Difference between revisions of "Lung metastasis"

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658 bytes added ,  15:27, 28 September 2015
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Features:
Features:
*Variable - dependent on site of origin.
*Variable - dependent on site of origin.
*[[Colorectal adenocarcinoma]] - usually distinctive morphologically:
**Typically gland forming.
***Ellipsoid/elongated pseudostratified nuclei with moderate [[nuclear atypia]].
***+/-Dirty necrosis.
*Others:
**[[Urothelial carcinoma]] - may mimic [[squamous cell carcinoma of the lung]].
**Upper GI adenocarcinoma (e.g. [[gastric adenocarcinoma]]) - may mimic [[lung adenocarcinoma]].
**Breast carcinoma - esp. [[ductal carcinoma of the breast]] - may mimic [[lung adenocarcinoma]].


[[Colorectal adenocarcinoma]] - usually distinctive morphologically:
DDx:
*Typically gland forming.
*[[Pulmonary meningothelial-like nodule]].<ref name=pmid23109985>{{Cite journal  | last1 = Kfoury | first1 = H. | last2 = Arafah | first2 = MA. | last3 = Arafah | first3 = MM. | last4 = Alnassar | first4 = S. | last5 = Hajjar | first5 = W. | title = Mimicry of Minute Pulmonary Meningothelial-like Nodules to Metastatic Deposits in a Patient with Infiltrating Lobular Carcinoma: A Case Report and Review of the Literature. | journal = Korean J Pathol | volume = 46 | issue = 1 | pages = 87-91 | month = Feb | year = 2012 | doi = 10.4132/KoreanJPathol.2012.46.1.87 | PMID = 23109985 }}</ref>
**Ellipsoid/elongated pseudostratified nuclei with moderate [[nuclear atypia]].
*[[Carcinoid tumourlet]].
**+/-Dirty necrosis.
*[[Carcinoid lung tumour]].
 
Others:
*[[Urothelial carcinoma]] - may mimic [[squamous cell carcinoma of the lung]].
*Upper GI adenocarcinoma (e.g. [[gastric adenocarcinoma]]) - may mimic [[lung adenocarcinoma]].
*Breast carcinoma - esp. [[ductal carcinoma of the breast]] - may mimic [[lung adenocarcinoma]].


===Images===
===Images===
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Image:Metastatic prostatic adenocarcinoma (5918338484).jpg | Prostate carcinoma. (WC/Rosen)
Image:Metastatic prostatic adenocarcinoma (5918338484).jpg | Prostate carcinoma. (WC/Rosen)
</gallery>
</gallery>
==IHC==
==IHC==
*TTF-1 -ve/+ve.
*TTF-1 -ve/+ve.
48,474

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