Pharyng/oThroatPharyngeal
Peritone/oPeritoneumPeritoneal washing
Proct/oAnus& rectum
Proctocolitis
Gastrointestinal system,substances,Combining forms,cont
substances, Combining forms
MeaningExample
Amyl/oStarchamylase
Bil/IBileBiliary
Gluc/o-glyc/oSugarHyperglycemia
Lip/oFatLipoma
Lith/oStoneCholelithiasis
Prote/oProteinProteinaceous
Steat/ofatsteatorrhea
Pathology of the digestive system
AscitesAbnormal accumulation of fluid in the abdomen
AchalasiaFailure of the LES to relax
Anal fistulaAbnormal tube-like passageway near the anus
Colonic polyposisMultiple polyps in colon
Colorectal cancerAdenocarcinoma of colon &rectum
Diverticula (singular,diverticulum)
Abnormal outpouchings in the intestinal wall
Pathology of the digestive system
HemorroidsSwollen,tortuous veins in the anorectal region
HerniaProtrusion of an organ through the weakened muscle or fascia
OmphaloceleHernia of the navel
IntussusceptionTelescoping of the intestines
VolvulusTwisting of the intestine upon itself
CirrhosisChronic disease of liver with fibrosis
Intussusception
Intussusception
Volvulus
Procedures
• Esophagoscopy/esophageal biopsy
• Endoscopy/gastric biopsy,duodenal biopsy
• Colonoscopy/biopsy of colon,rectum
• Liver biopsy
• Cholecystectomy
• Splenectomy
• Intestinal resection
Total gastrectomy
Total colectomy
Respiratory tract Combining forms, suffixes,and terminology
Combining formsMeaningExample
Adenoid/oadenoidsAdenoidectomy
Alveol/oAir sacAlveolar
Bronch/o, Bronchi/o
Bronchial tube,bronchus
Bronchial
Bronchiectasis
Bronchiol/oBronchioleBronchiolitis
Epiglott/oEpiglottisEpiglotitis
Laryng/olarynxlaryngectomy
Respiratory tract. Combining forms, cont
Combining formsMeaningExample
Lob/oLobe of lunglobectomy
Mediastin/omediastinumMediastinoscopy
Nas/onoseParanasal sinuses
Pleur/opleuraPleural effusion
Pneum/oLung,airPneumothorax
Rhin/onoseRhinoplasty
Tonsill/oTonsilsTonsillectomy
Trache/oTracheatracheostomy
Thorac/ochestthoracotomy
Pathological terminology of the respiratory system
BronchiectasisDilation of bronchus secondary to infection
Bronchogenic carcinomaLung cancer
AtelectasisIncomplete expansion of alveoli
EmphysemaHyperinflation of air sacs
pulmonary abscessCollection of pus in lungs
MesotheliomaMalignant tumor of pleura
Pleural effusionEscape of fluid into pleural cavity
Procedures
• Bronchoscopy/bronchial biopsy• Laryngoscopy/laryngeal biopsy• Mediastinoscopy• Thoracentesis:obtaining fluid from the pleural
cavity• Thoracoscopy• Thoracotomy/lung biopsy. lung lobectomy,lung
resection• Tracheostomy• Transbronchial lung biopsy (TBLB)
Urinary system Combining forms, suffixes,and terminology
Structures, Combining forms
MeaningExample
Cali/o.calic/ocalyxCaliceal
Cyst/oUrinary bladderCystectomy, cystostomy
Glomerul/oglomerulusGlomerular
Meat/omeatusMeatal stenosis
Nephr/okidneynephrectomy
Pyel/oRenal pelvisPyelocaliceal
Ren/okidneyRenal transplantation
Urinary system Combining forms, suffixes, and terminology
Structures, Combining forms
MeaningExample
Trigon/oTrigone region of bladder
Trigonitis
Ureter/oureterUreteroplasty
Urethr/ourethraUrethral stricture
Vesic/oUrinary bladderperivesical
Pathological terminology of the urinary system
glomerulonephritisInflammation of glomerulus
nephrolithiasisRenal calculi
Polycystic kidneys
PyelonephritisInflammation of the renal pelvis
Renal cell carcinoma
Wilms tumor
Bladder cancer (transitional cell carcinoma)
Pathological terminology of the urinary system,cont.
Ureteropelvic junction obstruction(UPJO)
Ureterovesical junction obstruction(UVJO)
Procedures
• Cystoscopy
• Cystectomy:resection of urinary bladder
• Renal biopsy (open/needle)
• Renal transplantation
• Nephrectomy (radical/partial)
Female reproductive system Combining forms, suffixes, and terminology
Combining formsMeaningExample
Amni/oamnionAmniocentesis
Cervic/ocervixCervicitis
Colp/oVaginaColposcopy
Gynec/oFemaleGynecomastia
Hyster/oUterusHysterectomy
Mast/oBreastLactation
mamm/oBreastmammoplasty
Female reproductive system Combining forms,suffixes
Combining forms
MeaningExample
My/omuscleMyometrium
Myom/omuscle tumorMyomectomy
Oophor/oovaryOophorectomy
Ovari/oOvaryovarian
Perine/operineumPerineorrhaphy
Salping/oFallopian tubesSalpingectomy
Uter/outerusUterine prolapse
Vagin/ovaginavaginoplasty
Vulv/oVulvavulvectomy
Pathological terminology of the female genital tract
Carcinoma of the cervixSCC/Adenocarcinoma
CervicitisInflammation of cervix
FibroidsUterine leiomyoma
Adenocarcinoma of the endometrium
Ovarian carcinoma
Ovarian cystsCystadenoma/cystadenocarcinoma
Carcinoma of the breast
Pathological terminology of the female genital tract,cont.
