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<gallery> |
Image:Adamantinomatous_craniopharyngioma_-_very_low_mag.jpg | Adamantinomatous craniopharyngioma - very low mag. (WC/Nephron) |
Image:Adamantinomatous_craniopharyngioma_-_intermed_mag.jpg | Adamantinomatous craniopharyngioma - intermed. mag. (WC/Nephron) |
<!-- Image:Adamantinomatous_craniopharyngioma_-_high_mag.jpg | Adamantinomatous craniopharyngioma - high mag. (WC/Nephron) --> |
Image:Adamantinomatous_craniopharyngioma_-_very_high_mag.jpg | Adamantinomatous craniopharyngioma - very high mag. (WC/Nephron) |
Image:CNS Craniopharyngeoma Adamantinomatous LP2 PA.JPG|Adamantinomatous Craniopharyngeoma - low power (SKB) |
Image:CNS Craniopharyngeoma LP PA.JPG|Adamantinomatous Craniopharyngeoma - low power (SKB) |
Image:CNS Craniopharyngeoma MP PA.JPG|Adamantinomatous Craniopharyngeoma - low power (SKB) |
Image:CNS Craniopharyngeoma AdamantomatousType MP CTR.jpg|Adamantinomatous Craniopharyngeoma - medium power (SKB) |
Image:CNS Craniopharyngeoma AdamantomatousType MP2 CTR.jpg|Adamantinomatous Craniopharyngeoma - medium power (SKB) |
Image:CNS Craniopharyngeoma AdamantomatousType MP3 CTR.jpg|Adamantinomatous Craniopharyngeoma - medium power (SKB) |
Image:CNS Craniopharyngeoma Adamantinomatous MP MP PA.JPG|Adamantinomatous Craniopharyngeoma - medium power (SKB) |
Image:CNS Craniopharyngeoma Adamantinomatous 2 MP PA.JPG|Adamantinomatous Craniopharyngeoma - medium power (SKB) |
Image:Craniopharyngeoma CNS infiltration.jpg|Brain infiltration. "Wet" keratin present in two tumor protrusions. The surrounding CNS shows extensive piloid gliosis. (WC/jensflorian) |
Image:Craniopharyngioma histology.jpg|Adamantinomatous Craniopharyngeoma - Trabecular growth pattern. (WC/jensflorian) |
Image:Craniopharyngioma_HE_frozen.jpg|Adamantinomatous Craniopharyngeoma - Intraoperative frozen section. (WC/jensflorian) |
</gallery> |
===Papillary=== |
Features (papillary):<ref name=Ref_PSNP406>{{Ref PSNP|406}}</ref> |
*Non-keratinized squamous epithelium (without nuclear atypia). |
*Fibrovascular cores (required for ''papillary''). |
Notes: |
*+/-Cilia (rare). |
*+/-Goblet cell-like formations (rare). |
====Images==== |
<gallery> |
Image: Papillary craniopharyngioma - intermed mag.jpg | Papillary craniopharyngioma - intermed. mag. (WC/Nephron) |
Image: Papillary craniopharyngioma - high mag.jpg | Papillary craniopharyngioma - high mag. (WC/Nephron) |
Image: Papillary craniopharyngioma - very high mag.jpg | Papillary craniopharyngioma - very high mag. (WC/Nephron) |
Image:CNS Craniopharyngeoma Papillary LP2 PA.JPG|Papillary Craniopharyngeoma - low power (SKB) |
Image:CNS Craniopharyngeoma Papillary LP PA.JPG|Papillary Craniopharyngeoma - low power (SKB) |
Image:CNS Craniopharyngeoma Papillary LP PA (2) copy.jpg|Papillary Craniopharyngeoma - low power (SKB) |
Image:CNS Craniopharyngeoma Papillary MP PA.JPG|Papillary Craniopharyngeoma - medium power (SKB) |
Image:CNS Craniopharyngioma Papillary 3 MP PA.JPG|Papillary Craniopharyngeoma - medium power (SKB) |
</gallery> |
www: |
*[http://library.med.utah.edu/WebPath/jpeg4/ENDO115.jpg Craniopharyngioma (med.utah.edu)].<ref>URL: [http://library.med.utah.edu/WebPath/jpeg4/ENDO115.jpg http://library.med.utah.edu/WebPath/jpeg4/ENDO115.jpg]. Accessed on: 6 December 2010.</ref> |
