Giant cells: Difference between revisions

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[[Image:Giant cell in bronchial wash -- very high mag.jpg|thumb|right|Giant cell from a [[pulmonary cytopathology|bronchial wash]]. [[Pap stain]].]]
'''Giant cells''' are "big" cells with multiple nuclei.  They come in different flavours, which are suggestive of causality.   
'''Giant cells''' are "big" cells with multiple nuclei.  They come in different flavours, which are suggestive of causality.   


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| Touton giant cell
| Touton giant cell
| nuclei form a ring around the cell periphery
| Nuclei form a ring around the cell periphery with eosinophilic cytoplasm centrally and foamy cytoplasm at the periphery.
| [[juvenile xanthogranuloma]], [[Erdheim-Chester disease]]
| [[Juvenile xanthogranuloma]], [[xanthoma]], [[Erdheim-Chester disease]], [[fat necrosis]], [[dermatofibroma]]
| high lipid content lesions<ref>URL: [http://granuloma.homestead.com/giant_cells.html http://granuloma.homestead.com/giant_cells.html]. Accessed on: 7 February 2011.</ref>
| High lipid content lesions<ref>URL: [http://granuloma.homestead.com/giant_cells.html http://granuloma.homestead.com/giant_cells.html]. Accessed on: 7 February 2011.</ref>, Named after Karl Touton
| [[Image:Juvenile_xanthogranuloma_-_very_high_mag.jpg|thumb|200px|JXG (WC)]]
| [[Image:Juvenile_xanthogranuloma_-_very_high_mag.jpg|thumb|200px|JXG (WC)]]
|-
|-
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| Langhans giant cell  
| Langhans giant cell  
| peripheral eccentric nuclei<ref name=Ref_InstantPath7>{{Ref InstantPath|7}}</ref>
| peripheral semi-circular eccentric nuclei<ref name=Ref_InstantPath7>{{Ref InstantPath|7}}</ref>
| ?
| tuberculosis, sarcoidosis.
| '''not''' to be confused with ''Langerhans cells''
| '''not''' to be confused with ''Langerhans cells'', Named after Theodor Langhans
| [[Image:Granulation_tissue_containg_a_poorly_formed_granuloma_with_a_Langhan%27s_giant_cell.jpg|thumb|200px|LGC (WC)]]
| [[Image:Granulation_tissue_containg_a_poorly_formed_granuloma_with_a_Langhan%27s_giant_cell.jpg|thumb|200px|LGC (WC)]]
|-
|-
| Osteoclast-like giant cells  
| Osteoclast-like giant cells  
| round nuclei
| multiple bland central nuclei, ruffled cell membrane.
| osteoclasts, others
| osteoclasts, others
| [[AKA]] osteoclast-type giant cells
| [[AKA]] osteoclast-type giant cells