Difference between revisions of "Small round cell tumours"

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| '''Key [[IHC]] / <br>special stains'''
| '''Key [[IHC]] / <br>special stains'''
|-
|-
| Hepatoblastoma
| [[Hepatoblastoma]]
| fetal hepatocytes (~ 1:3 NC ratio, eosinophilic cytoplasm)
| fetal hepatocytes (~ 1:3 NC ratio, eosinophilic cytoplasm)
| liver
| liver lesion, usu. < 3 years old
| AFP
| AFP
|-  
|-  
| Neuroblastoma
| [[Neuroblastoma]]
| nests, thin fibrovascular septae, lymphocytes, ganglion-like cells (prominent nucleolus), neurophil (eosinophilic, fluffy, finely vacuolated)
| nests, thin fibrovascular septae, lymphocytes, ganglion-like cells (prominent nucleolus), neurophil (eosinophilic, fluffy, finely vacuolated)
| adrenal gland, sympathetic chain; usu. < 3 years old
| adrenal gland, sympathetic chain; usu. < 3 years old
| NB-84+, NSE+, S100-
| NB-84+, NSE+, S100-
|-
|-
| Nephroblastoma (Wilms tumour)
| [[Nephroblastoma]] (Wilms tumour)
| triphasic - (1) blue cells (blastema), (2) spindle cells (stroma), (3) tubular structures (epithelial)
| triphasic - (1) blue cells (blastema), (2) spindle cells (stroma), (3) tubular structures (epithelial)
| kidney lesion, various syndromes
| kidney lesion, various syndromes
| WT-1+
| WT-1+
|-
|-
| Retinoblastoma
| [[Retinoblastoma]]
| Flexner-Wintersteiner rosette (rosette with empty centre (donut hole))<ref name=pmid16551982>{{cite journal |author=Wippold FJ, Perry A |title=Neuropathology for the neuroradiologist: rosettes and pseudorosettes |journal=AJNR Am J Neuroradiol |volume=27 |issue=3 |pages=488–92 |year=2006 |month=March |pmid=16551982 |doi= |url=}}</ref>  
| Flexner-Wintersteiner rosette (rosette with empty centre (donut hole))<ref name=pmid16551982>{{cite journal |author=Wippold FJ, Perry A |title=Neuropathology for the neuroradiologist: rosettes and pseudorosettes |journal=AJNR Am J Neuroradiol |volume=27 |issue=3 |pages=488–92 |year=2006 |month=March |pmid=16551982 |doi= |url=}}</ref>  
| eye lesion; +/-RB1 gene mutations (familial)
| eye lesion; +/-RB1 gene mutations (familial)
|
|
|-
|-
| Medulloblastoma
| [[Medulloblastoma]]
| Homer-Wright rosettes (rosette with a meshwork of fibers (neuropil) at the centre)<ref name=pmid16551982>{{cite journal |author=Wippold FJ, Perry A |title=Neuropathology for the neuroradiologist: rosettes and pseudorosettes |journal=AJNR Am J Neuroradiol |volume=27 |issue=3 |pages=488–92 |year=2006 |month=March |pmid=16551982 |doi= |url=}}</ref>
| Homer-Wright rosettes (rosette with a meshwork of fibers (neuropil) at the centre)<ref name=pmid16551982>{{cite journal |author=Wippold FJ, Perry A |title=Neuropathology for the neuroradiologist: rosettes and pseudorosettes |journal=AJNR Am J Neuroradiol |volume=27 |issue=3 |pages=488–92 |year=2006 |month=March |pmid=16551982 |doi= |url=}}</ref>
| +/-nevoid basal cell carcinoma syndrome
| +/-nevoid basal cell carcinoma syndrome
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| "DAM" = desmin, actin, myogenin
| "DAM" = desmin, actin, myogenin
|-
|-
| Desmoplastic small round cell tumour (DSRCT)
| [[Desmoplastic small round cell tumour]] (DSRCT)
| nests with "jigsaw" border  
| nests with "jigsaw" border  
| peritoneum (abdomen or plevis); male > female; locally invasive
| peritoneum (abdomen or plevis); male > female; locally invasive
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| synaptophysin, chromogranin, CD56, keratins
| synaptophysin, chromogranin, CD56, keratins
|-
|-
| Lymphoma (large cell)
| [[Lymphoma]] (large cell)
| dyscohesive cells, ~2x normal (resting) lymphocyte, nucleolus
| dyscohesive cells, ~2x normal (resting) lymphocyte, nucleolus
| lymphadenopathy (???)
| lymphadenopathy (???)
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