Adenocarcinoma: Difference between revisions

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{{DiseaseDisorder infobox |
{{DiseaseDisorder infobox |
   Name          = Adenocarcinoma, NOS |
   Name          = Adenocarcinoma, NOS |
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{{SI}}
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{{CMG}}
{{CMG}}
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==Overview==
==Overview==
'''Adenocarcinoma''' is a form of [[carcinoma]] that originates in [[glandular]] tissue. To be classified as adenocarcinoma, the cells do not necessarily need to be part of a [[gland]], as long as they have secretory properties.  This form of carcinoma can occur in some higher mammals, including humans.<ref>Fauquier, D.A.,  Gulland, F.M.D.,(Marine Mammal Center), Haulena, M., Spraker, T., ‘’Biliary adenocarcinoma in a stranded Northern elephant seal (‘’Mirounga angustirortsis’‘)’‘, Journal of Wildlife Diseases 39(3):723-726 (2003)</ref>
'''Adenocarcinoma''' is a form of [[carcinoma]] that originates in [[glandular]] tissue. To be classified as adenocarcinoma, the cells do not necessarily need to be part of a [[gland]], as long as they have secretory properties.  This form of carcinoma can occur in some higher mammals, including humans.<ref>Fauquier, D.A.,  Gulland, F.M.D.,(Marine Mammal Center), Haulena, M., Spraker, T., ‘’Biliary adenocarcinoma in a stranded Northern elephant seal (‘’Mirounga angustirortsis’‘)’‘, Journal of Wildlife Diseases 39(3):723-726 (2003)</ref> The term adenocarcinoma is derived from 'adeno' meaning 'pertaining to a gland' and '[[carcinoma]]', which describes a cancer that has developed in the [[epithelial]] cells. It can first present as an [[adenoma]] (a glandular tumor that is [[benign]]).
 
The term adenocarcinoma is derived from 'adeno' meaning 'pertaining to a gland' and '[[carcinoma]]', which describes a cancer that has developed in the [[epithelial]] cells.  
 
It can first present as an [[adenoma]] (a glandular tumor that is [[benign]]).


==Topography==
==Pathophysiology==
Examples of tissues where adenocarcinomas may arise:
Examples of tissues where adenocarcinomas may arise:
* [[Breast cancer]]
* [[Breast cancer]]
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* [[Vaginal cancer]]
* [[Vaginal cancer]]


==Pathological Findings==
==Physical Examination==
===Adenocarcinoma-In The Submandibular Salivary Glands===
<gallery widths="200px">
 
 
180.jpg | Adenocarcinoma-In The Submandibular Salivary Glands <br> [http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=20 <font size="-2">''Adapted from Dermatology Atlas''</font>]
181.jpg | Adenocarcinoma-In The Submandibular Salivary Glands <br> [http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=20 <font size="-2">''Adapted from Dermatology Atlas''</font>]
182.jpg | Adenocarcinoma-In The Submandibular Salivary Glands <br> [http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=20 <font size="-2">''Adapted from Dermatology Atlas''</font>]
 
 
 


