Difference between revisions of "Microcystic elongated and fragmented glands in endometrioid endometrial carcinoma"

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==Microscopic==
==Microscopic==
Features:
Features:
*Stromal mucin.<ref name=pmid19900084>{{cite journal |authors=Stewart CJ, Brennan BA, Leung YC, Little L |title=MELF pattern invasion in endometrial carcinoma: association with low grade, myoinvasive endometrioid tumours, focal mucinous differentiation and vascular invasion |journal=Pathology |volume=41 |issue=5 |pages=454–9 |date=2009 |pmid=19900084 |doi=10.1080/00313020903041135 |url=}}</ref>
*Irregular elongated glands ("microcystic elongated fragmented") - at deep aspect of tumour.
**Mucinous differentiation common.
**Surrounded by stromal mucin.<ref name=pmid19900084>{{cite journal |authors=Stewart CJ, Brennan BA, Leung YC, Little L |title=MELF pattern invasion in endometrial carcinoma: association with low grade, myoinvasive endometrioid tumours, focal mucinous differentiation and vascular invasion |journal=Pathology |volume=41 |issue=5 |pages=454–9 |date=2009 |pmid=19900084 |doi=10.1080/00313020903041135 |url=}}</ref>
*Lymphovascular invasion more commmon than non-MELF carcinomas.<ref name=pmid24487466>{{cite journal |vauthor=Hertel JD, Huettner PC, Pfeifer JD |title=Lymphovascular space invasion in microcystic elongated and fragmented (MELF)-pattern well-differentiated endometrioid adenocarcinoma is associated with a higher rate of lymph node metastasis |journal=Int. J. Gynecol. Pathol. |volume=33 |issue=2 |pages=127–34 |date=March 2014 |pmid=24487466 |doi=10.1097/PGP.0b013e318285657b |url=}}</ref>  
**May be confused with LVI.
*Lymphovascular invasion more commmon than non-MELF carcinomas.<ref name=pmid24487466>{{cite journal |vauthor=Hertel JD, Huettner PC, Pfeifer JD |title=Lymphovascular space invasion in microcystic elongated and fragmented (MELF)-pattern well-differentiated endometrioid adenocarcinoma is associated with a higher rate of lymph node metastasis |journal=Int. J. Gynecol. Pathol. |volume=33 |issue=2 |pages=127–34 |date=March 2014 |pmid=24487466 |doi=10.1097/PGP.0b013e318285657b |url=}}</ref>
 
Note:
*Mucinous differentiation common in MELF.


==See also==
==See also==
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