1. Hemodynamic disorders, cell injury and necrosis; cell growth and differentiation.
- cell death;
- necrosis and cell differentiation;
- types of necrosis: caseous, coagulative, liquefactive, fatty necrosis;
- types of cell death: apoptosis and necrosis;
- myocardial infarction: complications, gross and microscopic morphology;
- brain infarct: gross and microscopic morphology.
- types of cell adaptation: atrophy, hyperplasia, hypertrophy, metaplasia, intracellular storage - definitions, examples;
- metaplasia as a precancerous condition;
- brown atrophy;
- cardiac steatosis vs. cardiac adiposis;
- hemosiderosis vs. hemochromatosis;
- pneumoconioses as an example of intracellular storage;
- calcifications: metastatic and dystrophic.
- hyperemia, edema;
- failure of right and left side of the heart;
- passive congestion of the liver - “nutmeg” liver;
- hemorrhage;
- thrombus;
- Virchow’s triad;
- embolus and embolisation;
- pulmonary thromboembolism;
- infarction;
- white (pale) vs. red (hemorrhagic) infarct;
- shock;
- pulmonary edema;
- cerebral edema;
- hemostasis;
- pathogenesis of intracranial hemorrhage: intraparenchymal hemorrhage; subdural and epidural hematoma; subarachnoid hemorrhage.
2. Inflammation, infectious and parasitic diseases:
- definition of inflammation;
- general pathology, causes and general consequences of inflammation;
- vascular changes and mediators of inflammation;
- acute vs. chronic inflammation;
- appendicitis as an example of acute inflammation;
- granulomatous inflammation and granulomatous diseases;
- pathology of fungal infections and candyloma acuminatum.
- pneumonia - definition, types of pneumonia, morphological features;
- atypical pneumonia;
- fungal infections of the lung, including pneumocystic pneumonia;
- aspergillosis;
- foreign body reaction;
- lipid pneumonia;
- verrucae (warts).
3. General pathology of neoplasia:
- definition of neoplasia;
- preneoplastic diseases;
- characteristic features of benign and malignant neoplasm;
- epidemiology of neoplasia;
- carcinogenesis: the molecular basis of cancer;
- genetic lesions in cancer;
- hallmarks of cancer;
- etiology of cancer;
- host defenses in neoplasia;
- clinical aspects of neoplasia;
- grading vs. staging;
- paraneoplastic syndromes.
4. Pathology of endocrine and immune systems.
- Pathology of pituitary gland:
- pituitary adenoma;
- hypopituitarism;
- ischemic necrosis of pituitary gland;
- “empty saddle” syndrome.
- Thyroid gland:
- thyroid insufficiency;
- goiter;
- autoimmune diseases: Grave’s disease and Hashimoto thyroiditis;;
- de Quervain thyroiditis;
- Riedl thyroiditis.
- Neoplasm of thyroid gland:
- follicular adenoma;
- papillary carcinoma;
- follicular carcinoma;
- anaplastic carcinoma.
- Pathology of parathyroid gland:
- parathyroid hyperplasia;
- parathyroid adenoma;
- parathyroid carcinoma.
- Pathology of adrenal gland:
- adrenal insufficiency;
- Waterhouse-Friderichsen syndrome;
- adrenal gland neoplasm: adrenal cortical adenoma, cortical adrenal carcinoma and pheochromocytoma.
- MEN syndromes;
- Amyloidosis.
5. Pathology of cardiovascular system:
- structure and function of blood vessels;
- congenital anomalies;
- blood pressure regulation;
- hypertensive vascular disease;
- atherosclerosis;
- aneurysm and dissection;
- vasculitis;
- pathology of veins: varicose veins, thrombophlebitis and phlebothrombosis, superior and inferior vena cava syndrome, lymphangitis and lymphedema.
- heart failure: left and right sided heart failure;
- congenital heart disease;
- ischemic heart disease;
- endocarditis - non-infective and infective;
- degenerative and rheumatic valvular diseases;
- myocarditis;
- pericardial disease;
- cardiac tumors.
