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Author(s): Gerald Abrams, M.D., 2009

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Citation Key
                          for more information see: http://open.umich.edu/wiki/CitationPolicy



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M1 Patients and Populations:
            NEOPLASIA II
             Gerald D. Abrams MD




Fall 2008
MICROSCOPIC FEATURES OF
       NEOPLASMS
•  CONCEPT OF STROMA /
   ANGIOGENESIS

•  CONCEPT OF DIFFERENTIATION

•  GRADING / STAGING
CANCER CELLS AND STROMA




  G.D. Abrams, University of Michigan Medical School
CANCER CELLS AND STROMA
      SCIRRHOUS




  G.D. Abrams, University of Michigan Medical School
NORMAL COLONIC MUCOSA




  G.D. Abrams, University of Michigan Medical School
COLON CANCER, MODERATELY
     DIFFERENTIATED




   G.D. Abrams, University of Michigan Medical School
NORMAL BRONCHIAL MUCOSA




   G.D. Abrams, University of Michigan Medical School
CANCER OF THE BRONCHUS
      ANAPLASTIC




  G.D. Abrams, University of Michigan Medical School
GRADING OF NEOPLASMS


•  ASSESSMENT OF THE DEGREE OF
   DIFFERENTIATION OF A NEOPLASM

•  BASED ON THE RESEMBLANCE OF
   THE NEOPLASM TO THE NORMAL
   TISSUE OF ORIGIN
WELL DIFFERENTIATED
SQUAMOUS CELL CARCINOMA




 G.D. Abrams, University of Michigan Medical School
MODERATELY DIFFERENTIATED
SQUAMOUS CELL CARCINOMA




 G.D. Abrams, University of Michigan Medical School
POORLY DIFFERENTIATED
SQUAMOUS CELL CARCINOMA




 G.D. Abrams, University of Michigan Medical School
STAGING OF NEOPLASMS


•  ASSESSMENT OF THE EXTENT OF
   PROGRESSION OF A NEOPLASM IN THE
   BODY

•  BASED ON THE SIZE AND EXTENT OF THE
   PRIMARY, AND ON THE PRESENCE OR
   ABSENCE OF REGIONAL AND DISTANT
   METASTASES
HISTOPATHOLOGIC DIAGNOSIS
      OF NEOPLASMS
•  DIAGNOSIS AS A PREDICTION

•  EVALUATION OF:
     -ARCHITECTURAL ARRANGEMENT
     -RELATION OF NEOPLASTIC CELLS
      TO NORMAL SURROUNDINGS
     -CYTOLOGIC FEATURES OF
      NEOPLASTIC CELLS
INVASION




G.D. Abrams, University of Michigan Medical School
NORMAL COLONIC EPITHELIAL
                     CELLS




G.D. Abrams, University of Michigan Medical School
NEOPLASTIC COLONIC
                 EPITHELIAL CELLS




G.D. Abrams, University of Michigan Medical School
NORMAL SQUAMOUS
         EPITHELIUM




G.D. Abrams, University of Michigan Medical School
DYSPLASTIC SQUAMOUS
     EPITHELIUM




G.D. Abrams, University of Michigan Medical School
CARCINOMA IN SITU




G.D. Abrams, University of Michigan Medical School
CELLULAR FEATURES
             OF ANAPLASIA




G.D. Abrams, University of Michigan Medical School
PAP SMEAR
                       NORMAL CELLS




G.D. Abrams, University of Michigan Medical School
PAP SMEAR
                MALIGNANT CELLS




G.D. Abrams, University of Michigan Medical School
NEOPLASIA III
Gerald D. Abrams
CLINICAL CONSEQUENCES
       OF NEOPLASMS
BENIGN
     LOCAL MECHANICAL EFFECTS
     LOCAL COMPLICATIONS
     SYSTEMIC ENDOCRINE EFFECTS
MALIGNANT
     ALL OF THE ABOVE
     CANCER CACHEXIA
     PARANEOPLASTIC SYNDROMES
NOMENCLATURE OF
        NEOPLASMS
•  BASED ON

