Difference between revisions of "Cartilage"

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#Elastic cartilage, e.g. epiglottis.
#Elastic cartilage, e.g. epiglottis.


==General==
=General=
Features of cartilage:<ref name=Ref_EH2_178-9>{{Ref EH2|178-9}}</ref>
Features of cartilage:<ref name=Ref_EH2_178-9>{{Ref EH2|178-9}}</ref>
*Avascular.
*Avascular.
Line 25: Line 25:
*[http://en.wikipedia.org/wiki/File:Cartilage_polarised.jpg Hyaline cartilage - polarised (WC)].
*[http://en.wikipedia.org/wiki/File:Cartilage_polarised.jpg Hyaline cartilage - polarised (WC)].


==Tumours==
=Tumours=
{{Main|Chondro-osseous tumours}}
{{Main|Chondro-osseous tumours}}
Tumours of cartilage are dealt with in the article ''[[chondro-osseous tumours]]'' together with bone tumours.
Tumours of cartilage are dealt with in the article ''[[chondro-osseous tumours]]'' together with bone tumours.


==See also==
=Specific diagnoses=
==Synovial chondromatosis==
*[[AKA]] ''synovial osteochondromatosis''.
===General===
*Benign.
**Malignant transformation rare <5%.<ref name=pmid17848703/>
*Classically location: knee.<ref name=pmid17848703>{{Cite journal  | last1 = Murphey | first1 = MD. | last2 = Vidal | first2 = JA. | last3 = Fanburg-Smith | first3 = JC. | last4 = Gajewski | first4 = DA. | title = Imaging of synovial chondromatosis with radiologic-pathologic correlation. | journal = Radiographics | volume = 27 | issue = 5 | pages = 1465-88 | month =  | year =  | doi = 10.1148/rg.275075116 | PMID = 17848703 | URL = http://radiographics.rsna.org/content/27/5/1465.long }}</ref>
 
===Radiology===
*Intraarticular calcifications.
 
===Microscopic===
Features:<ref name=pmid17848703/>
*Hyaline cartilage +/- lobular surface.
**May have lacunae with binucleate cells.
*+/-Synovial hyperplasia - ribbon like tissue with an epithelium that has eosinophilic cytoplasm.
*Bone.
 
Images:
*[http://radiographics.rsna.org/content/27/5/1465.long Synovial chondromatosis (rsna.org)].
*[http://radiographics.rsna.org/content/27/5/1465.long Synovial chondromatosis - high mag. (rsna.org)].
*[http://www.webpathology.com/image.asp?n=1&Case=369 Synovial chondromatosis (webpathology.com)].
 
*[[Chondrosarcoma]].
 
 
=See also=
*[[Chondro-osseous tumours]].
*[[Chondro-osseous tumours]].
*[[Bone]].
*[[Bone]].

Revision as of 14:17, 9 February 2012

Cartilage is a type of connective tissue that does not commonly come across the pathologist's desk.

It comes in three flavours:[1][2]

  1. Hyaline cartilage, e.g. trachea.
  2. Fibrocartilage, e.g. intervertebral disc.
  3. Elastic cartilage, e.g. epiglottis.

General

Features of cartilage:[3]

  • Avascular.
  • Extracellular matrix with bluish tinge.
  • Round cells.

Hyaline cartilage

Features:[4]

  • Chondrocytes within small pockets (lacunae) of extracellular matrix.
    • Chondrocytes:
      • Spherical nucleus.
      • Prominent nucleolus.
      • Clear cytoplasm.
    • Extracellular matrix:
      • Blue-white appearance on H&E stain -- key feature.

Image:

Tumours

Tumours of cartilage are dealt with in the article chondro-osseous tumours together with bone tumours.

Specific diagnoses

Synovial chondromatosis

  • AKA synovial osteochondromatosis.

General

  • Benign.
    • Malignant transformation rare <5%.[5]
  • Classically location: knee.[5]

Radiology

  • Intraarticular calcifications.

Microscopic

Features:[5]

  • Hyaline cartilage +/- lobular surface.
    • May have lacunae with binucleate cells.
  • +/-Synovial hyperplasia - ribbon like tissue with an epithelium that has eosinophilic cytoplasm.
  • Bone.

Images:


See also

References

  1. Young, Barbara; Lowe, James S.; Stevens, Alan; Heath, John W.; Deakin, Philip J. (2000). Wheaters Functional Histology (4th ed.). Churchill Livingstone. pp. 173-5. ISBN 978-0004881973.
  2. URL: http://www.lab.anhb.uwa.edu.au/mb140/CorePages/Cartilage/Cartil.htm. Accessed on: 2 January 2011.
  3. Cormack, David H. (2001). Essential Histology (2nd ed.). Lippincott Williams & Wilkins. pp. 178-9. ISBN 978-0781716680.
  4. Cormack, David H. (2001). Essential Histology (2nd ed.). Lippincott Williams & Wilkins. pp. 178. ISBN 978-0781716680.
  5. 5.0 5.1 5.2 Murphey, MD.; Vidal, JA.; Fanburg-Smith, JC.; Gajewski, DA.. "Imaging of synovial chondromatosis with radiologic-pathologic correlation.". Radiographics 27 (5): 1465-88. doi:10.1148/rg.275075116. PMID 17848703.