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Definition
Kostniakomięska Note the smooth to fibrillar pink osteoid between cells. 1.Osteosarcomas are often highly cellular and associated with bright pink, fibrillar extracellular matrix (osteoid). 2.Cells are distributed individually and in aggregates and range from ovoid to fusiform. 3.Their cytoplasm may contain fine clear vacuoles or fine pink granules. 4.Nuclei are round to ovoid and often eccentrically placed, with the appearance of "falling out" of the cell. 5.They have finely granular chromatin with multiple basophilic nucleoli, and hyperchromasia is common. 6.Marked criteria of malignancy often are present, including multinucleated giant cells. 7.Note: Subtypes of osteosarcoma exist, including chondroblastic and fibroblastic, which can make differentiation from chondrosarcomas and fibrosarcomas difficult. |
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Kostniakomięska Note the round cells with fine pink granules in their cytoplasm. Nuclei are eccentrically placed 1. Osteosarcomas are often highly cellular and associated with bright pink, fibrillar extracellular matrix (osteoid). 2. Cells are distributed individually and in aggregates and range from ovoid to fusiform. 3. Their cytoplasm may contain fine clear vacuoles or fine pink granules. 4. Nuclei are round to ovoid and often eccentrically placed, with the appearance of "falling out" of the cell. 5. They have finely granular chromatin with multiple basophilic nucleoli, and hyperchromasia is common. 6. Marked criteria of malignancy often are present, including multinucleated giant cells. 7. Note: Subtypes of osteosarcoma exist, including chondroblastic and fibroblastic, which can make differentiation from chondrosarcomas and fibrosarcomas difficult. |
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Chondrosarcoma Neoplastic cells are embedded within thick chondroid. 1.Cells are characterized by dense, metachromatic extracellular chondroid in which cells may be embedded, forming lacunae. 2.Cells are mostly round but can be spindloid, and have pale-blue cytoplasm that often contains diffuse, fine pink granules. 3.Unlike osteosarcomas, nuclei are more often centrally placed within the cell but also have finely stippled chromatin and multiple basophilic nucleoli. |
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Kostniako-chrzęstniakomięsak wielopłacikowy Cytologic samples from MLO are highly variable, as tumors are composed of cartilaginous, osseous and spindle cells. Multiplesuch components, together with clinical considerations (see below), should raise suspicion of these tumors. |
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Hemangiosarcomas of bone may exfoliate poorly, and samples may be very bloody. When present, cells areovoid to spindloid and may be seen in aggregates/epithelioid sheets. The cells have a small to moderate volume of medium‐blue cytoplasm that may form streaming cytoplasmic wisps. Nuclei are ovoid to occasionally amoeboid, and have finely granular chromatin with prominent, often large, basophilic nucleoli. Mitotic figures and hyperchromasia of nuclei are common. Anisocytosis/anisokaryosis are marked, and N/C ratios mostly are high. |
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Fibrosarcomas in bone are characterized by a population of spindloid cells with a small to moderate volume of pale‐blue cytoplasm forming bipolar tapering ends. Nuclei are round to ovoid, with finely granular chromatin and multiple prominent nucleoli. Anisocytosis/ anisokaryosis are moderate to marked. Care should be taken to differentiate these from reactive fibroplasia, and histopathology is required to differentiate from the fibroblastic variant of osteosarcoma and multilobular osteochondrosarcoma |
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Histiocytic sarcoma cells are round and discrete, which can make them difficult to distinguish from osteosarcoma. Distinguishing features may include vacuolation of the cytoplasm, and lack of pink granules. Differentiation from osteosarcoma is more straightforward when criteria of malignancy are marked, as karyomegaly and prominent nucleoli are more common in histiocytic sarcoma |
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Multiple myeloma is characterized by a neoplastic expansion of mostly well‐differentiated plasma cells seen in large sheets. The cells have a moderate volume of paleblue cytoplasm, and often have a characteristic, perinuclear clear zone (Golgi zone). Some cells may contain bright‐pink material within the periphery of the cytoplasm, representing the production of immunoglobulins (‘flame cells’) . Nuclei are round, eccentrically placed, and have clumped chromatin. |
