Difference between revisions of "Adrenal gland"

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414 bytes added ,  17:45, 27 August 2011
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===Microscopic===
===Microscopic===
Features:<ref>{{Ref PBoD8|1161}}</ref>
Features:<ref>{{Ref PBoD8|1161}}</ref>
*Usu. polygonal cells, may be spindled.
*Chief cells:
*Arranged in cell nests - "Zellballen" (literally ''cell balls'') - '''key feature'''.
**Usu. polygonal cells, may be spindled.
*Stippled chromatin ([[AKA]] salt and pepper chromatin) - coarsely granular chromatin.
**Arranged in cell nests - "Zellballen" (literally ''cell balls'') - '''key feature'''.
*Granular cytoplasm, often basophilic - '''important'''.
**Stippled chromatin ([[AKA]] salt and pepper chromatin) - coarsely granular chromatin.
**Granular cytoplasm, often basophilic - '''important'''.
*Sustentacular cells (structural support cell).
*Often haemorrhagic - highly vascular.
*Often haemorrhagic - highly vascular.
*+/-Nuclear pleomorphism.
*+/-Nuclear pleomorphism.
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Notes:
Notes:
*The nested architecture (Zellballen) is useful for differentiating from [[ACC]].
*The nested architecture (Zellballen) is useful for differentiating from [[ACC]].
*Metastasis sole criteria of malignancy.<ref name=Ref_PCPBoD8_586>{{Ref PCPBoD8|586}}</ref>
Images:
*[http://commons.wikimedia.org/wiki/File:Carotid_body_tumour_2_low_mag.jpg Carotid body tumour - low mag. (WC)].
*[http://commons.wikimedia.org/wiki/File:Carotid_body_tumour_2_high_mag.jpg Carotid body tumour - high mag. (WC)].


===IHC===
===IHC===
*Chromogranin +ve.
*Chief cells:
*Synaptophysin +ve.
**Chromogranin A +ve.
*S100 +ve (sustentacular cells).
**Synaptophysin +ve.
*Sustentacular cells:
**S100 +ve.


===[[EM]]===
===[[EM]]===
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