Evaluation of suspected malignancies: Difference between revisions

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Mikael Häggström (talk | contribs)
Mikael Häggström (talk | contribs)
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:*[[Pancreatic ductal adenocarcinoma]]
:*[[Pancreatic ductal adenocarcinoma]]
[[File:Well-, moderately and poorly differentiated colorectal adenocarcinoma.png|thumb|300px|Degree of differentiation, with example from a [[colorectal adenocarcinoma]].]]
[[File:Well-, moderately and poorly differentiated colorectal adenocarcinoma.png|thumb|300px|Degree of differentiation, with example from a [[colorectal adenocarcinoma]].]]
Generally, adenocarcinomas are categorized by degree of differentiation as follows:
Generally, adenocarcinomas are categorized by degree of '''differentiation''' as follows:
*Well differentiated: > 95% of tumor has glandular formations
*Well differentiated: > 95% of tumor has glandular formations
*Moderately differentiated: 50 - 95% glandular
*Moderately differentiated: 50 - 95% glandular
*Poorly differentiated: < 50% glandular
*Poorly differentiated: < 50% glandular
If [[Metastasis|metastatic]] adenocarcinoma seems to be the case (always consider this in at least [[lung adenocarcinoma]]), look at the history and radiology reports for a most likely primary. Generally, perform [[immunohistochemistry]] with one or two stains that are most typical for the suspected primary, and optionally add CK7 and CK20 as a broad screening. {{further|Metastasis}}


===Squamoid tumors===
===Squamoid tumors===