Nasopharyngeal carcinoma pathophysiology
Nasopharyngeal carcinoma Microchapters |
Differentiating Nasopharyngeal carcinoma from other Diseases |
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Nasopharyngeal carcinoma pathophysiology On the Web |
American Roentgen Ray Society Images of Nasopharyngeal carcinoma pathophysiology |
Risk calculators and risk factors for Nasopharyngeal carcinoma pathophysiology |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Faizan Sheraz, M.D. [2]
Pathophysiology
Gross
- Nasal cavity involvement - common in early disease.[1]
Microscopic
Features:[2]
- Prominent lymphoid component - key feature.
- Features of squamous cell carcinoma:
- Cohesive cells with:
- Abundant dense eosinophilic cytoplasm.
- Central nuclei +/- small/indistinct nucleoli.
- Cohesive cells with:
Images
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Nasopharyngeal carcinoma - in a LN - intermed. mag. (WC)
www:
- Nasopharyngeal carcinoma - in a LN - low mag. (WP).
- Nasopharyngeal carcinoma - in a LN - high mag. (WP).
Histologic subclassification
World Health Classification (2005) for NPC:[3]
Type | Histology | Description | EBV | Prevalence | Prognosis |
---|---|---|---|---|---|
1 | keratinizing SCC | graded poorly-well-diff. | -ve | ? | bad |
2a | nonkeratinizing carcinoma, differentiated | well def. cell borders & tumour nest borders, mimics appearance of UCC | +ve | ? | good |
2b | nonkeratinizing carcinoma, undifferentiated | sheets/syncytial, vescicular nuclei, prominent nucleoli, pink cytoplasm | ? | most common | ? |
3 | basaloid SCC | mimics BCC - see basaloid SCC | ? | least common | ? |
Immunohistochemistry
- EBER +ve.
- p16 -ve.[4]
References
- ↑ Abdel Khalek Abdel Razek, A.; King, A. (2012). "MRI and CT of nasopharyngeal carcinoma". AJR Am J Roentgenol. 198 (1): 11–8. doi:10.2214/AJR.11.6954. PMID 22194474. Unknown parameter
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ignored (help) - ↑ Template:Ref Klatt
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- ↑ Gulley ML, Nicholls JM, Schneider BG, Amin MB, Ro JY, Geradts J (1998). "Nasopharyngeal carcinomas frequently lack the p16/MTS1 tumor suppressor protein but consistently express the retinoblastoma gene product". Am. J. Pathol. 152 (4): 865–9. PMC 1858242. PMID 9546345. Unknown parameter
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