Syllabus - 1st semester

1st semester

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).
  • Liver:
  • 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.