Embryonal carcinoma pathophysiology: Difference between revisions

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The microscopic features include: indistinct cell borders, mitoses, a variable architecture (tubulopapillary, glandular, solid, embryoid bodies - ball of cells surrounded by empty space on three sides), nuclear overlap, and necrosis. An important key to distinguish it from other tumors, such as seminoma (vacuolated), [[teratocarcinoma]] (3 differentiated germ layers), [[yolk sac tumor]] ([[Schiller-Duval bodies]]), and the [[Sertoli-Leydig cell tumor]] (strings of glands), is that the embryonal carcinoma cells are "trying" to evolve into their next stage of development. So in the testicle, they are often observed as blue cells attempting to form primitive tubules.<ref>http://library.med.utah.edu/WebPath/MALEHTML/MALE092.html</ref>
The microscopic features include: indistinct cell borders, mitoses, a variable architecture (tubulopapillary, glandular, solid, embryoid bodies - ball of cells surrounded by empty space on three sides), nuclear overlap, and necrosis. An important key to distinguish it from other tumors, such as seminoma (vacuolated), [[teratocarcinoma]] (3 differentiated germ layers), [[yolk sac tumor]] ([[Schiller-Duval bodies]]), and the [[Sertoli-Leydig cell tumor]] (strings of glands), is that the embryonal carcinoma cells are "trying" to evolve into their next stage of development. So in the testicle, they are often observed as blue cells attempting to form primitive tubules.<ref>http://library.med.utah.edu/WebPath/MALEHTML/MALE092.html</ref>
Shown below is an image of embronal carcinoma(H&E stain).
Shown below is an image of embronal carcinoma(H&E stain).
[[Image:800px-Embryonal_carcinoma_-_high_mag.jpg‎|400px|left]]
[[Image:800px-Embryonal_carcinoma_-_high_mag.jpg‎|400px|left]]



Revision as of 18:17, 10 April 2013

Embryonal carcinoma Microchapters

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Overview

Historical Perspective

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Differentiating Embryonal carcinoma from other Diseases

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Shivali Marketkar, M.B.B.S. [2]

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Pathophysiology

Gross Pathology

Embryonal carcinoma. H&E stain.

The gross examination usually shows a two to three centimetre pale grey, poorly defined tumour with associated haemorrhage and necrosis.[1]

Microscopic Pathology

The microscopic features include: indistinct cell borders, mitoses, a variable architecture (tubulopapillary, glandular, solid, embryoid bodies - ball of cells surrounded by empty space on three sides), nuclear overlap, and necrosis. An important key to distinguish it from other tumors, such as seminoma (vacuolated), teratocarcinoma (3 differentiated germ layers), yolk sac tumor (Schiller-Duval bodies), and the Sertoli-Leydig cell tumor (strings of glands), is that the embryonal carcinoma cells are "trying" to evolve into their next stage of development. So in the testicle, they are often observed as blue cells attempting to form primitive tubules.[2] Shown below is an image of embronal carcinoma(H&E stain).

The high magnification image shows: High magnification micrograph of an embryonal carcinoma, a type of germ cell tumour. H&E stain. Main features: Nuclear atypia. Nucleoli prominent. Necrosis common. Nuclei overlap. Other features:

Variable architecture: Tubulopapillary. Glandular. Solid. Embryoid bodies - ball of cells in surrounded by empty space on three sides. Mitoses common.

Video

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References

  1. Abbas, Fausto, Mitchell (2010). Basic Pathology. Elsevier. pp. 696–697. ISBN 978-81-312-1036-9.
  2. http://library.med.utah.edu/WebPath/MALEHTML/MALE092.html


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