PATHOLOGIC CALCIFICATION: Dystrophic & Metastatic Calcification

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  • Опубліковано 10 вер 2024
  • A series of video tutorials discussing the pathology of cell injury and adaptations.
    In this tutorial , i have discussed Pathologic Calcification.
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    PATHOLOGIC CALCIFICATION
    Abnormal tissue deposition of calcium salts, together with smaller amounts of iron, magnesium, and other mineral salts
    DYSTROPHIC CALCIFICATION
    Occurs locally in dead and degenerated tissues
    Normal levels of serum calcium
    Absence of derangements in calcium metabolism
    METASTATIC CALCIFICATION
    Deposition in normal tissues
    Increased levels of serum calcium
    Disturbance in calcium metabolism
    (in hyperparathyroidism, bone damage or diseases etc
    METASTATIC CALCIFICATION
    1. 4 Primary causes
    1. Elevated PTH causing bone resorption
    1. Primary hyperparathyroidism : adenomas
    2. Secondary hyperparathyroidism : paraneoplastic syndromes
    2. Destruction of bone, in tumors like myeloma, leukemia and other tumors
    3. Vitamin D related disorders like intoxication - increased absorption of calcium
    4. Renal failure (phosphate retention so increased PTH)
    2. Occurs throughout the body but favors tissues that excrete acid - ( internal environment is alkaline) favoring calcium deposition.
    3. Gastric mucosa( around fundic glands), lungs ( alveolar wall), kidneys( tubules)
    Morphology
    Macroscopy: Can vary in size, white granules which may be gritty
    Microscopy: Basophilic, amorphous or granular appearance/ in clumps.
    Intracellular, extracellular or both in H & E stained sections
    • Psammoma bodies: concentric laminations of calcium deposition.
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    Please watch: "WARBURG EFFECT: Hallmark of CANCER. What, Why & How?"
    • NEOPLASIA 6: WARBURG E...
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