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Intro to Cytopath & Ways of Seeing
Path - Fundamentals
41
Medical
Graduate
08/15/2012

Additional Medical Flashcards

 


 

Cards

Term
Limitations of cytological evaluation
Definition
Extent and depth of invasion cannot be determined; negative results do not exclude the possibility of malignancy; lack of tissue architecture: some tumor types cannot be accurately classified.
Term
Cell characteristics of malignant cells
Definition
Greater variation in cells size, greater variation in cell shape (abnormal shapes very possible), many cancer cells lose cohesiveness and adhesion to surrounding cells
Term
Nuclear characteristics of malignant cells
Definition
Nuclear size, especially N/C ratio, is increased; nuclear shape may be irregular and vary widely; chromatin texture can be coarsely granular; hyperchromasia; increased number of larger, irregularly shaped nucleoli; mitoses can be seen at locations other than the basal layer, some have abnormal multi-poled mitotic figures.
Term
Hyperchromasia
Definition
Malignant cells contain more DNA, therefore the nuclei stain darker
Term
Circumscribed
Definition
Well-delineated lesion, clear border, tends to be benign
Term
Encapsulated
Definition
Surrounded by a fibrous capsule
Term
Infiltrative
Definition
Invading into surrounding tissue, poorly defined border
Term
Lobular
Definition
Circumscribed, rounded nodules of cells
Term
Pushing Border
Definition
Expanding into and compressing normal tissue, can create appearance of a capsule
Term
Alveolar
Definition
In little sacs or nests
Term
Biphasic
Definition
Having components of two cell lineages, such as spindled cells with pockets of glands
Term
Cribriform
Definition
Perforated, with well-formed holes within a glandular lumen
Term
Discohesive
Definition
Falling apart into single cells, no shared border
Term
Epithelioid
Definition
Round to oval cells with lots of cytoplasm, look "plump"
Term
Fascicular
Definition
Composed of fascicles, bundles of elongated spindly cells in polarized arrays
Term
Glandular
Definition
Forming gland structures with lumens
Term
Herringbone
Definition
Zig-zag array of alternating bundles
Term
Hobnailed
Definition
Epithelial or endothelial cells round up and protrude into the lumen
Term
Indian File
Definition
Cells infiltrate through tissue single file, can be 3-4 cells long
Term
Micropapillary
Definition
Papillary-shaped epithelial projections without true fibrovascular cores, "medusa-head" appearance
Term
Pagetoid Spread
Definition
Single malignant cells scattered throughout a benign epidermis, cells stand out at low power
Term
Palisading
Definition
Resembling a fence, parallel arrays of nuclei that stand out at low power
Term
Papillary
Definition
Papilla with fibrovascular cores supporting proliferative epithelium
Term
Polarized
Definition
Epithelial cells with a uniform nuclear position, either apical or basal
Term
Reticular
Definition
Resembling a network or netlike array, microcystic or honeycomb appearance
Term
Rosettes
Definition
Group of nonepithelial cells that cluster around a common center, psuedorosettes form around a vessel, true rosettes form around a lumen
Term
Spindled
Definition
Elongated cells with fusiform nuclei, sheets or fascicles
Term
Storiform
Definition
Cartwheel pattern, spindle cells radiating from a central point, "whorls of cells"
Term
Syncytial
Definition
Cytoplasmic continuity between cells, no recognizable cell borders
Term
Trabecular
Definition
Cord-like arrays separated by fibrous septa
Term
Amphophilic
Definition
Affinity for both acidic and basic dyes, unique color
Term
Foamy Macrophages
Definition
Macrophages stuffed with lipid, small dark eccentric nucleus and granular appearance
Term
Granular
Definition
Containing granules or tiny vacuoles
Term
Keratinized
Definition
Keratin-producing, very pink and dense on H and E, orange with Pap stain
Term
Mucous
Definition
Producing mucin, looks clear after processing but stains with mucicarmine or PAS
Term
Oncocytic
Definition
Large cells with granular eosinophilic cytoplasm, lots of mitochondria
Term
Plasmacytoid
Definition
Like plasma cells, abundant cytoplasm and eccentric round nucleus
Term
Signet Ring
Definition
Flattened nucleus compressed by cytoplasm stuffed with mucin
Term
Clock Face
Definition
Evenly distributed chromatin, like a soccer ball
Term
Molding
Definition
Nuclei that press and indent each other due to near-absence of cytoplasm, mosaic-like appearance
Term
Neuroendocrine
Definition
Finely speckled, "salt and pepper" nuclei, no nucleoli
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