Well-differentiated papillary mesothelial tumour: Difference between revisions
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| Image = Well-differentiated_papillary_mesothelioma_--_intermed._mag.jpg | | Image = Well-differentiated_papillary_mesothelioma_--_intermed._mag.jpg | ||
| Width = | | Width = | ||
| Caption = Well-differentiated papillary | | Caption = Well-differentiated papillary mesothelial tumour. [[H&E stain]]. | ||
| Synonyms = benign papillary mesothelioma | | Synonyms = well-differentiated papillary mesothelioma (obsolete term), benign papillary mesothelioma (obsolete term) | ||
| Micro = papillary structures with thick fibrous cores and simple cuboidal epithelium, lacks cytologic atypia | | Micro = papillary structures with thick fibrous cores and simple cuboidal epithelium, lacks cytologic atypia | ||
| Subtypes = | | Subtypes = | ||
| LMDDx = [[ovarian serous carcinoma]], [[serous borderline tumour of the ovary]], [[malignant mesothelioma]] | | LMDDx = [[ovarian serous carcinoma]], [[serous borderline tumour of the ovary]], [[malignant mesothelioma]] especially ''papillary mesothelioma in situ'' | ||
| Stains = | | Stains = | ||
| IHC = calretinin +ve, CK5/6 +ve | | IHC = calretinin +ve, CK5/6 +ve, BAP1 retained (normal) | ||
| EM = | | EM = | ||
| Molecular = | | Molecular = | ||
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| Rads = | | Rads = | ||
| Endoscopy = | | Endoscopy = | ||
| Prognosis = | | Prognosis = typically indolent | ||
| Other = | | Other = | ||
| ClinDDx = [[tuberculosis]], [[carcinoma|carcinomatosis]], [[primary peritoneal serous carcinoma]], others | | ClinDDx = [[tuberculosis]], [[carcinoma|carcinomatosis]], [[primary peritoneal serous carcinoma]], others | ||
| Tx = | | Tx = | ||
}} | }} | ||
'''Well-differentiated papillary | '''Well-differentiated papillary mesothelial tumour''', abbreviated '''WDPMT''', is a rare benign mesothelial tumour.<ref name=pmid35440764>{{cite journal |authors=Churg A, Galateau-Salle F |title=Well differentiated papillary mesothelial tumor: a new name and new problems |journal=Mod Pathol |volume=35 |issue=10 |pages=1327–1333 |date=October 2022 |pmid=35440764 |doi=10.1038/s41379-022-01082-y |url=}}</ref> | ||
It | It was previously known as ''well-differentiated papillary mesothelioma'', abbreviated ''WDPM''.<ref name=pmid35440764/><ref name=pmid11688466>{{Cite journal | last1 = Butnor | first1 = KJ. | last2 = Sporn | first2 = TA. | last3 = Hammar | first3 = SP. | last4 = Roggli | first4 = VL. | title = Well-differentiated papillary mesothelioma. | journal = Am J Surg Pathol | volume = 25 | issue = 10 | pages = 1304-9 | month = Oct | year = 2001 | doi = | PMID = 11688466 }}</ref> It was also known as ''benign papillary mesothelioma''. This entity should ''not'' be confused with ''[[malignant mesothelioma]]'' and ''[[benign multicystic mesothelioma]]''. | ||
==General== | ==General== | ||
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*[[Ovarian serous carcinoma]]. | *[[Ovarian serous carcinoma]]. | ||
*[[Serous borderline tumour of the ovary]]. | *[[Serous borderline tumour of the ovary]]. | ||
*[[Malignant mesothelioma]]. | *[[Malignant mesothelioma]] - especially [[papillary mesothelioma in situ]]. | ||
**''Papillary mesothelioma in situ'' is morphologically identical.<ref name=pmid35440764/> | |||
===Images=== | ===Images=== | ||
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*Calretinin +ve. | *Calretinin +ve. | ||
*CK5/6 +ve. | *CK5/6 +ve. | ||
*[[BAP1]] retained (normal).<ref name=pmid35440764/> | |||
*MTAP retained (normal). | |||
**May not be sensitive.{{fact}} | |||
*[[Claudin-4]] -ve.{{fact}} | |||
==Sign out== | |||
<pre> | |||
A. Submitted as "Peritoneal Deposit", Excision: | |||
- Well-differentiated papillary mesothelial tumour, see comment. | |||
- NEGATIVE for malignancy. | |||
Comment: | |||
Well-differentiated papillary mesothelial tumour is a benign tumour. | |||
The tumour has retained (normal) BAP1 and retained MTAP staining. | |||
Claudin-4 and NF2F are NEGATIVE. | |||
</pre> | |||
==See also== | ==See also== | ||
*[[Peritoneum]]. | *[[Peritoneum]]. | ||
*[[Malignant mesothelioma]]. | *[[Malignant mesothelioma]]. | ||
*[[Mesothelioma]]. | |||
==References== | ==References== | ||