Difference between revisions of "Breast cytopathology"

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==Fat [[necrosis]]==
==Fat [[necrosis]]==
Features:
 
*Dying adipocytes - pink low density whispy poorly demarcated blobs, lack nucleus.
===Microscopic===
**Healthy adipocytes - large cells, clear cytoplasm.
Features:<ref name=pmid19234281>{{Cite journal  | last1 = Taboada | first1 = JL. | last2 = Stephens | first2 = TW. | last3 = Krishnamurthy | first3 = S. | last4 = Brandt | first4 = KR. | last5 = Whitman | first5 = GJ. | title = The many faces of fat necrosis in the breast. | journal = AJR Am J Roentgenol | volume = 192 | issue = 3 | pages = 815-25 | month = Mar | year = 2009 | doi = 10.2214/AJR.08.1250 | PMID = 19234281 | URL = http://www.ajronline.org/content/192/3/815.full }}</ref>
*Foamy macrophages - adjacent to fat.
*Dying/dead adipocytes:
**Abundant cytoplasm - with granular crap inside.
**Light pink "low density" whispy poorly demarcated blobs - lack a nucleus.
**Oval nucleus with small nucleolus.
***Early: cellular outlines seen, light pink - loose.
***Mid: adipocytes collapsed/more dense.
****Foamy macrophages - adjacent to fat.
*****Abundant cytoplasm - with granular (pink) crap inside.
*****Oval nucleus with small nucleolus.
***Late:
****Macrophages: multinucleated giant-cells.
****Calcification.
 
Notes:
*Healthy adipocytes - large cells, clear cytoplasm.
 
Images:
*[http://www.ajronline.org/content/192/3/815/F1.expansion.html Early fat necrosis (ajronline.org)].
*[http://www.ajronline.org/content/192/3/815/F4.expansion.html Mid fat necrosis (ajronline.org)].
*[http://www.ajronline.org/content/192/3/815/F5.expansion.html Late fat necrosis (ajronline.org)].
*[http://www.ajronline.org/content/192/3/815/F6.expansion.html Late fat necrosis - calcifications (ajronline.org)].


==Adenocarcinoma==
==Adenocarcinoma==