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microinvasive
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Images
Published: 01 February 2024
MELANOMA IN SITU WITH FOCAL MICROINVASION Figure 12-10 MELANOMA IN SITU WITH FOCAL MICROINVASION Rare small aggregates of melanocytes are seen in the superficial dermis (arrow) similar in appearance to the intraepidermal tumor cells. More about this image found in MELANOMA IN SITU WITH FOCAL MICROINVASION Rare small aggregates of melanoc...
Images
Published: 01 February 2024
LENTIGO MALIGNA MELANOMA WITH SINGLE CELL MICROINVASION Figure 13-11 LENTIGO MALIGNA MELANOMA WITH SINGLE CELL MICROINVASION Melanoma in situ is associated with isolated atypical melanocytes (arrows) in a fibrosed papillary dermis. More about this image found in LENTIGO MALIGNA MELANOMA WITH SINGLE CELL MICROINVASION Melanoma in situ i...
Images
Published: 01 January 2024
PLEOMORPHIC LOBULAR CARCINOMA IN SITU AND MICROINVASIVE CARCINOMA Figure 4-18 PLEOMORPHIC LOBULAR CARCINOMA IN SITU AND MICROINVASIVE CARCINOMA A lobule is expanded by atypical, dyshesive epithelial cells with large pleomorphic nuclei. Present in the stroma adjacent to this focus are several scat... More about this image found in PLEOMORPHIC LOBULAR CARCINOMA IN SITU AND MICROINVASIVE CARCINOMA A lobule...
Images
Published: 01 January 2024
MICROINVASIVE CARCINOMA Figure 8-28 MICROINVASIVE CARCINOMA A: Low-power image of a cyst with an adjacent small, glandular proliferation. B: At higher power, the glandular proliferation appears somewhat infiltrative and the epithelial cells are atypical. C: A smooth muscle myosin heavy chain (S... More about this image found in MICROINVASIVE CARCINOMA A: Low-power image of a cyst with an adjacent smal...
Images
Published: 01 January 2024
DUCTAL CARCINOMA IN SITU WITH MICROINVASION Figure 8-25 DUCTAL CARCINOMA IN SITU WITH MICROINVASION A: At low power, a portion of a field of extensive high nuclear grade DCIS with desmoplasia and stromal inflammation is seen. Microinvasion can be difficult to identify in cases of this type. B,C:... More about this image found in DUCTAL CARCINOMA IN SITU WITH MICROINVASION A: At low power, a portion of ...
Images
Published: 01 January 2024
FLAT EPITHELIAL ATYPIA WITH MICROINVASION Figure 8-27 FLAT EPITHELIAL ATYPIA WITH MICROINVASION Intermediate-power image illustrates variably dilated acini lined by monomorphic epithelial cells, diagnostic of flat epithelial atypia. In addition, there are a few angulated glands and nests of micro... More about this image found in FLAT EPITHELIAL ATYPIA WITH MICROINVASION Intermediate-power image illustr...
Images
Published: 01 January 2024
DUCTAL CARCINOMA IN SITU: HIGH NUCLEAR GRADE WITH MICROINVASION Figure 3-27 DUCTAL CARCINOMA IN SITU: HIGH NUCLEAR GRADE WITH MICROINVASION A: Intermediate-power view illustrates high nuclear grade DCIS with involvement of lobules (top of field). The inflammatory cell infiltrate is prominent. Sin... More about this image found in DUCTAL CARCINOMA IN SITU: HIGH NUCLEAR GRADE WITH MICROINVASION A: Interme...
Images
Published: 01 January 2024
LOBULAR CARCINOMA IN SITU (LCIS) WITH MICROINVASION Figure 8-26 LOBULAR CARCINOMA IN SITU (LCIS) WITH MICROINVASION A: Extensive LCIS is present in this case, characterized by large nests of cells with round, monomorphic nuclei. The presence of an inflammatory cell infiltrate should prompt closer... More about this image found in LOBULAR CARCINOMA IN SITU (LCIS) WITH MICROINVASION A: Extensive LCIS is p...
Images
Published: 01 January 2024
DUCTAL CARCINOMA IN SITU INVOLVING LOBULES Figure 8-29 DUCTAL CARCINOMA IN SITU INVOLVING LOBULES DCIS involving lobules can be a mimic of invasive or microinvasive carcinoma. Observing the lobulocentric arrangement of the tumor cell nests and the presence of a myoepithelial cell layer aid in the... More about this image found in DUCTAL CARCINOMA IN SITU INVOLVING LOBULES DCIS involving lobules can be a...
Images
Published: 01 January 2024
ENCAPSULATED PAPILLARY CARCINOMA Figure 7-25 ENCAPSULATED PAPILLARY CARCINOMA A: At low power, a large encapsulated papillary carcinoma occupies much of the field; in the center of the image a single gland is seen, perhaps raising concern for microinvasion. B: At high power, inflammatory cells a... More about this image found in ENCAPSULATED PAPILLARY CARCINOMA A: At low power, a large encapsulated pap...
