Branch of biology that studies the microscopic anatomy of biological tissue; it is the microscopic counterpart to gross anatomy
Tissue
A group of cells that usually have common point of embryonic origin, and function together
Embryonic germ layers from which epithelial tissue is derived
Ectoderm
Mesoderm
Endoderm
Epithelial tissue
Highly cellular, composed of cells that closely packed together with very minimal intervening intercellular substances
Avascular (without vessels)
Epithelial tissue classification based on morphology
Squamous
Cuboidal
Columnar
Epithelial tissue classification based on stratification
Simple
Stratified
Pseudo-stratified
Transitional
Muscle tissue
Basic type of tissue that enables locomotion and movement due to high contractility
Types of muscle tissue
Skeletal
Cardiac
Smooth
Muscle tissue is derived from mesoderm (except for iris of eye – ectoderm derived)
Myogenesis
Process of muscle formation or production during embryonic development
Characteristics of muscle tissue types
Skeletal
Cardiac
Smooth
Nervous tissue
Consist of both nerve cells (neurons) and neuroglial cells (supporting cells)
Nervous tissue is derived from ectoderm
Parts of a neuron
Cell body (perikaryon)
Axon
Dendrite
Connective tissue
Derived from mesoderm, abundant, low amount of cells scattered apart and not bound to each other
Types of connective tissue
Connective tissue proper
Special type of connective tissue (cartilage, bone, blood)
Pathology
Study (logos) of disease (pathos, suffering); involves the investigation of the causes of disease and the associated changes at the levels of cells, tissues and organs. It provides the scientific foundation for the practice of medicine
Etiology
Origin of a disease, underlying causes and modifying factors
Pathogenesis
Refers to the steps in the development of disease. It describes how etiologic factors trigger cellular and molecular changes that give rise to the specific functional and structural abnormalities
Pathologists identify changes in the gross (macroscopic) or microscopic appearance (morphology) of cells and tissues and biochemical alterations in body fluids
Principal adaptive responses of cells
Hypertrophy
Hyperplasia
Atrophy
Metaplasia
Cell injury
Develops when the adaptive capacity of the cell is exceeded or if the external stress is inherently harmful. When the stress is severe, persistent and rapid in onset, it results in irreversible injury and death
Types of cell death
Necrosis
Apoptosis
Cellular adaptation to stress
Reversible changes in the number, size, phenotype, metabolic activity, or functions of cells in response to changes in their environment
Types of cellular adaptation
Physiologic adaptation
Pathologic adaptation
Hypertrophy
Increase in the size of cells resulting in increase in the size of the organ. In contrast with hyperplasia (increase in cell number)
Hypertrophy
Enlargement of uterus during pregnancy
Cardiac enlargement with hypertension or aortic valve disease
Hyperplasia
Increase in the number of cells, may occur concurrently with hypertrophy and often in response to the same stimuli
Types of hyperplasia
Physiologic hyperplasia (hormonal, compensatory)
Pathologic hyperplasia
Hyperplastic process is a regulated process, if the signal that initiate it abate, the hyperplasia disappears. It is the responsiveness to normal regulatory control mechanism that distinguishes pathologic hyperplasia from cancer
Atrophy
Shrinkage in the size of cell by the loss of cell substance. When a significant number of cells are involved, the entire tissue or organ diminishes in size, becoming atrophic
Causes of atrophy
Decreased workload
Loss of innervation
Diminished blood supply
Inadequate nutrition
Loss of endocrine stimulation
Aging (senile atrophy)
Metaplasia
Reversible change in which one adult cell type (epithelial or mesenchymal) is replaced by another adult cell type
Metaplasia
Squamous change in respiratory epithelium of habitual cigarette smokers
Squamous metaplasia of respiratory epithelium often coexist with lung cancers
Reversible cell injury
In early stages or mild forms of injury, the functional and morphologic changes are reversible if the damaging stimuli is remove
Types of cell death
Cell death (pathologic) - necrosis
Apoptosis (physiologic)
Features of necrosis and apoptosis
Cell size
Nucleus
Plasma membrane
Cellular contents
Adjacent inflammation
Reversible cell injury
Morphological changes that can be reversed if the damaging stimuli is removed
Cell death
Irreversible injury where the cell cannot recover and dies