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| ==Chordoma== | | ==Chordoma== |
| ===General===
| | {{Main|Chordoma}} |
| *Location: usually sacrum or clivus.
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| *It is a [[bone tumour]].
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| ===Gross===
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| *Soft, gelatinous, lobulated.<ref>URL: [http://www.histopathology-india.net/Chordoma.htm http://www.histopathology-india.net/Chordoma.htm]. Accessed on: 12 April 2012.</ref>
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| DDx:
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| *Bony [[metastasis]] (mucinous carcinoma) - typically multifocal.
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| Image:
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| *[http://www.flickr.com/photos/bc_the_path/4428268879/in/photostream/ Chordoma (flickr.com)].
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| ===Microscopic===
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| Features:<ref name=Ref_DCHH184>{{Ref DCHH|184}}</ref>
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| *Architecture: islands of cells surrounded by fibrous tissue.
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| **Also described as "lobulated" architecture; may not be apparent.
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| *[[Myxoid]] background - grey extracellular material, variable amount present.
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| *Mixed cell population:
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| *#Abundant eosinophilic cytoplasm.
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| *#''Physaliphorous cells'' or ''bubble cells'' - '''key feature'''.
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| *#*Have a very large clear bubble with a sharp border; bubble does not compress nucleus - nucleus may be in bubble.
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| DDx:
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| *[[Chondrosarcoma]].
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| Images:
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| *[[WC]]:
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| **[http://commons.wikimedia.org/wiki/File:Chordoma_-_low_mag.jpg Chordoma - low mag. (WC)].
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| **[http://commons.wikimedia.org/wiki/File:Chordoma_-_high_mag.jpg Chordoma - high mag. (WC)].
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| *www:
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| **[http://path.upmc.edu/cases/case64.html Chordoma (upmc.edu)].
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| **[http://path.upmc.edu/cases/case312/micro.html Chordoma - sacrum - several images (upmc.edu)].
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| **[http://path.upmc.edu/cases/case689.html Chordoma - additional case with several images (upmc.edu)].
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| ===IHC===
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| Features:<ref>URL: [http://path.upmc.edu/cases/case312/micro.html http://path.upmc.edu/cases/case312/micro.html]. Accessed on: 14 January 2012.</ref><ref name=pmid2431128>{{Cite journal | last1 = Coindre | first1 = JM. | last2 = Rivel | first2 = J. | last3 = Trojani | first3 = M. | last4 = De Mascarel | first4 = I. | last5 = De Mascarel | first5 = A. | title = Immunohistological study in chordomas. | journal = J Pathol | volume = 150 | issue = 1 | pages = 61-3 | month = Sep | year = 1986 | doi = 10.1002/path.1711500110 | PMID = 2431128 }}</ref>
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| *S100 +ve.
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| *AE1/AE3 +ve.
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| *Brachyury +ve -- '''key stain'''.
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| **Protein important for axial development, affects notochord development.<ref name=omim601397>{{OMIM|601397}}</ref>
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| **''Brachyury'' literally means ''short tail''.<ref>URL: [http://www.jstor.org/pss/86845 http://www.jstor.org/pss/86845]. Accessed on: 18 May 2010.</ref>
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| *EMA +ve.
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| ==Hemangioblastoma== | | ==Hemangioblastoma== |