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Published: 01 January 2024
MYOEPITHELIAL CELL STAINS IN ADENOSIS Figure 6-11 MYOEPITHELIAL CELL STAINS IN ADENOSIS A: In this case of lobular carcinoma in situ (LCIS) involving adenosis, the arrangement of some of the epithelial cell nests suggests invasive carcinoma rather than LCIS in adenosis. B: A SMMHC stain highligh... More about this image found in MYOEPITHELIAL CELL STAINS IN ADENOSIS A: In this case of lobular carcinoma...
Book Chapter
Series: Atlases of Tumor and Non-Tumor Pathology, Series 5
Volume: 19
Published: 01 February 2024
10.55418/9781933477428-12
ISBN-10: 1-933477-42-3
ISBN: 978-1-933477-42-8
...: Atypical melanocytes are present in the epidermis as junctional nests and solitary units in the spinous cell layer. C: The intradermal melanocytes lack maturation and display nuclear pleomorphism. MELANOMA IN SITU WITH FOCAL MICROINVASION Figure 12-10 MELANOMA IN SITU WITH FOCAL MICROINVASION Rare...
Book Chapter
Series: Atlases of Tumor and Non-Tumor Pathology, Series 5
Volume: 19
Published: 01 February 2024
10.55418/9781933477428-13
ISBN-10: 1-933477-42-3
ISBN: 978-1-933477-42-8
...: The shape and borders of the lesion are irregular. The color varies throughout the lesion. LMM, i.e., LM melanoma in situ with associated invasion, is clinically usually indistinguishable from LM if the tumor is microinvasive, with thickness below 0.5 mm. Thicker lesions may be clinically noticeable...
Book Chapter
Series: Atlases of Tumor and Non-Tumor Pathology, Series 5
Volume: 18
Published: 01 January 2024
10.55418/9781933477367-08
ISBN-10: 1-933477-36-9
ISBN: 978-1-933477-36-7
... molecular weight keratin and a myoepithelial cell marker is especially helpful when trying to highlight foci of microinvasion, since these can be difficult to see on the deeper stained level without the added keratin to highlight the epithelial component. Differential Diagnosis. Given the morphologic...
Images
Published: 15 November 2023
CARDIAC AMYLOIDOSIS: DEPOSITION PATTERNS Figure 21-14 CARDIAC AMYLOIDOSIS: DEPOSITION PATTERNS Deposition patterns of cardiac amyloidosis shown are pericellular-type (A), nodular (B), obstructive microinvasive (C), and endocardial (D). (All: sulfated Alcian blue staining.) More about this image found in CARDIAC AMYLOIDOSIS: DEPOSITION PATTERNS Deposition patterns of cardiac am...
Book Chapter
Series: Atlases of Tumor and Non-Tumor Pathology, Series 5
Volume: 18
Published: 01 January 2024
10.55418/9781933477367-04
ISBN-10: 1-933477-36-9
ISBN: 978-1-933477-36-7
... of concomitant invasive carcinoma, particularly invasive lobular carcinoma ( fig. 4-18 ). It is imperative that careful examination be undertaken to rule in or rule out subtle foci of invasive or microinvasive carcinoma, which has been reported in up to 80 percent of cases ( 26 , 28 ) and is more frequently...
Book Chapter
Series: Atlases of Tumor and Non-Tumor Pathology, Series 5
Volume: 18
Published: 01 January 2024
10.55418/9781933477367-03
ISBN-10: 1-933477-36-9
ISBN: 978-1-933477-36-7
... are present underneath the residual normal ductal epithelium ( fig. 3-25 ). Paget disease of the nipple (discussed in chapter 13 ) is invariably associated with underlying high-grade DCIS. DCIS, high nuclear grade in particular, may also involve recognizable lobules, which can be a mimic for microinvasive...
Book Chapter
Series: Atlases of Tumor and Non-Tumor Pathology, Series 5
Volume: 18
Published: 01 January 2024
10.55418/9781933477367-07
ISBN-10: 1-933477-36-9
ISBN: 978-1-933477-36-7
... ( 21 – 23 ). Nevertheless, as discussed below, encapsulated papillary carcinomas continue to be staged as DCIS. Conventional invasive carcinoma or microinvasive carcinoma may arise in association with encapsulated papillary carcinoma. Care must be taken to ensure that glands entrapped in the fibrous...
Book Chapter
Series: Atlases of Tumor and Non-Tumor Pathology, Series 5
Volume: 18
Published: 01 January 2024
10.55418/9781933477367-06
ISBN-10: 1-933477-36-9
ISBN: 978-1-933477-36-7
... to represent a focus of microinvasive carcinoma, if other glands within the proliferation demonstrate staining of the myoepithelial cell layer ( fig. 6-11 ). It is prudent to use more than one antibody for this reason, and for reasons of varying sensitivity and specificity of the available myoepithelial cell...
Book Chapter
Series: Atlases of Tumor and Non-Tumor Pathology, Series 5
Volume: 18
Published: 01 January 2024
10.55418/9781933477367-15
ISBN-10: 1-933477-36-9
ISBN: 978-1-933477-36-7
... from the inked margin. For patients with invasive breast cancer in the above treatment setting, re-excision need only be performed for patients with ink on tumor. For pure DCIS and DCIS with microinvasion, the standard adequate margin is 2 mm. The guideline does not apply to patients undergoing surgery...
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