Pathology Review Carousel 4b
Pathology Review Carousel 4b
Neoplasia (II)
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Image
Slide # Tissue Mag Feature
1 Vulva Gross Erythroplakia nd leukoplakia c/w carcinoma in situ.
2 Junction of relatively normal with dysplastic epithelium: Note mitoses above the basal layer, disordered maturation, and nuclear abnormalities, but that there is some maturation beneath the keratin layer.
3 Carcinoma in situ, lack of maturation and nuclear atypia extends throughout the epithelium (excluding keratin layer) and the basement membrane is intact. Note koilocytes (cells with hyperchromatic, irregular nuclei surrounded by halo).
4 Carcinoma in situ, note mitosis in prickle cell layer and koilocyte (cell with hyperchromatic, irregular, "rasinoid" nucleus with halo).
6 Squamous cell carcinoma Gross Ulcerated, nodular lesion
7 LP Junction of hyperplastic epithelium with carcinoma
8 MP Nests of carcinoma, some with clear cytoplasm
9 MP Well differentiated squamous cell carcinoma with keratin pearls
11 Gross Mastectomy specimen with breast carcinoma extending into overlying skin, note biopsy site.
12 Breast Gross Cross section of breast with scirrhous carcinoma
13 LP Breast carcinoma (infiltrating ductal carcinoma) with marked desmoplastic response.
14 MP Cords of breast carcinoma with marked desmoplastic response
15 Breast carcinoma Solid nests and glands invading adipose tissue
16 HP Solid nests with few small gland lumens in breast carcinoma
17 Breast carcinoma MP
19 Brain Gross Brain with metastatic carcinoma, note flattened gyri and compressed sulci and ventricle
20 LP Metastatic adenocarcinoma to brain
21 Adenocarcinoma HP Note columnar cells with hyperchromatic enlarged nuclei
23 Mediastinal lymph nodes with metastatic carcinoma Gross Note anthracosis (black pigment) and that the whitish gray or tan tumor begins in subcapsular region
24 Metastatic carcinoma to lymph node
25 Metastatic carcinoma
29 Kidney Gross Kidney with renal cell carcinoma with direct extension through capsule into perirenal fat
31 Breast Gross Section of carcinoma of breast with direct extension into overlying skin
32 Lymph Nodes Gross Metastatic carcinoma to para-aortic lymph nodes: note one ureter dilated from compression by the enlarged lymph nodes
33 Vertebra Gross Vertebra with metastatic tumor
34 Ribs Gross Ribs with metastatic tumor
35 Gross Mesentery with seeding or implantation. (occurs most often with malignancy, but rupture of benign tumors can also seek abdominal cavity)