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fluids 6

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where are oat cell carc cells where one cell seems to be capping anoth, causing n to look quarter moon likely to be diagnostic of
metastatic bronchogenic oat cell carcinoma
when diffuse malig mesothelioma consists of both histologic types,what is it said to be
biphasic
what cytologic features help recognize malig meso
lg nos that look mesothelial, many cs discrete but clusters numerous, large cells but may have low n/c,N round or oval with smooth contours,chromatin fiinely stippled,Prominent Ni
in what adeno carc in fluids has most extensive vacuolization
ovary and lung
are there more than one type sm cell anaplastic nonlymphomatous neoplasms
yes oat,wilms' and neuroblastoma
what is anaplastic
Of, relating to, or characterized by cells that have become less differentiated./ A term used to describe cancer cells that divide rapidly and have little or no resemblance to normal cells.
technique to tell meso from adeno
immunochem
why is it easy to determine that neoplastic cells have mesothelial lineage
reproduce non-neoplastic features of benign
in which fluids is it most likely to find sq carc cells
pleural
what color may a fluid be that contains numerous heavily pigmented melanoma cells
chocolate brown,with clear light yellow supernatant
2 histologic types diffuse malig mesothelioma
epithelial and sarcomatous
when are adenos in fluids most likelly to be isolated cells with only occasional cluster
carc of stomach and some breast,esp lobular type
what is the only type of diffused malig meso that can be found cytologically
epithelial
what is growth pattern of malig mesotheliomas
simultaneous on both meso layers,first as tiny nodules,that fuse forming thick rind that oblilterates serous cavity
why would you want to avoid thoracotomy or laparotomy when have mesothilioma
mesos have tendancy to grow into thora or lap scars
are melanoma cs in fluid usually heavily pigmented
no usually lt dusting brown cyto pig to none
are adeno cells in fluids vacuolated
most, but some have few on no vacuoles
what are clues to mesothelioma
amt of indiv cs and cllusters and larger cell size-more than hypertrophy or hyperplasia
can malig meso develop in any serous cavity
yes
what is best ex of ananplastic carc in serous fl
metastatic sm cell-oat cell
what is architecture of adenos in serous fluids
cells may be solitary,clusters of few cells, large papillary frags, or speroids of hundreds of cells
what is most common cavity for malig meso
pleural
describe n of mesothelioma
round or oval with smooth countours and stippled chromatin prom Ni
what is a feature that may help make diag of mesothelioma vs benign
large no of cells individual and clusters and large average size of cells
a type of carc whose cs may resemble stack of coins
oat(sm cell)
what locations are most likely adenos in effusions from
breast,lung or ovary
are proliferation spheres solid or hollow
can be either focussing gives impression of hollow
are urothelial carc cells found in fluids
rarely
why is it desirable that a cytologic diag of mesothelioma be made
to avoid thoracotomy or laparotomy scars
what adeno in fluid characterized by signet ring cells, with lg cyto vacuoles and eccentric N
gastric
what is appearance of fluid with high concentration of hyaluronic acid in mesothelioma
viscosity like honey
what is 2 step process in diag of mesothelioma in serous fl
1-determine are meso 2-decide if malignant(not so easy)
may sq carc in pl fl be keratinized on nonK
both
what are well-circumscribed spheroids of adeno of fairly uniform cells called
proliferation spheres
how does size sm cell anaplastic(oat cell) carc cells compare to lymphocytes
about 2xs size of lmphocytes
what inhaled entity may cause malig mesothilioma
asbestos
what are classic features of adeno
tendency for large,smooth clusters ,eccentric malignant-appearing n, prom Ni,vacuolated cyto
what is stippled
dots and flicks
describe melanoma cells in serous flulids
round,about sz or larger than meso cs,discrete or maybe clusters:abundant cyto with brown pigment:central or eccentric N: may have lg Ni: some may have vacuole whhich is an invagination of cyto
is it common to find sq carc cells in effusions
no
do pts with advanced melanoma produce serous fluids
frequently
do cells exfoliated from malig meso have obvioius n features of malig
no
where are adeno cells with tiny cyto vac with central dense mucus spot, like bull's eye, lined by microvilli likely to be from
breast, esp lobular type
where are proliferation spheres most likely to be derived from
breast
what is most likely origin of sq carc cells found in serous fluid
lung or upper resp tr
is diffuse malig mesothelioma common or rare
rare
what is def of supernatant
The soluble liquid reaction of a sample after centrifugation or/ the usually clear liquid overlying material deposited by settling, precipitation, or centrifugation precipitation of insoluble solids.
how do mesotheliomas relate to the layers of mesothelium
develop simultaneously on both layers of mes

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