Fibrocystic disease
Choriocarcinoma
Ectopic pregnancyImplantation of the fertilized egg outside the uterus
Upper outer quadrant, Upper Inner quadrant, Lower outer quadrant, Lower inner quadrant, Areolar
Sections of the breast
Ectopic pregnancyImplantation of the fertilized egg outside the uterus
Procedures• Colposcopy:visual examination of vagina &cervix• Conization/cone biopsy: Removal of a cone-shaped section of
cervix• Culdocentesis:needle aspiration of fluid from cul-de-sac• Dilatation and curettage(D&C)• Endocervical & endometrial curettage• Tubal ligation• Total Abdominal Hysterectomy, Bilateral salpingo-
oophorectomy (TAH-BSO)• Amniocentesis: surgical puncture of the amniotic sac to obtain
amniotic fluid• Chorionic villous sampling• Mastectomy(radical/simple)• Quadrantectomy• Lumpectomy• Core needle Biopsy of breast• FNA (fine needle aspiration) of breast
Cone biopsy of cervix
TAH-BSO
Male reproductive systemCombining forms
MeaningExample
Andr/omaleandrogen
Balan/oGlans penisBalanitis
Crypt/ohiddenCryptorchidism
Epididym/oepididymisEpididymitis
Orch/o,orchi/o, orchid/o
testisOrchiectomy, anorchism
Prostat/oprostateProstatitis
Semin/isemenSeminiferous tubules
Male reproductive system
Combining forms,suffixes
MeaningExample
Sperm/o,spermat/o
spermatozoaSpermatocele
Test/otestisTesticular
Vas/oreferring to vasa deferens
Vasectomy
Varic/oVaricose veinsvaricocele
-pexyfixationOrchiopexy
-stomyNew openingvasovasostomy
Pathological conditions
Carcinoma of the testis/prostate
Seminoma/ adenocarcinoma
CryptorchidismUndescended testis
Benign prostatic hyperplasia
HydroceleSac of fluid in the scrotum
Testicular torsionTwisting of spermatic cord
varicocele
Hypo/epispadiasCongenial opening of the urethra on the undersurface of penis
Procedures
• Transurethral resection of prostate(TURP)
• Orchiectomy
• Vasectomy:Excision of a segment of vasa deferens
• Needle biopsy of prostate
• prostatectomy
Central Nervous system
Organs, combining form
MeaningExample
Cerebell/ocerebellumCerebellar
Cerebr/ocerebrumCerebrospinal fluid
Dur/oDura matterSubdural/epidural hematoma
Encephal/obrainEncephalocele
Gli/oGlue,supporting cells
Glioma
Central Nervous system
Organs, combining form
MeaningExample
Lept/oThin(pia &arachnoid membrains)
leptomeninges
Mening/o, meningi/o
meningesMeningioma, meningomyelocele
My/omuscleMyotomy
Myel/oSpinal cordMyelomeningocele
Neur/onerveneuropathy
Central Nervous system
Organs, combining form
MeaningExample
Pont/oPonscerebellopontine
Radicul/oNerve rootRadiculopathy
Thalam/othalamusThalamic
Thec/osheathintrathecal
Vag/oVagus nervevagal
Pathological conditions
HydrocephalusAbnormal accumulation of CSF in the brain
Spina bifidaCongenital defect in spinal column due to imperfect union of vertebrae
GliomaTumor of glial cells,general term
astrocytomaTumor of glial cells
Glioblastoma
Ependymoma
meningioma
Procedure
• CSF analysis
• Lumbar puncture
• Stereotactic brain biopsy: use of a
stereotactic instrument that when fixed onto
the skull, can locate a target by 3D
Measurement.
Stereotactic brain biopsy
SkinCombining forms & suffixes
combining forms
MeaningExample
Cauter/oHeat,burnElectrocautery
Cutane/oskinSubcutaneous
Derm/oskinDermatitis
Ichthy/oScaly,dryIchthyosis
Melan/opigmentedMelanoma
Myc/ofungusDermatomycosis
Onych/onailonychomycosis
Combining forms & suffixes
combining forms
MeaningExample
Pil/ohairpilosebaceous
Seb/osebumSabaceous gland
Squam/osquamousSquamous
trich/ohairTrichoepithelioma
Ungu/onailSubungual
Xanth/oyellowXanthoma
Pathological conditions
maculeA discolored flat lesion
papuleA small elevated lesion
pustuleA small abscess
vesicleBlister
petechiaA pinpoint hemorrhage
psoriasisChronic disease of skin
Nevus (plural:nevi)Pigmented lesion of skin
Pathological conditions
keloidHypertrophied scar occuring after trauma or surgery
VerrucaWart
SLE/DLESystemic lupus erythematosus
Basal cell carcinoma(BCC)
Malignant tumor of skin
MelanomaMalignant tumor of melanocytes
Squamous cell carcinoma(SCC)
Malignant tumor of skin
Kaposi sarcoma
Procedures
• Skin biopsy: usually in the form of an ellipse of skin
• Skin punch biopsy: obtaining a core of tissue
• Skin shave biopsy.
• Mohs surgery: Thin layers of a malignant growth are removed and examined under microscope
Skin punch biopsy
Skin,excisional biopsy