[Effectiveness of histopathologic examination in a series of 400 forensic autopsies].
OBJECTIVE
To assess the usefulness of histopathologic examination in forensic autopsies.


METHODS
All consecutive pathological reports and slides from forensic autopsies performed in our department since 2006 have been reviewed.


RESULTS
Four hundred forensic necropsies were reviewed. In only 150 cases (38%), pathologists had data about manner of death and gross autopsy findings. Major diagnoses, related to death, and unsuspected by forensic pathologists, were discovered in 83 cases (21%): in 48 cases (12%) gross examination of the heart, lungs and liver showed gross diagnoses missed by the forensic pathologists, and in only 35 cases (9%) microscopic examination revealed a major unsuspected diagnosis (in brain, heart, lungs, liver, kidney and pancreas specimens). In 213 cases (53%), histopathologic examination confirmed gross autopsy findings and allowed to date some wounds. In 104 cases (26%), microscopic examination was not contributory.


CONCLUSIONS
Microscopic examination revealed major diagnoses in less than 10% of forensic autopsies. Its effectiveness is limited for homicides and suicides. Systematic microscopic examination of numerous organs is often useless and should be limited to cases with no anatomic causes of death. Our study emphasizes the need for a better communication between forensic pathologists and histopathologists, and for a better training of some forensic pathologists for gross examination.
Service d'anatomie pathologique, CHU d'Amiens, place Victor-Pauchet, 80054 Amiens cedex 01, France. chatelain.denis@chu-amiens.fr
Denis
D
Chatelain
Alexis
A
Hebert
Nathalie
N
Trouillet
Slim
S
Charfi
Paul
P
Stephens
Cécile
C
Manaouil
Christian
C
Defouilloy
Laurent
L
Braconnier
Olivier
O
Jarde
Henri
H
Sevestre
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001344:Autopsy / Q000592:standards*; D002423:Cause of Death; D002648:Child; D002675:Child, Preschool; D005260:Female; D049429:Forensic Pathology / Q000592:standards*; D005602:France; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D055815:Young Adult