     TISSUE OF ORIGIN

     BENIGN OR MALIGNANT
EPITHELIAL NEOPLASMS


•  ADENOMA!!!ADENOCARCINOMA

•  PAPILLOMA...PAPILLARY CARCINOMA

•  CYSTADENOMA.....
           CYSTADENOCARCINOMA
ADRENAL CORTICAL ADENOMA




   Source Undetermined
PANCREAS, ISLET CELL
     ADENOMA




Department of Pathology, University of Michigan
COLON, ADENOMA




Department of Pathology, University of Michigan
COLON, ADENOMA




Department of Pathology, University of Michigan
Image of sketch
  of papilloma
    removed
OROPHARYNX, PAPILLOMA




 G.D. Abrams, University of Michigan Medical School
OVARY
                      CYSTADENOMA




Source Undetermined
OVARY
                      CYSTADENOMA




Source Undetermined
PENIS, SQUAMOUS CELL
     CARCINOMA




Source Undetermined
VULVA, SQUAMOUS CELL
     CARCINOMA




    Source Undetermined
CERVIX, SQUAMOUS CELL
      CARCINOMA




     Source Undetermined
TONGUE, SQUAMOUS CELL
     CARCINOMA




 Department of Pathology, University of Michigan
LARYNX, SQUAMOUS CELL
     CARCINOMA




     Source Undetermined
ESOPHAGUS, SQUAMOUS CELL
       CARCINOMA




      Department of Pathology, University of Michigan
STOMACH, ADENOCARCINOMA




    Source Undetermined
COLON, ADENOCARCINOMA




   Department of Pathology, University of Michigan
COLON, ADENOCARCINOMA




  Source Undetermined
LUNG, SQUAMOUS CELL
     CARCINOMA




   Source Undetermined
LUNG, SQUAMOUS CELL
     CARCINOMA




 Department of Pathology, University of Michigan
BRONCHUS, SQUAMOUS CELL
      CARCINOMA




   Department of Pathology, University of Michigan
BRONCHUS, SQUAMOUS CELL
      CARCINOMA




   Department of Pathology, University of Michigan
OVARY
          CYSTADENOCARCINOMA




Source Undetermined
OVARY
          CYSTADENOCARCINOMA




Source Undetermined
SUPPORTING TISSUE
           NEOPLASMS

•    LIPOMA!!!!LIPOSARCOMA
•    CHONDROMA!CHONDROSARCOMA
•    FIBROMA!!! FIBROSARCOMA
•    OSTEOMA!! OSTEOSARCOMA

            ETC
COLON, LIPOMA




Department of Pathology, University of Michigan
UTERUS, LEIOMYOMAS




 Department of Pathology, University of Michigan
BONE, OSTEOSARCOMA




Department of Pathology, University of Michigan
MUSCLE,
RHABDOMYOSARCOMA




Department of Pathology, University of Michigan
LYMPHOID / HEMATOPOIETIC
       NEOPLASMS



•  LYMPHOMA(S)

•  LEUKEMIA(S)
LYMPHOMA




Source Undetermined
RETROPERITONEUM,
   LYMPHOMA




Department of Pathology, University of Michigan
SPLEEN, LYMPHOMA




Department of Pathology, University of Michigan
KIDNEY, LYMPHOMA




 Department of Pathology, University of Michigan
CNS NEOPLASMS



•  MENINGIOMA

•  GLIOMA
BRAIN, GLIOMA




Department of Pathology, University of Michigan
NEOPLASMS WITH MIXED
      DIFFERENTIATION



•  CARCINOSARCOMA

•  TERATOMA
           BENIGN
           MALIGNANT
OVARY, TERATOMA




Department of Pathology, University of Michigan
OVARY, TERATOMA




Department of Pathology, University of Michigan
OVARY, TERATOMA




Department of Pathology, University of Michigan
Additional Source Information
                             for more information see: http://open.umich.edu/wiki/CitationPolicy


