Difference between revisions of "Poorly differentiated carcinoma of the lung"

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'''Poorly differentiated carcinoma of the lung''', also '''poorly differentiated lung carcinoma''', is an unclassified [[lung tumour]] with features of [[small cell carcinoma of the lung|small cell carcinoma]] and [[non-small cell carcinoma]]. 
#redirect [[Non-small cell lung carcinoma]]
 
Categorically, it is group of [[non-small cell lung cancer]].
 
==General==
*Should be used when the DDx is ''small cell carcinoma'' versus ''non-small cell carcinoma''.
*''Poorly differentiated carcinoma'' leaves the surgical options on the table.
 
==Microscopic==
Features:
*Small cell carcinoma/basaloid squamous cell carcinoma-like tumour.
 
DDx:
*[[Metastatic lung cancer]].
*[[Small cell carcinoma of the lung]].
*[[Squamous cell carcinoma of the lung]].
 
==IHC==
*Lack of staining with [[neuroendocrine markers]] (chromogranin A -ve, synaptophysin -ve, CD56 -ve).
*Keratins +ve.
 
==Sign out==
<pre>
Lung, Left Lower Lobe, Core Biopsy:
- POORLY DIFFERENTIATED CARCINOMA, see comment.
 
COMMENT:
The tumour stains as follows:
POSITIVE: EMA, AE1/AE3.
NEGATIVE: TTF-1, chromogranin A, synaptophysin, CD56, CD45.
 
The morphology would be compatible with small cell carcinoma or basaloid
squamous cell carcinoma. 
 
The neuroendocrine markers (chromogranin A, synaptophysin, CD56) and the squamoid
markers available (p63, CK5/6) are negative; thus, the tumour is not further classified.
</pre>
 
==See also==
*[[Lung tumours]].
 
[[Category:Lung tumours]]

Latest revision as of 04:28, 18 November 2015