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==Classification==
==Classification==
[[Nasopharyngeal carcinoma]] may be classified according to [[microscopic]] features into 3 subtypes:<ref name="Weidner's">{{cite book |author=Richard Cote, Saul Suster, Lawrence Weiss, Noel Weidner (Editor) |title=Modern Surgical Pathology (2 Volume Set) |publisher=W B Saunders |location=London |year= |pages= |isbn=0-7216-7253-1 |oclc= |doi=}}</ref>
===Histologic classification===
 
*Well-differentiated ([[keratin]]izing type)
*Moderately-differentiated (nonkeratinizing type)
*Undifferentiated (most strongly associated with [[Epstein-Barr virus]] infection)
<gallery>Image:Lymphoepithelioma met to LN 4.jpg|Undifferentiated nasopharyngeal carcinoma - low power
Image:Lymphoepithelioma met to LN 1.jpg|Undifferentiated nasopharyngeal carcinoma - med. power
Image:Lymphoepithelioma met to LN 2.jpg|Undifferentiated nasopharyngeal carcinoma - high power
</gallery>
===Histologic subclassification===
World Health Classification (2005) for NPC:<ref name= Librepathology>Nasopharyngeal carcinoma http://librepathology.org/wiki/index.php/Nasopharyngeal_carcinoma</ref>
World Health Classification (2005) for NPC:<ref name= Librepathology>Nasopharyngeal carcinoma http://librepathology.org/wiki/index.php/Nasopharyngeal_carcinoma</ref>
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Revision as of 14:38, 24 September 2015

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Faizan Sheraz, M.D. [2]

Overview

Nasopharyngeal carcinoma may be classified according to microscopic features into 3 subtypes: well-differentiated, moderately-differentiated, and undifferentiated type.

Classification

Histologic classification

World Health Classification (2005) for NPC:[1]

Type Histology Description EBV Prevalence Prognosis
1 Keratinizing SCC graded poorly-well-differentiated -ve bad
2a Nonkeratinizing carcinoma, differentiated well defined cell borders & tumor nest borders +ve good
2b Nonkeratinizing carcinoma, undifferentiated sheets/syncytial, vescicular nuclei, prominent nucleoli, pink cytoplasm most common
3 Basaloid SCC mimics basal cell carcinoma least common

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