Medicine:Atypical pulmonary carcinoid tumour

From HandWiki
Atypical pulmonary carcinoid tumour
Atypical pulmonary carcinoid tumour, high mag.1.jpg
Atypical pulmonary carcinoid. H&E stain.
SpecialtyOncology

Atypical pulmonary carcinoid tumour is a subtype of pulmonary carcinoid tumor.[1] It is an uncommon low-grade malignant lung mass that is most often in the central airways of the lung. It is also known as "atypical lung carcinoid tumour", " atypical lung carcinoid" or "moderately differentiated neuroendocrine carcinoma".

It is a more aggressive than typical carcinoid tumors: nodal metastases in 70% vs. 5%. The 5 year survival is 49-69%.

Atypical carcinoid tumors have increased mitotic activity (2-10 per 10 HPF), nuclear pleomorphism or foci of necrosis.

Morphological differential diagnosis

Atypical carcinoid of the lung exhibiting endobronchial growth, increased mitotic activity was seen (2-10 per 10 HPF). H&E stain.
  • Typical pulmonary carcinoid tumor
    • Typical pulmonary carcinoid lacks comedo-like necrosis, and has < 0.2 mitotic figures/HPF.

References

  1. Limaiem, Faten; Tariq, Muhammad Ali; Wallen, Jason M. (2021). "Lung Carcinoid Tumors". StatPearls (StatPearls Publishing). PMID 30725765. https://www.ncbi.nlm.nih.gov/books/NBK537080/. Retrieved 26 June 2021.