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(→Papillary urothelial lesions: format) |
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Urothelial cells in papillae - benign/premalignant/cancerous:<ref>{{Ref GUP|166-175}}</ref><ref name=Ref_WMSP310>{{Ref WMSP|310}}</ref> | Urothelial cells in papillae - benign/premalignant/cancerous:<ref>{{Ref GUP|166-175}}</ref><ref name=Ref_WMSP310>{{Ref WMSP|310}}</ref> | ||
{| class="wikitable" | {| class="wikitable" | ||
| | | | ||
|'''Papilloma''' | |||
|'''PUNLMP''' | |||
|'''low grade PUCC''' | |||
|'''high grade PUCC''' | |||
|- | |- | ||
|papillae features | |papillae features | ||
|'''fat papillae''', <br>'''thick FV core''' | |||
|'''slender FV core''' | |||
|slender FV core, <br>'''thick epithelium''' | |||
|mixed population | |||
|- | |- | ||
|papillae branching | |papillae branching | ||
|rare | |||
|uncommon | |||
|frequent | |||
|common | |||
|- | |- | ||
|papillae fusion | |papillae fusion | ||
|none | |||
|rare | |||
|some | |||
|common | |||
|- | |- | ||
|nuclear size | |nuclear size | ||
|normal (2x lymphocyte) | | |||
|'''enlarged - uniform''' | |||
|'''enlarged with variation''' | |||
|'''4-5x lymphocyte,'''<br>'''marked pleomorphism''' | |||
|- | |- | ||
|mitoses | |mitoses | ||
|very rare basal | |||
| rare basal only | |||
|infreq., usually basal | |||
|common, everywhere | |||
|- | |- | ||
|DDx | |DDx | ||
|PUNLMP, low gr. PUCC | |||
|papilloma, low gr. | |||
|PUNLMP, high gr. | |||
|low gr., invasive UCC | |||
|- | |- | ||
|IHC | |IHC | ||
|p53-, CK20+ umbrella cells | |||
|CK20+ umbrella | |||
|-/+ p53, CK20+ umbrella | |||
|'''diffuse CK20+''', p53+ in 50% | |||
|- | |- | ||
|Other | |Other | ||
|cytologically normal | |||
|low cellular density (@ low power) vs. low gr.<ref>GAG. 26 February 2009.</ref> | |||
|+/- small nucleoli | |||
|nucleoli prominent | |||
|- | |- | ||
|Key feature | |Key feature | ||
|normal cells,<br>fat papillae | |||
|uniformly enlarged cell pop., <br>slender papillae | |||
|nuc. pleomorphism, <br> thick epithelium | |||
|marked nuclear pleomorphism | |||
|- | |- | ||
|} | |} |
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