6. Gastrointestinal pathology - non-neoplastic and neoplastic diseases.
- Oral cavity:
- oral inflammatory lesions;
- leukoplakia and erythroplakia;
- proliferative and neoplastic diseases.
- Salivary glands:
- non-neoplastic: sialolithiasis, acute and chronic sialadenitis, mucocele; Sjogren syndrome;
- neoplastic (benign and malignant): pleomorphic adenoma, basal cell adenoma, Warthin tumor, acinic cell carcinoma, adenoid cystic carcinoma, mucoepidermoid carcinoma;
- the role of FNA in salivary gland tumors classification.
- Esophagus:
- esophagitis;
- precancerous lesions of squamous cell- and adenocarcinoma;
- Barrett esophagus;
- esophageal carcinomas: squamous cell- and adenocarcinoma: epidemiology, etiology, risk factors, signs and symptoms, histology, prognostic factors;
- other tumors of the esophagus;
- the role of biopsy in the diagnosis of esophageal diseases
- Stomach:
- gastritis: acute vs. chronic;
- gastric ulcer: acute vs. chronic;
- helicobacter pylori infection: epidemiology, etiology, signs and symptoms, complications;
- gastric polyps;
- precancerous lesions of gastric carcinoma;
- gastric carcinoma: types, epidemiology, etiology, risk factors, signs and symptoms, prognostic factors;
- classifications in gastric carcinoma: Bormann classification; WHO classification; Lauren classification; TNM classification;
- early gastric carcinoma: definition and prognosis;
- other tumors of stomach: gastrointestinal stromal tumor (GIST), other mesenchymal tumors, lymphomas, neuroendocrine tumors.
- Appendix: appendicitis and appendiceal tumors.
- Small intestine and large intestine:
- small bowel obstruction;
- vascular disorders of bowel;
- celiac disease;
- Hirschprung disease;
- inflammatory bowel disease: Crohn’s disease, ulcerative colitis;
- Crohn’s disease - etiology, epidemiology, gross and microscopic features, complications;
- ulcerative colitis - etiology, epidemiology, gross and microscopic features, complications;
- Crohn’s disease vs. ulcerative colitis - differences and common features. The role of pathologist in the diagnostic process of both entities. Limitations of biopsy.
- inflammatory bowel disease vs. infectious diseases of the intestine - the role of pathologist and the importance of clinical correlation.
- Precancerous lesions; types of polyps;
- Peutz-Jeghers syndrome;
- Familial Adenomatous Polyposis syndrome;
- Cowden syndrome;
- adenocarcinoma of the large bowel: epidemiology, etiology, risk factors, signs and symptoms, prognostic factors, TNM classification.
7. Pathology of liver, salivary glands, pancreas and biliary tract.
- Salivary glands:
- non-neoplastic: sialolithiasis, acute and chronic sialadenitis, mucocele; Sjogren syndrome;
- neoplastic (benign and malignant): pleomorphic adenoma, basal cell adenoma, Warthin tumor, acinic cell carcinoma, adenoid cystic carcinoma, mucoepidermoid carcinoma;
- the role of FNA in salivary gland tumors classification.
- Pancreas:
- non-neoplastic diseases: true cysts and pseudocysts, acute and chronic pancreatitis, fatty necrosis;
- neoplastic diseases: PanIn (pancreatic intraepithelial neoplasia), ductal adenocarcinoma, acinic carcinoma, neuroendocrine tumors, IPMN (intraepithelial mucinous neoplasm), MCN (mucinous cystic neoplasm).
- non-neoplastic diseases: cirrhosis, acute and chronic hepatitis, passive hyperemia of the liver, vascular pathology, hepatic hypertension, liver steatosis; focal nodular hyperplasia (FNH);
- Neoplastic disease: types of hepatic adenoma; hepatocellular carcinoma and cholangiocarcinoma; other common neoplasm of the liver e.g. cavernous hemangioma.
- Core biopsy of the liver - indications and contradictions.
- Biliary tract:
- gallbladder pathology: cholelithiasis, inflammation and neoplasms
- billiary tract pathology: choledocholithiasis, primary biliary cholangitis, neoplastic diseases.