Difference between revisions of "Non-small cell lung carcinoma"

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In the clinical context, it is often referred to as '''non-small cell lung cancer'''; this ignores the fact that not all non-small cell lung cancer fits into the [[carcinoma]] category.
In the clinical context, it is often referred to as '''non-small cell lung cancer'''; this ignores the fact that not all non-small cell lung cancer fits into the [[carcinoma]] category.


''Poorly differentiated carcinoma of the lung'' and ''poorly differentiated lung carcinoma'' redirect to this article.
''Poorly differentiated carcinoma of the lung'', ''non-small cell carcinoma'' and ''poorly differentiated lung carcinoma'' redirect to this article.


==General==
==General==
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*[[Malignant melanoma]].
*[[Malignant melanoma]].
*Other poorly differentiated neoplasms  
*Other poorly differentiated neoplasms  
===Grading===
*''NSCC-NOS'', ''NSCC favour adenocarcinoma'', ''NSCC favour SCC'' are grade 4.
Note:
*In a large series of patients, there is no statistical difference in survival been grade 3 and grade 4.<ref name=pmid16678584>{{Cite journal  | last1 = Sun | first1 = Z. | last2 = Aubry | first2 = MC. | last3 = Deschamps | first3 = C. | last4 = Marks | first4 = RS. | last5 = Okuno | first5 = SH. | last6 = Williams | first6 = BA. | last7 = Sugimura | first7 = H. | last8 = Pankratz | first8 = VS. | last9 = Yang | first9 = P. | title = Histologic grade is an independent prognostic factor for survival in non-small cell lung cancer: an analysis of 5018 hospital- and 712 population-based cases. | journal = J Thorac Cardiovasc Surg | volume = 131 | issue = 5 | pages = 1014-20 | month = May | year = 2006 | doi = 10.1016/j.jtcvs.2005.12.057 | PMID = 16678584 }}</ref>


===Images===
===Images===
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Note:
Note:
*Immunostains should not favour adenocarcinoma or squamous cell carcinoma - see ''Sloan-Kettering algorithm'' below.
*If immunostains favour adenocarcinoma or squamous cell carcinoma, the case should be sign as ''favour adenocarcinoma'' or ''favour squamous cell carcinoma'', see ''Sloan-Kettering algorithm'' below and ''Sign out'' section.


===Adenocarcinoma versus squamous carcinoma===
===Adenocarcinoma versus squamous carcinoma===
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|-
|-
| Non-small cell carcinoma, favour adenocarcinoma
| Non-small cell carcinoma, favour adenocarcinoma
| TTF-1 or napsin +ve
| [[TTF-1]] or napsin +ve
|-
|-
| Non-small cell carcinoma, favour squamous cell carcinoma
| Non-small cell carcinoma, favour squamous cell carcinoma
| p40 or p63 +ve
| [[p40]] or [[p63]] +ve
|-
|-
| Non-small cell carcinoma-not otherwise specified
| Non-small cell carcinoma-not otherwise specified
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