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Metastatic bone tumors will appear cytologically similar to the primary tumor, often with marked criteria of malignancy. Mildly pleomorphic, reactive osteoblasts or osteoclasts may accompany neoplastic cells. Bone, metastatic mammary carcinoma. Note the cytologically normal osteoblast (arrow). |
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Osteomyelitis is characterized by an infiltration of inflammatory cells, the type of which will vary with the underlying infectious agent. Granulomatous inflammation generally accompanies fungal agents, while neutrophils are seen with bacterial osteomyelitis. Osteoblasts or osteoclasts may be seen, confirming involvement of bone. Fungal organisms are seen budding and forming hyphae (arrowheads), and an osteoclast is present (arrow). |
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Definition
Synovial fluid normal. There is a medium‐pink stippled background, rare erythrocytes, and a single, quiescent macrophage/ synoviocyte. Synovial fluid from normal joints has a variably thick, pink stippled, mucinous background. Erythrocytes should be absent or seen in very low numbers. Nucleated cells are seen individually in low numbers, and should comprise almost exclusively quiescent large mononuclear cells (macrophages or synoviocytes that look cytologically similar). Rare small mature lymphocytes may be seen. Neutrophils should be absent. |
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Synovial fluid, mononuclear inflammation and reactive changes. Mononuclear reactive changes may be seen with either a normal or elevated cell count. Relative to quiescent macrophages/ synoviocytes, the cells are larger, and have a greater volume of cytoplasm that frequently becomes vacuolated. These mononuclear cells may form sheets or dense aggregates, suggestive of synovial hyperplasia. |
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Bacterial septic arthritis is associated with a markedly elevated cell count, predominated by neutrophils. Neutrophils frequently are non‐degenerative. Bacteria may be seen in neutrophil phagolysosomes, but are not always seen in cases of septic arthritis. Care should be taken to differentiate bacteria from phagocytosed immunoglobulin, which can be seen in immunemediated disease. |
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Neutrophilic arthritis is seen with Rickettsial infections. Organisms may be visible within neutrophils in synovial fluid, often in low numbers, and careful examination of many neutrophils is recommended. The bacteria form round aggregates known as morulae. Note the morula of Anaplasma phagocytophilum in the neutrophil on the right. |
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Definition
Non‐infectious neutrophilic inflammation is characterized by variably increased numbers of neutrophils that are non‐degenerative (Figure 6.15). In cases of immunemediated polyarthritis (IMPA), neutrophils may rarely contain numerous, variably sized cytoplasmic inclusions that are pink to purple, and irregularly shaped. These represent phagocytosed immune complexes ornuclear remnants. These cells are called ‘ragocytes’ when unstained. These inclusions can be distinguished from ingested bacteria, the latter being uniform in size, staining and shape. |
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Definition
Non‐infectious neutrophilic inflammation. In cases of immunemediated polyarthritis (IMPA), neutrophils may rarely contain numerous, variably sized cytoplasmic inclusions that are pink to purple, and irregularly shaped. These represent phagocytosed immune complexes ornuclear remnants. These cells are called ‘ragocytes’ when unstained. These inclusions can be distinguished from ingested bacteria, the latter being uniform in size, staining and shape. Note the amorphous, pink/purple inclusions within the cytoplasm of some neutrophils. |
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Mięsak histiocytarny Rarely, neoplastic cells may be seen in synovial fluid, and their appearance will reflect the tumor of origin. They often display such as anisokaryosis and prominent nucleoli. Cells may be present in low numbers, and examination of sedimented or cytocentrifuged samples may be necessary. |
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Note the bright‐pink, spherical inclusion within the neutrophil or lupus erythematosus (LE) cell. |