<gallery>
Image:gastcarc_enface.jpg|This cancer presented in a 40-year-old woman complaining of abdominal pain. Endoscopically it was a "very suspicious" ulcer. Biopsy showed diffusely infiltrating signet ring cell adenocarcinoma. These are gross photos of the subtotal gastrectomy specimen. The photo above is a seen face view of the ulcer. The pyloric margin is to the left. The ulcer is on the lesser curvature.
Image:Gastcarc xsec.jpg|This is a longitudinal section cut in the plane of the lesser curvature. The pylorus is to the left. Note several prominent nodes of the lesser omentum; these contained metastatic cancer.
</gallery>
</gallery>
==Differential Diagnosis==
{| class="wikitable"
|- style="background: #4479BA; color: #FFFFFF; text-align: center;"
! rowspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" | Diseases
! colspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" | Risk factors/Epidemiology
! colspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" | History
! colspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" | Clinical Findings
! colspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" | Gross Pathology
! colspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" | Histopathology
! colspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" | Immunohistochemistry
! colspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" | Lab Findings
! colspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" | Imaging
! colspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" | Metastatic Potential
! colspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" | Gold Standard
! colspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" | Additional Findings
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" | Head & Neck Cancer
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" | Paranasal Sinus Cancer
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" | Lung Cancer
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" | Breast Cancer
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" | Esophageal Cancer
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
|-
|- style="background: #4479BA; color: #FFFFFF; text-align: center;"
! rowspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" | Diseases
! colspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" | Risk factors/Epidemiology
! colspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" | History
! colspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" | Clinical Findings
! colspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" | Gross Pathology
! colspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" | Histopathology
! colspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" | Immunohistochemistry
! colspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" | Lab Findings
! colspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" | Imaging
! colspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" | Metastatic Potential
! colspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" | Gold Standard
! colspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" | Additional Findings
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" | Gastric Cancer
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" | Pancreatic Cancer
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" | Small Bowel Cancer
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" | Colorectal Cancer
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" | Appendix Cancer
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
|-
|- style="background: #4479BA; color: #FFFFFF; text-align: center;"
! rowspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" | Diseases
! colspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" | Risk factors/Epidemiology
! colspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" | History
! colspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" | Clinical Findings
! colspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" | Gross Pathology
! colspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" | Histopathology
! colspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" | Immunohistochemistry
! colspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" | Lab Findings
! colspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" | Imaging
! colspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" | Metastatic Potential
! colspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" | Gold Standard
! colspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" | Additional Findings
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" | Gallbladder Cancer
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" | Anal Cancer
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" | Cervical Cancer
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" | Vaginal Cancer
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" | Endometrial Cancer
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" | Vulvar Cancer
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
|-
|- style="background: #4479BA; color: #FFFFFF; text-align: center;"
! rowspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" | Diseases
! colspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" | Risk factors/Epidemiology
! colspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" | History
! colspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" | Clinical Findings
! colspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" | Gross Pathology
! colspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" | Histopathology
! colspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" | Immunohistochemistry
! colspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" | Lab Findings
! colspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" | Imaging
! colspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" | Metastatic Potential
! colspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" | Gold Standard
! colspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" | Additional Findings
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" | Prostate Cancer
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" | Testicular Cancer
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" | Urinary Bladder Cancer
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" | Urethral Cancer
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" | Metastatic Cancer
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
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| style="background: #F5F5F5; padding: 5px;" |
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Latest revision as of 17:20, 27 May 2019

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WikiDoc Resources for Adenocarcinoma

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List of terms related to Adenocarcinoma


Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Adenocarcinoma is a form of carcinoma that originates in glandular tissue. To be classified as adenocarcinoma, the cells do not necessarily need to be part of a gland, as long as they have secretory properties. This form of carcinoma can occur in some higher mammals, including humans.[1] The term adenocarcinoma is derived from 'adeno' meaning 'pertaining to a gland' and 'carcinoma', which describes a cancer that has developed in the epithelial cells. It can first present as an adenoma (a glandular tumor that is benign).

Pathophysiology

Examples of tissues where adenocarcinomas may arise:

Physical Examination

Adenocarcinoma-In The Submandibular Salivary Glands


Differential Diagnosis

Diseases Risk factors/Epidemiology History Clinical Findings Gross Pathology Histopathology Immunohistochemistry Lab Findings Imaging Metastatic Potential Gold Standard Additional Findings
Head & Neck Cancer
Paranasal Sinus Cancer
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Metastatic Cancer
Cancer of Unknown Primary

References

  1. ↑ Fauquier, D.A., Gulland, F.M.D.,(Marine Mammal Center), Haulena, M., Spraker, T., ‘’Biliary adenocarcinoma in a stranded Northern elephant seal (‘’Mirounga angustirortsis’‘)’‘, Journal of Wildlife Diseases 39(3):723-726 (2003)

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