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{{Gallbladder cancer}}
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==Overview==
==Overview==
*The most common type is [[gallbladder adenocarcinoma]]
[[Gallbladder cancer]] may be classified according to [[World Health Organization|WHO]] into various subtypes like [[adenocarcinoma]], [[papillary]] adenocarcinoma, [[mucinous]] adenocarcinoma, [[signet ring cell carcinoma]], [[adenosquamous carcinoma]], [[squamous cell]] [[carcinoma]], [[neuroendocrine]] carcinoma, [[small cell carcinoma]], [[undifferentiated]] carcinoma, [[spindle cell]] undifferentiated carcinoma, giant cell [[undifferentiated]] carcinoma.
 
==Classification==
==Classification==
[[Gallbladder carcinoma]] may be classified according to histology into following subtypes.<ref name="JainMathur2013">{{cite journal|last1=Jain|first1=Deepali|last2=Mathur|first2=SandeepR|last3=Sharma|first3=Atul|last4=Yadav|first4=Rajni|last5=Iyer|first5=VenkateswaranK|title=Gallbladder carcinoma: An attempt of WHO histological classification on fine needle aspiration material|journal=CytoJournal|volume=10|issue=1|year=2013|pages=12|issn=1742-6413|doi=10.4103/1742-6413.113627}}</ref>


The histologic types of gallbladder cancer include the following.<ref>Gallbladder. In: American Joint Committee on Cancer.: AJCC Cancer Staging Manual. 6th ed. New York, NY: Springer, 2002, pp 139-44.</ref> Some histologic types have a better prognosis than others; papillary carcinomas have the best prognosis.
{| class="wikitable"
 
| style="background:#4479BA; color: #FFFFFF;" + |'''SUBTYPE'''
* Carcinoma in situ.
| style="background:#4479BA; color: #FFFFFF;" + |'''HISTOLOGICAL FEATURES'''
* Adenocarcinoma, not otherwise specified (NOS).
|-
* Papillary carcinoma.
![[Adenocarcinoma]]
* Adenocarcinoma, intestinal type.
|Sheets, cohesive fragments, [[acini]], and [[mucin]]
* Mucinous carcinoma.
|-
* Clear cell adenocarcinoma.
![[Papillary]] adenocarcinoma         
* Signet-ring cell carcinoma.
|Pleomorphism and papillary fragments with vascular core
* Adenosquamous carcinoma.
|-
* Squamous cell carcinoma.
![[Mucinous]] adenocarcinoma
* Small cell (oat cell) carcinoma.(Grade 4 by definition)
|Single cells or cluster and [[extracellular]] mucin
* Undifferentiated carcinoma.(Grade 4 by definition)
|-
* Carcinoma, NOS.
![[Signet ring cell carcinoma]]
* Carcinosarcoma.
|[[Intracellular]] mucin with signet ring cells
|-
![[Adenosquamous carcinoma]]
|Mixture of [[glandular]] and [[squamous]] components
|-
![[Squamous cell carcinoma]]
|[[Necrosis]], tadpole cells and atypical [[keratinized]] cells
|-
![[Neuroendocrine]] carcinoma
|Salt and pepper [[chromatin]],anisonucleosis and rosettes
|-
![[Small cell carcinoma]]
|Absent [[cytoplasm]], Smudge cells, and [[mitoses]]
|-
![[Undifferentiated]] carcinoma
|[[Pleomorphic]] cells, abundant [[necrosis]]
|-
![[Spindle]] cell undifferentiated carcinoma
|Undifferciated type with prominent [[spindle]] cells
|-
!Gaint cell undifferentiated carcinoma
|[[Undifferentiated]] type with predominant giant cells
|}


==References==
==References==
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Latest revision as of 00:09, 13 January 2019

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Vamsikrishna Gunnam M.B.B.S [2]

Overview

Gallbladder cancer may be classified according to WHO into various subtypes like adenocarcinoma, papillary adenocarcinoma, mucinous adenocarcinoma, signet ring cell carcinoma, adenosquamous carcinoma, squamous cell carcinoma, neuroendocrine carcinoma, small cell carcinoma, undifferentiated carcinoma, spindle cell undifferentiated carcinoma, giant cell undifferentiated carcinoma.

Classification

Gallbladder carcinoma may be classified according to histology into following subtypes.[1]

SUBTYPE HISTOLOGICAL FEATURES
Adenocarcinoma Sheets, cohesive fragments, acini, and mucin
Papillary adenocarcinoma Pleomorphism and papillary fragments with vascular core
Mucinous adenocarcinoma Single cells or cluster and extracellular mucin
Signet ring cell carcinoma Intracellular mucin with signet ring cells
Adenosquamous carcinoma Mixture of glandular and squamous components
Squamous cell carcinoma Necrosis, tadpole cells and atypical keratinized cells
Neuroendocrine carcinoma Salt and pepper chromatin,anisonucleosis and rosettes
Small cell carcinoma Absent cytoplasm, Smudge cells, and mitoses
Undifferentiated carcinoma Pleomorphic cells, abundant necrosis
Spindle cell undifferentiated carcinoma Undifferciated type with prominent spindle cells
Gaint cell undifferentiated carcinoma Undifferentiated type with predominant giant cells

References

  1. Jain, Deepali; Mathur, SandeepR; Sharma, Atul; Yadav, Rajni; Iyer, VenkateswaranK (2013). "Gallbladder carcinoma: An attempt of WHO histological classification on fine needle aspiration material". CytoJournal. 10 (1): 12. doi:10.4103/1742-6413.113627. ISSN 1742-6413.


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