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Erythrocytes within synovial fluid can pose a diagnostic challenge to distinguish between iatrogenic hemorrhage from sampling, and true hemorrhage (hemarthrosis). Prior hemorrhage is confirmed by visualizing erythrophagia or heme‐breakdown pigments within mononuclear cells |
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Metastatic bronchogenic carcinoma |
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Synovial cysts frequently have a similar pink stippled, mucinous background to normal synovial fluid; however, a clear background may be present. Cellularity generally is low, and comprises reactive macrophages/ synoviocytes. Cholesterol crystals may also be seen. Note the thick pink mucinous background, cholesterol crystal (left) and macrophage/synoviocyte (right). |
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Definition
Synovial cell sarcomas frequently are associated with a thick, pink stippled background, and cells may be seen in a streaming or windrowing distribution. This can make differentiation from myxosarcomas difficult. Cells are spindloid and have a moderate volume of medium‐blue cytoplasm that forms bipolar tendrils and wisps, and may contain fine pink granules or fine clear vacuoles. Nuclei are ovoid with coarsely granular chromatin and multiple, prominent, basophilic nucleoli. Anisocytosis/anisokaryosis are moderate, and N/C ratios are high. |
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Periarticular histiocytic sarcomas contain discrete cells with marked criteria of malignancy including anisokaryosis, karyomegaly, multinucleation, and high mitotic rates. Cells usually are vacuolated |
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1.Rhabdomyomas contain round to polygonal cells seen individually and in loose aggregates. 2.They have abundant pale-blue cytoplasm that often has a faint pink granular appearance (due to abundant mitochondria) 3.Nuclei are round, centrally located, and have coarsely granular chromatin with small, single nucleoli. 4.Anisocytosis/anisokaryosis are mild, and N/C ratios are low. Note the faint pink granular appearance of the cytoplasm of some cells |
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Definition
Rhabdomyosarcoma embryonal 1. The cytologic appearance of rhabdomyosarcomas is highly variable based on the degree of differentiation of the cells. 2. Rhabdomyoblasts (in embryonal rhabdomyosarcomas) are round, individualized cells with a small volume of medium-blue cytoplasm that contains fine clear vacuoles. 3. Nuclei frequently are indented or bilobed 4. These rhabdomyoblasts may be difficult to differentiate from lymphoma 5. More differentiated rhabdomyosarcomas have a polygonal appearance with abundant medium-blue cytoplasm that may have fine pink granules and perinuclear clearing 6. Nuclei are ovoid and have prominent single nucleoli. 7. Linear cells with nuclei in rows (strap cells) and cytoplasmic striations may be seen in very well-differentiated tumors. |
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Definition
Rhabdomyosarcoma dobrze zróżnicowana Many cells have a faint pink granular appearance to their cytoplasm. 1. The cytologic appearance of rhabdomyosarcomas is highly variable based on the degree of differentiation of the cells. 2. Rhabdomyoblasts (in embryonal rhabdomyosarcomas) are round, individualized cells with a small volume of medium-blue cytoplasm that contains fine clear vacuoles. 3. Nuclei frequently are indented or bilobed 4. These rhabdomyoblasts may be difficult to differentiate from lymphoma 5. More differentiated rhabdomyosarcomas have a polygonal appearance with abundant medium-blue cytoplasm that may have fine pink granules and perinuclear clearing 6. Nuclei are ovoid and have prominent single nucleoli. 7. Linear cells with nuclei in rows (strap cells) and cytoplasmic striations may be seen in very well-differentiated tumors. |
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Definition
Leiomyomas exfoliate variably well, and comprise welldifferentiated spindle cells seen individually and in aggregates. The cells have a scant volume of pale cytoplasm forming bipolar tendrils and wisps, and elongated nuclei with finely granular chromatin and small basophilic nucleoli. Anisocytosis/anisokaryosis are mild and N/C ratios are high. May look similar to fibromas or gastrointestinal stromal tumors |
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Definition
Leiomyosarcomas exfoliate variably well in loose aggregates and individually. They comprise plump spindle cells with a moderate volume of medium‐blue cytoplasmforming short bipolar tapering ends, and may contain fine clear vacuoles. Nuclei are ovoid with coarsely granular chromatin and prominent basophilic nucleoli. Anisocytosis/anisokaryosis are variable, and N/C ratios are moderate to high |
