By W. D. Travis, T. V. Colby, B. Corrin, Y. Shimosato, E. Brambilla (auth.)
The recent WHO class of Lung and Pleural Tumours updates the former thought from 1981 and accommodates many new innovations that experience constructed when you consider that that point. a few newly defined lesions are integrated in addition to present strategies in papillomas, adenomas, neuroendocrine tumours, adenocarcinomas, mesothelial tumours, and carcinomas with pleomorphic, sarcomatoid and sarcomatous good points. the result's a finished category with specific definitions and explantory notes illustrated through one hundred fifty prime quality colour photomicrographs that may advertise uniformity in recording and reporting information nationally and the world over. The WHO panel consisted of 24 participants from 14 international locations giving a wide overseas enter into this paintings.
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Additional info for Histological Typing of Lung and Pleural Tumours
Those that are benign include lipoma, localized fibrous tumour (fibroma, fibrous mesothelioma), chondroma, neurofibroma, neurilemoma, lymphangioma, hemangioma, leiomyoma, myxoma, granular cell tumour, glomus tumour and meningioma. Among the malignant tumours are fibrosarcoma, neurogenic sarcoma, angiosarcoma, lymphangiosarcoma, leiomyosarcoma, malignant fibrous histiocytoma, hemangiopericytoma, Kaposi sarcoma, chondrosarcoma, osteosarcoma, liposarcoma, rhabdomyosarcoma, alveolar soft part sarcoma, synovial sarcoma, pleuropulmonary blastoma, primitive neuroectodermal tumour and desmoplastic round cell tumour.
One study suggested that there are less frequent P53 mutations in pleomorphic carcinomas compared with adenocarcinomas or squamous cell carcinomas. The finding of identical P53 mutations in both the epithelial and spindle cell components of a small number of pleomorphic carcinomas, as well as in biphasic pulmonary blastomas and carcinosarcomas, supports a monoclonal histogenesis for these tumours. Another study demonstrated P53 gene mutations in 40% of biphasic blastomas by immunohistochemical and molecular analysis.
Adenocarcinoma composed of solid nests with many mucin-containing tumour cells and a few to occasional acini is called poorly differentiated acinar adenocarcmoma. In contrast with bronchioloalveolar carcinoma, the other histological subtypes of adenocarcinoma (acinar, papillary, solid and mixed) can arise anywhere from bronchi to alveoli and thus may grow as an endobronchial or a peripheral lung mass. Histological grading of adenocarcinomas by degree of differentiation may be carried out by applying conventional histological criteria to architectural patterns and cytologic features.