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*Uncommon. |
*Part of the ''neuroblastic tumours'' group which includes:<ref name=pmid10421272>{{cite journal |author=Shimada H, Ambros IM, Dehner LP, Hata J, Joshi VV, Roald B |title=Terminology and morphologic criteria of neuroblastic tumors: recommendations by the International Neuroblastoma Pathology Committee |journal=Cancer |... |
**[[Ganglioneuroma]] (benign). |
**Ganglioneuroblastoma (intermediate). |
**[[Neuroblastoma]] (aggressive). |
===Microscopic=== |
Features: |
*Ganglion-like cells with a prominent nucleolus. |
*Small undifferentiated cells with scant cytoplasm. |
<gallery> |
Image:Adrenal Ganglioneuroblastoma LP CTR.jpg|thumb|Adrenal Ganglioneuroblastoma - Low power (SKB) |
Image:Adrenal Ganglioneuroblastoma MP CTR.jpg|thumb|Adrenal Ganglioneuroblastoma - Medium power (SKB) |
Image:Adrenal Ganglioneuroblastoma HP CTR.jpg|thumb|Adrenal Ganglioneuroblastoma - High power (SKB) |
Image:Adrenal Ganglioneuroblastoma HP3 CTR.jpg|thumb|Adrenal Ganglioneuroblastoma - High power (SKB) |
Image:Adrenal Ganglioneuroblastoma HP2 CTR.jpg|thumb|Adrenal Ganglioneuroblastoma - High power (SKB) |
</gallery> |
Images: |
*[http://path.upmc.edu/cases/case530.html Ganglioneuroblastoma - several images (upmc.edu)]. |
===IHC=== |
*NSE +ve -- small cells. |
==Lesions of the sella turcica== |
{{Main|Pituitary gland}} |
Lesions of the sella turcica, the pituitary gland environs, is a topic for it self. The differential diagnosis for lesions in this area includes: |
*[[Pituitary adenoma]]. |
*[[Craniopharyngioma]]. |
*[[Rathke cleft cyst]]. |
*[[Germ cell tumour]]. |
*[[Meningioma]]. |
*[[Pilomyxoid astrocytoma]] - in children. |
==See also== |
*[[Neuropathology]]. |
*[[Muscle biopsy]]. |
==References== |
{{reflist|2}} |
==External links== |
*[http://www.neuropathologyweb.org/ Neuropathology (neuropathologyweb.org)]. |
*[http://www.pathology.vcu.edu/WirSelfInst/tumor-1.html Neuropathology Mini-Course (pathology.vcu.edu)]. |
*[http://www.pathology.vcu.edu/WirSelfInst/tumor-2.html Neuropathology Mini-Course (pathology.vcu.edu)]. |
[[Category:Neuropathology]] |
1ae786132b80fb3e6b78b83b76314093965f84d5e5c1d3f49947f461378e349b librepath-neuropath-tumours.txt |
'''Non-invasive breast carcinoma''' is a type of [[breast cancer]] and a common entity... since the introduction of radiologic breast screening. |
Viewed simplistically, it can neatly be divided into the discussion of two entities: |
#[[Ductal carcinoma in situ]] (DCIS). |
#[[Lobular carcinoma in situ]] (LCIS). |
Invasive breast cancer is dealt with in the article ''[[invasive breast cancer]]''. An introduction to the ''breast'' is found in the ''[[breast pathology]]'' article. |
=Ductal neoplasia= |
==Overview== |
This category includes: |
#[[Atypical ductal hyperplasia]] (ADH). |
#[[Ductal carcinoma in situ]] (DCIS). |
The difference between ADH and DCIS ''is'': |
#The degree of '''nuclear atypia'''; high grade is DCIS. |
#The '''extent'''; small lesions are ADH, large lesions (low-grade) DCIS. |
==Is it ductal neoplasia?== |
===FEHUT versus ADH versus DCIS=== |
*Breast duct lumen with too many cells; this is common problem is breast pathology.<ref name=Ref_BP167-8>{{Ref BP|167-8}}</ref> |
**The general DDx for this scenario is: ''FEHUT'' versus ''ADH'' versus ''DCIS''. |
Notes: |
*FEHUT = florid epithelial hyperplasia of the usual type, [[AKA]] ''epithelial hyperplasia'' (EH). |
*ADH = [[atypical ductal hyperplasia]]. |
*DCIS = [[ductal carcinoma in situ]]. |
====Tabular comparison - histomorphology==== |
Comparison of FEHUT, ADH and DCIS (memory device: ''CLEAN'' = cell spacing, luminal spaces, extent/size, arch., nuclei): |
{| class="wikitable sortable" |
! Morphology |
! [[FEHUT]] |
! [[ADH]] |
! [[DCIS]] |
|- |
| '''Cell spacing''' |
| varied, streaming |
| focal uniformity |
| uniform |
|- |
| '''Lumina''' |
| slits/irregular spaces; <br>cells haphazardly <br>arranged around lumen |
| irregular spaces, no slits |
| circular "punched-out"; <br>cells side-by-side + <br>equally spaced @ interface |
|- |
| '''Extent''' |
| usually lobulocentric |
| limited extent |
| extensive |
|- |
| '''Architecture''' |
| irregular/swirling |
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