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Normalna ślinianka Sample backgrounds contain streaming blue/purple mucin, distributing erythrocytes and cells in a prominent windrowing pattern. Salivary glandular epithelium exfoliates as tight, cohesive sheets of cells that have abundant foamy cytoplasm, and round, pyknotic nuclei Anisocytosis/anisokaryosis are mild, and N/C ratios are low. |
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Definition
Salivary gland adenomas exfoliate as cohesive sheets of cells with a papillary or acinar‐like arrangement. The cells mostly are well‐differentiated, which can make differentiating these from normal or hyperplastic tissue difficult. Features include crowded sheets (with cellular piling), higher N/C ratios, and less‐vacuolated cells than normal epithelium |
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Sialoceles have a distinctive background that contains numerous pools of smooth, pale‐blue/lavender mucinousmaterial. Embedded within this material are inflammatory cells. Reactive macrophages usually predominate, and frequently contain hematoidin crystals or other heme‐breakdown pigments. Neutrophils and small mature lymphocytes may also be present. Normal salivary gland epithelium is variably present. |
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Salivary gland adenocarcinomas exfoliate in cohesive sheets, and may retain a papillary or acinar‐like arrangement. More anaplastic tumors lose features of salivary differentiation. They have a variable volume of deep‐blue cytoplasm that may contain clear vacuoles. Nuclei are round with smudged chromatin and prominent basophilic nucleoli. Anisocytosis/anisokaryosis often are marked, and N/C ratios are high. |
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Definition
Inflammation may be seen in the salivary gland in the absence of a cystic component, though variable amounts of mucin may still be seen (Figure 8.5). The types of nucleated cells vary with the primary pathologic process, and may comprise neutrophils (more common in bacterial etiologies) or small mature lymphocytes (chronic, viral or immune mediated causes). Infectious agents may be present |
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Definition
Hyperplastic transitional epithelium can be highly pleomorphic, and may mimic neoplasia. It is normally seen secondary to inflammation (septic or sterile) or trauma/irritation (e.g., due to urolithiasis), and evidence of inflammation, infectious organisms or crystalluria frequently is present. |
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Definition
Papillomas and polyps exfoliate as cohesive sheets of monomorphic cells, in contrast to the gradient of pleomorphism seen with hyperplastic epithelium . Cells are round to polygonal, and have a moderate volume of pale‐blue cytoplasm. Nuclei are ovoid, with finely granular chromatin and small or inapparent nucleoli. Anisocytosis/anisokaryosis are mild, and N/C ratios are moderate to low. |
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Definition
Transitional cell carcinomas (TCC) exfoliate as sheets of epithelial cells that are round to polygonal. They have a variable volume of cytoplasm that frequently contains bright‐pink, spherical inclusions of secretory material. Nuclei are ovoid, with granular chromatin and often multiple, prominent nucleoli. Multinucleation is common. Anisocytosis/anisokaryosis are marked, and N/C ratios are variable. |
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Normal transitional epithelial cells are monomorphic, with minimal pleomorphism and low N/C ratios. |
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Exfoliation of neoplastic cells into urine is uncommon, and differentiation from epithelial hyperplasia can be difficult. Neoplastic cells should have marked criteria of malignancy, including marked anisocytosis/anisokaryosis, prominent nucleoli ± mitotic figures. |
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Definition
Hyperplastic transitional epithelial cells can exfoliate into urine, and have increased pleomorphismthat may mimic neoplasia. As described above, in section 9.2.1, they often are accompanied by evidence of inflammation, infectious organisms, or crystals. |
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Definition
Exfoliation of neoplastic cells into urine is uncommon, and differentiation from epithelial hyperplasia can be difficult. Neoplastic cells should have marked criteria of malignancy, including marked anisocytosis/anisokaryosis, prominent nucleoli ± mitotic figures. |
