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Difference between revisions of "Head and neck cytopathology"
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Head and neck cytopathology (view source)
Revision as of 17:51, 15 October 2015
, 17:51, 15 October 2015images
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*Lymphocytes. | *Lymphocytes. | ||
*Necrotic material (cyst contents). | *Necrotic material (cyst contents). | ||
DDx: | DDx: | ||
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*Oncocytoma. | *Oncocytoma. | ||
**Oncocytoma (vis-a-vis [[Warthin tumour]]) has more '''c'''ells, more '''c'''ytoplasm, more granularity of '''c'''ytoplasm, more '''c'''omplex architecture.<ref name=boerner2003/> | **Oncocytoma (vis-a-vis [[Warthin tumour]]) has more '''c'''ells, more '''c'''ytoplasm, more granularity of '''c'''ytoplasm, more '''c'''omplex architecture.<ref name=boerner2003/> | ||
====Images==== | |||
<gallery> | |||
Image:Papillary_cystadenoma_lymphomatosum_cytology_high.jpg | Warthin tumour - high mag. (WC) | |||
Image:Papillary_cystadenoma_lymphomatosum_cytology_intermed.jpg | Warthin tumour - intermed. mag. (WC) | |||
Image:Papillary_cystadenoma_lymphomatosum2.jpg | Warthin tumour - surgical specimen. (WC) | |||
</gallery> | |||
==Oncocytoma== | ==Oncocytoma== | ||
{{Main|Oncocytoma of the salivary gland}} | |||
===General=== | ===General=== | ||
*May be confused with [[Warthin tumour]]. | *May be confused with [[Warthin tumour]]. | ||
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**Cell borders are often distinct. | **Cell borders are often distinct. | ||
Images | ===Images=== | ||
<gallery> | |||
Image:Mucoepidermoid_carcinoma_2_-_high_mag.jpg | Mucoepidermoid carcinoma. (WC) | |||
Image:Mucoepidermoid_carcinoma_2_-_very_high_mag.jpg | Mucoepidermoid carcinoma - very high mag. (WC) | |||
Image:Mucoepidermoid_carcinoma_-_cytology.jpg | Mucoepidermoid carcinoma - not a very good image. (WC) | |||
</gallery> | |||
==Acinic cell carcinoma== | ==Acinic cell carcinoma== | ||
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**Adipocytes between acini (differentiates from normal). | **Adipocytes between acini (differentiates from normal). | ||
**Ductal structures (differentiates from normal). | **Ductal structures (differentiates from normal). | ||
Memory device: | Memory device: | ||
*AcCC - lots of "C"s: lots of cytoplasm, [[carcinoid]]-like (stippled chromatin, granular cytoplasm). | *AcCC - lots of "C"s: lots of cytoplasm, [[carcinoid]]-like (stippled chromatin, granular cytoplasm). | ||
====Image==== | |||
<gallery> | |||
Image:Acinic_cell_carcinoma.jpg Acinic cell carcinoma - cytology. (WC) | |||
</gallery> | |||
==Adenoid cystic carcinoma== | ==Adenoid cystic carcinoma== | ||
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*Memory device: A'''d'''CC = lotsa '''D'''NA in relation to cell. | *Memory device: A'''d'''CC = lotsa '''D'''NA in relation to cell. | ||
Image | ====Image==== | ||
<gallery> | |||
