Difference between revisions of "Papillary urothelial neoplasm of low malignant potential"
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| Micro = rare fused papillae, infrequent mitoses, nuclei larger than papilloma - but monotonous | |||
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| LMDDx = [[low grade papillary urothelial carcinoma]], [[urothelial papilloma]] | |||
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| Site = [[urothelium]] | |||
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| Prevalence = uncommon | |||
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| Tx = excision and on-going follow-up - like non-invasive [[low grade papillary urothelial carcinoma]] | |||
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'''Papillary urothelial neoplasm of low malignant potential''', abbreviated '''PUNLMP''', is an uncommon [[urothelium|urothelial]] lesion that is similar to [[low-grade papillary urothelial carcinoma]]. | '''Papillary urothelial neoplasm of low malignant potential''', abbreviated '''PUNLMP''', is an uncommon [[urothelium|urothelial]] lesion that is similar to [[low-grade papillary urothelial carcinoma]]. | ||
Revision as of 23:28, 30 April 2014
Papillary urothelial neoplasm of low malignant potential | |
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Diagnosis in short | |
| |
LM | rare fused papillae, infrequent mitoses, nuclei larger than papilloma - but monotonous |
LM DDx | low grade papillary urothelial carcinoma, urothelial papilloma |
Site | urothelium |
| |
Prevalence | uncommon |
Treatment | excision and on-going follow-up - like non-invasive low grade papillary urothelial carcinoma |
Papillary urothelial neoplasm of low malignant potential, abbreviated PUNLMP, is an uncommon urothelial lesion that is similar to low-grade papillary urothelial carcinoma.
PUNLMP is pronounced pun-lump.
General
- Uncommon: prevalence ~ 0-3.5%.[1]
- PUNLMP vs. low grade papillary urothelial carcinoma has a poor inter-rater reliability.[2]
Treatment:
- Excision and on-going follow-up - like non-invasive low grade papillary urothelial carcinoma (LGPUC).[3]
Microscopic
Features:[5]
- Rare fused papillae.
- Infrequent mitoses.
- Nuclei larger than papilloma - but monotonous.[6]
DDx:
Images
See also
References
- ↑ May M, Brookman-Amissah S, Roigas J, et al. (March 2009). "Prognostic Accuracy of Individual Uropathologists in Noninvasive Urinary Bladder Carcinoma: A Multicentre Study Comparing the 1973 and 2004 World Health Organisation Classifications". Eur. Urol. 57 (5): 850. doi:10.1016/j.eururo.2009.03.052. PMID 19346063.
- ↑ MacLennan GT, Kirkali Z, Cheng L (April 2007). "Histologic grading of noninvasive papillary urothelial neoplasms". Eur. Urol. 51 (4): 889–97; discussion 897–8. doi:10.1016/j.eururo.2006.10.037. PMID 17095142.
- ↑ Jones TD, Cheng L (June 2006). "Papillary urothelial neoplasm of low malignant potential: evolving terminology and concepts". J. Urol. 175 (6): 1995–2003. doi:10.1016/S0022-5347(06)00267-9. PMID 16697785.
- ↑ Cheng, L.; Maclennan, GT.; Lopez-Beltran, A. (Dec 2012). "Histologic grading of urothelial carcinoma: a reappraisal.". Hum Pathol 43 (12): 2097-108. doi:10.1016/j.humpath.2012.01.008. PMID 22542126.
- ↑ Humphrey, Peter A; Dehner, Louis P; Pfeifer, John D (2008). The Washington Manual of Surgical Pathology (1st ed.). Lippincott Williams & Wilkins. pp. 310. ISBN 978-0781765275.
- ↑ Zhou, Ming; Magi-Galluzzi, Cristina (2006). Genitourinary Pathology: A Volume in Foundations in Diagnostic Pathology Series (1st ed.). Churchill Livingstone. pp. 170. ISBN 978-0443066771.