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Definition
Leukocytes should be seen in low numbers in normal urine (<3 per 40× objective field in a wet preparation). Neutrophils are most frequently seen, and may be associated with infectious organisms such as bacteria |
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Definition
Leukocytes should be seen in low numbers in normal urine (<3 per 40× objective field in a wet preparation). Neutrophils are most frequently seen, and may be associated with infectious organisms such as fungi |
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Bacterial rhinitis. Note intracellular bacterial cocci within a degenerative neutrophil and smooth pink mucin in the background.Septic rhinitis is characterized by large numbers inflammatory cells, with neutrophils normally predominating in bacterial rhinitis , and macrophages seen with fungal, protozoal or algal infections, which may also be accompanied by eosinophils. |
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Definition
Lymphoplasmacytic rhinitis is the most common sterile inflammatory condition, and is associated with increased numbers of small mature and reactive lymphocytes with plasma cells |
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Definition
Both, squamous and psuedostratified columnar epithelial cells are present in the nasal cavity. Hyperplasia may be seen secondary to inflammation, infection, chronic irritation, or adjacent neoplasia. Typically, these cells have a slightly decreased volume (higher N/C ratios) of more deeply basophilic cytoplasm, and may lack cilia. Anisocytosis/anisokaryosis generally are still mild, and few criteria of malignancy are seen. |
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Definition
Adenocarcinomas exfoliate in variably cohesive sheets. Well‐differentiated tumors have prominent intercellular borders, while anaplastic tumors may be poorly cohesive, mimicking lymphoma, particularly in cats [7]. Cells mostly are round, with a moderate volume of mediumto deep‐blue cytoplasm, and round nuclei with stippled chromatin and prominent nucleoli. Anisocytosis/ anisokaryosis mostly are moderate to marked, and N/C ratios are high |
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Definition
Nasal lymphoma often exfoliates well, and comprises individualized cells with round nuclei, stippled chromatin, and variably prominent nucleoli. The cells have a small to moderate volume of medium‐ to deep‐blue cytoplasm |
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Definition
Squamous cell carcinomas are characterized by variably cohesive sheets of cells ranging from polygonal to round The cells frequently have keratinized, bright‐blue cytoplasm (Figure 10.6). Perinuclear vacuolation also is a common finding. Anisocytosis/anisokaryosis are marked. Tumors frequently are accompanied by neutrophilic inflammation |
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Definition
Chondrosarcomas are characterized by dense, metachromatic extracellular chondroid in which cells may be embedded, forming lacunae. Cells mostly are round but can be spindloid, and have pale‐blue cytoplasm that contains pink granules (Figure 10.7). Nuclei are centrally placed, with finely stippled chromatin and multiple basophilic nucleoli. |
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Definition
Fibrosarcomas exfoliate as spindloid cells seen individually or in aggregates, often associated with brightpink extracellular matrix. The cells have a variable volume of cytoplasm forming tendrils and wisps, and may contain fine pink granules or vacuoles (Figure 10.8). Nuclei are ovoid to elongated, with finely granular chromatin and prominent nucleoli. Anisocytosis/ anisokaryosis often are marked, and N/C ratios generally are high |
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Definition
Thyroid adenomas comprise sheets of uniform, cuboidal to columnar epithelial cells, frequently arranged in palisading rows and acinar arrangements. Bright‐pink colloid may be seen in the background, and bare nuclei are a common finding. The cells often lack prominent intercellular borders. They have a moderate volume of cytoplasm that may contain green/black pigment (tyrosine). Nuclei are centrally or eccentrically placed, and have stippled chromatin with small basophilic nucleoli. Anisocytosis/anisokaryosis are mild and N/C ratios are low. Note that adenomatous hyperplasia appears cytologically similar. Note the acinar arrangement of the cells, and the subtle pink colloid around the periphery of the cytoplasm |
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Definition