Image:Adenoid_cystic_carcinoma_cytology.jpg | Adenoid cystic carcinoma - cytology. (WC) | |||
</gallery> | |||
==Epithelial-myoepithelial carcinoma== | ==Epithelial-myoepithelial carcinoma== | ||
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*+/-Lymphoglandular bodies. | *+/-Lymphoglandular bodies. | ||
Image | ====Image==== | ||
*[http://moon.ouhsc.edu/kfung/jty1/CytoLearn/CytoQuiz/CQ-021-040/CI-Image-0803/FQ-044b.gif Lymphoglandular bodies in a DLBCL (ouhsc.edu)].<ref name=ouhsc_nine>URL: [http://moon.ouhsc.edu/kfung/jty1/CytoLearn/CytoQuiz/CQ-021-040/CQ-024-M.htm http://moon.ouhsc.edu/kfung/jty1/CytoLearn/CytoQuiz/CQ-021-040/CQ-024-M.htm]. Accessed on: 9 April 2012.</ref> | *[http://moon.ouhsc.edu/kfung/jty1/CytoLearn/CytoQuiz/CQ-021-040/CI-Image-0803/FQ-044b.gif Lymphoglandular bodies in a DLBCL (ouhsc.edu)].<ref name=ouhsc_nine>URL: [http://moon.ouhsc.edu/kfung/jty1/CytoLearn/CytoQuiz/CQ-021-040/CQ-024-M.htm http://moon.ouhsc.edu/kfung/jty1/CytoLearn/CytoQuiz/CQ-021-040/CQ-024-M.htm]. Accessed on: 9 April 2012.</ref> | ||
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*[[Small cell lymphoma]]s cannot be diagnosed definitively from cytology. | *[[Small cell lymphoma]]s cannot be diagnosed definitively from cytology. | ||
Image | ====Image==== | ||
*[http://moon.ouhsc.edu/kfung/jty1/CytoLearn/CytoQuiz/CQ-021-040/CI-Image-0803/FQ-044b.gif DLBCL with lymphoglandular bodies (ouhsc.edu)].<ref name=ouhsc_nine>URL: [http://moon.ouhsc.edu/kfung/jty1/CytoLearn/CytoQuiz/CQ-021-040/CQ-024-M.htm http://moon.ouhsc.edu/kfung/jty1/CytoLearn/CytoQuiz/CQ-021-040/CQ-024-M.htm]. Accessed on: 9 April 2012.</ref> | *[http://moon.ouhsc.edu/kfung/jty1/CytoLearn/CytoQuiz/CQ-021-040/CI-Image-0803/FQ-044b.gif DLBCL with lymphoglandular bodies (ouhsc.edu)].<ref name=ouhsc_nine>URL: [http://moon.ouhsc.edu/kfung/jty1/CytoLearn/CytoQuiz/CQ-021-040/CQ-024-M.htm http://moon.ouhsc.edu/kfung/jty1/CytoLearn/CytoQuiz/CQ-021-040/CQ-024-M.htm]. Accessed on: 9 April 2012.</ref> | ||
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*RSCs are usually found at the edge of smears.<ref name=ouhsc_q26>URL: [http://moon.ouhsc.edu/kfung/jty1/CytoLearn/CytoQuiz/CQ-021-040/CQ-026-M.htm http://moon.ouhsc.edu/kfung/jty1/CytoLearn/CytoQuiz/CQ-021-040/CQ-026-M.htm]. Accessed on: 9 April 2012.</ref> | *RSCs are usually found at the edge of smears.<ref name=ouhsc_q26>URL: [http://moon.ouhsc.edu/kfung/jty1/CytoLearn/CytoQuiz/CQ-021-040/CQ-026-M.htm http://moon.ouhsc.edu/kfung/jty1/CytoLearn/CytoQuiz/CQ-021-040/CQ-026-M.htm]. Accessed on: 9 April 2012.</ref> | ||
Images: | ====Images==== | ||
<gallery> | |||
Image:Hodgkin_lymphoma_cytology_large.jpg | HL. (WC) | |||
</gallery> | |||
www: | |||
*[http://moon.ouhsc.edu/kfung/jty1/CytoLearn/CytoQuiz/CQ-021-040-Ans/CI-Image-0803/FQ-046b.gif HL (ouhsc.edu)].<ref name=ouhsc_q26/> | *[http://moon.ouhsc.edu/kfung/jty1/CytoLearn/CytoQuiz/CQ-021-040-Ans/CI-Image-0803/FQ-046b.gif HL (ouhsc.edu)].<ref name=ouhsc_q26/> | ||
=Cystic lesions of the neck= | =Cystic lesions of the neck= | ||