*[http://www.cnsatlas.com/cgi-bin/nephrology/preview?ADD=0&LESION_ID=382&BOOK_ID=5&POST=toc Craniopharyngioma at cnsatlas.com].<ref>URL:[http://www.cnsatlas.com/cgi-bin/nephrology/preview?ADD=0&LESION_ID=382&BOOK_ID=5&POST=toc]. Accessed on: 21 March 2015.</ref> |
*[http://neuropathology-web.org/chapter7/chapter7dMiscellaneous.html Craniopharyngioma at Neuropathology-web.org]<ref>URL:http://neuropathology-web.org/chapter7/chapter7dMiscellaneous.html]. Accessed on: 21 March 2015.</ref> |
===Differential diagnosis=== |
*Xanthogranuloma |
*Rathke cyst |
*Epidermoid |
*Well-differentiated carcinoma metastasis |
==Trivia== |
*The oldest specimen from 1828 is displayed in the pathological-anatomical museum of Vienna.<ref>{{Cite journal | last1 = Pascual | first1 = JM. | last2 = Prieto | first2 = R. | last3 = Rosdolsky | first3 = M. | last4 = Hofecker | first4 = V. | last5 = Strauss | first5 = S. | last6 = Winter | first6 = E. | last7 = Ulr... |
==See also== |
*[[Pituitary gland]]. |
*[[Neuropathology tumours]]. |
==References== |
{{Reflist|2}} |
[[Category:Neuropathology tumours]] |
[[Category:Diagnosis]] |
[[Category:Papillary tumour]] |
6145b7a697d72d6e49ce248d8901ea77ed391d4f85b7a9ae34eeb264be841690 librepath-craniopharyngioma.txt |
'''Ductal carcinoma in situ''', abbreviated '''DCIS''', in a common type of [[non-invasive breast carcinoma]]. |
==General== |
*Diagnosis based on nuclear abnormalities ''and/or'' architecture. |
**Low-grade DCIS does '''not''' have a malignant cytology. |
*It is typically picked-up during radiologic screening. |
==Microscopic== |
Features: |
*Architectural changes: |
**Equal spacing of cells - "cookie cutter" look. |
**Cells line-up along lumen/glandular spaces - form "Roman briges". |
**Architecture suggestive of DCIS - see ''[[Subtypes of DCIS]]''. |
*Nuclear changes: |
**Nuclear enlargement - at least 2-3x size of [[RBC]] - '''key feature'''. |
***Compared to RBCs to grade DCIS - see ''[[Grading DCIS]]''. |
****Compare sizes of nuclei if you cannot find RBCs. |
**Nuclear pleomorphism - important feature. |
*+/-Mitoses. |
Note: |
*Apocrine changes of cytoplasm -- several sets of criteria exist -- any of the following: |
*#Nuclei should be ~4x RBC for low grade, 5x RBC for high grade.<ref>URL: [http://surgpathcriteria.stanford.edu/breast/dcis/apocrinedcis.html http://surgpathcriteria.stanford.edu/breast/dcis/apocrinedcis.html]. Accessed on: 4 August 2011.</ref> |
*#Nuclear enlargement of 3x +/- nucleolar enlargement.<ref name=pmid18171412/> |
*#Multiple nucleoli + nuclear size variation.<ref name=pmid18171412>{{Cite journal | last1 = O'Malley | first1 = FP. | last2 = Bane | first2 = A. | title = An update on apocrine lesions of the breast. | journal = Histopathology | volume = 52 | issue = 1 | pages = 3-10 | month = Jan | year = 2008 | doi = 10.1111/j.1365... |
===Subtypes of DCIS=== |
The subtypes are based on architecture. |
Note: |
*''Comedonecrosis'' used to be considered a separate subtype. [[Necrosis]] is seen most often in the context of ''solid ductal carcinoma in situ''. |
====Solid ductal carcinoma in situ==== |
Features: |
*Sheet of cells fills the duct |
*No spaces between cells. |
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