Rak dobrze zróżnicowany The cells have mild criteria of malignancy, but note the high N/C ratios and cellular crowding. Cytologic appearance of thyroid carcinomas is highly variable, ranging from well‐differentiated (making them difficult to distinguish from adenomas, to markedly pleomorphic . They frequently have a densely bloody background, as carcinomas are more vascular than benign tumors. The cells often form palisading rows or acinar arrangements, and bright‐pink, smooth colloid may be seen in the background. Green/black tyrosine granules may be present in the cytoplasm. |
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Definition
Cytologic appearance of thyroid carcinomas is highly variable, ranging from well‐differentiated (making them difficult to distinguish from adenomas, to markedly pleomorphic . They frequently have a densely bloody background, as carcinomas are more vascular than benign tumors. The cells often form palisading rows or acinar arrangements, and bright‐pink, smooth colloid may be seen in the background. Green/black tyrosine granules may be present in the cytoplasm. There is abundant bright‐pink colloid. Cells have indistinct intercellular borders and are disorganized. |
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Definition
Cytologic appearance of thyroid carcinomas is highly variable, ranging from well‐differentiated (making them difficult to distinguish from adenomas, to markedly pleomorphic . They frequently have a densely bloody background, as carcinomas are more vascular than benign tumors. The cells often form palisading rows or acinar arrangements, and bright‐pink, smooth colloid may be seen in the background. Green/black tyrosine granules may be present in the cytoplasm. There is abundant bright‐pink colloidNeoplastic cells are poorly cohesive and have marked anisokaryosis |
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Definition
Cytologic appearance of thyroid carcinomas is highly variable, ranging from well‐differentiated (making them difficult to distinguish from adenomas, to markedly pleomorphic . They frequently have a densely bloody background, as carcinomas are more vascular than benign tumors. The cells often form palisading rows or acinar arrangements, and bright‐pink, smooth colloid may be seen in the background. Green/black tyrosine granules may be present in the cytoplasm. There is abundant bright‐pink colloid. The cells are arranged in palisading rows and have marked anisocytosis/anisokaryosis. Green/blue tyrosine granules are seen in many cells. Note the faint pink granular appearance of the cytoplasm. |
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Definition
Thyroid C cell carcinomas often have a distinctive ‘plasmacytoid’ appearance, similar to those described in humans [8]. The cells are ovoid, with a moderate volume of pink granular cytoplasm (which may represent cytoplasmic calcitonin), and eccentrically placed nuclei that have finely stippled chromatin and single basophilic nucleoli (Figure 11.6). Anisokaryosis is moderate. The pink cytoplasm can make differentiating these tumors from carotid body tumors difficult (compare to Figure 11.9); however, the cytoplasm of carotid body tumors mostly has a more coarse granular appearance |
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Definition
1. Jednolita populacja 2. Pleomorfizm 3. Duża gęstość komórkowa |
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Term
Ogólne kryteria złośliwości (3) |
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Definition
1. Anizocytoza (wielkość) 2. Makrocytoza 3. Pleomorfizm (kształt) |
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Term
Cytoplazmatyczne kryteria złośliwości (4) |
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Definition
1. Zasadochłonność (więcej RNA) 2. Nieprawidłowe struktury cytoplazmatyczne - wodniczki ziarnistości 3. Lub ich brak 4. Względnie mała ilość |
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Term
Jądrowe kryteria złośliwości (9) |
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Definition
1. Anizokarioza 2. Makrokarioza 3. Wzrost stosunku N:C 4. Duże jąderka (makronucleosis) 5. Wyraźne mnogie jąderka ze zmienną morfologią 6. Hiperchromazja 7. Liczne figury mitotyczne, zwłaszcza nieprawidłowe 8. Nierównomierny rozkład chromatyny np. guboziarnista 9. Deformacje jąder (nuclera moulding) ucisk wywierany przez inne jądro lub komórkę |
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Term
Tednencja do tworzenia skupisk (4) |
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Definition
1. Luźno 2. Małe grupy komórek 3. Zlepy komórek 4. Duże skupiska |
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