Slide 5: G.D. Abrams, University of Michigan Medical School
Slide 6: G.D. Abrams, University of Michigan Medical School
Slide 7: G.D. Abrams, University of Michigan Medical School
Slide 8: G.D. Abrams, University of Michigan Medical School
Slide 9: G.D. Abrams, University of Michigan Medical School
Slide 10: G.D. Abrams, University of Michigan Medical School
Slide 12: G.D. Abrams, University of Michigan Medical School
Slide 13: G.D. Abrams, University of Michigan Medical School
Slide 14: G.D. Abrams, University of Michigan Medical School
Slide 17: G.D. Abrams, University of Michigan Medical School
Slide 18: G.D. Abrams, University of Michigan Medical School
Slide 19: G.D. Abrams, University of Michigan Medical School
Slide 20: G.D. Abrams, University of Michigan Medical School
Slide 21: G.D. Abrams, University of Michigan Medical School
Slide 22: G.D. Abrams, University of Michigan Medical School
Slide 23: G.D. Abrams, University of Michigan Medical School
Slide 24: G.D. Abrams, University of Michigan Medical School
Slide 25: G.D. Abrams, University of Michigan Medical School
Slide 30: Source Undetermined
Slide 31: Department of Pathology, University of Michigan
Slide 32: Department of Pathology, University of Michigan
Slide 33: Department of Pathology, University of Michigan
Slide 35: G.D. Abrams, University of Michigan Medical School
Slide 36: Source Undetermined
Slide 37: Source Undetermined
Slide 38: Source Undetermined
Slide 39: Source Undetermined
Slide 40: Source Undetermined
Slide 41: Department of Pathology, University of Michigan
Slide 42: Source Undetermined
Slide 43: Department of Pathology, University of Michigan
Slide 44: Source Undetermined
Slide 45: Department of Pathology, University of Michigan
Slide 46: Source Undetermined
Slide 47: Source Undetermined
Slide 48: Department of Pathology, University of Michigan
Slide 49: Department of Pathology, University of Michigan
Slide 50: Department of Pathology, University of Michigan
Slide 51: Source Undetermined
Slide 52: Source Undetermined
Slide 54: Department of Pathology, University of Michigan
Slide 55: Department of Pathology, University of Michigan
Slide 56: Department of Pathology, University of Michigan
Slide 57: Department of Pathology, University of Michigan
Slide 59: Source Undetermined
Slide 60: Department of Pathology, University of Michigan
Slide 61: Department of Pathology, University of Michigan
Slide 62: Department of Pathology, University of Michigan
Slide 64: Department of Pathology, University of Michigan
Slide 66: Department of Pathology, University of Michigan
Slide 67: Department of Pathology, University of Michigan
Slide 68: Department of Pathology, University of Michigan










    


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08.25.08 - 08.27.08: Neoplasia II & III

  • 1. Author(s): Gerald Abrams, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Non-commercial–Share Alike 3.0 License: http://creativecommons.org/licenses/by-nc-sa/3.0/ We have reviewed this material in accordance with U.S. Copyright Law and have tried to maximize your ability to use, share, and adapt it. The citation key on the following slide provides information about how you may share and adapt this material. Copyright holders of content included in this material should contact open.michigan@umich.edu with any questions, corrections, or clarification regarding the use of content. For more information about how to cite these materials visit http://open.umich.edu/education/about/terms-of-use. Any medical information in this material is intended to inform and educate and is not a tool for self-diagnosis or a replacement for medical evaluation, advice, diagnosis or treatment by a healthcare professional. Please speak to your physician if you have questions about your medical condition. Viewer discretion is advised: Some medical content is graphic and may not be suitable for all viewers.
  • 2. Citation Key for more information see: http://open.umich.edu/wiki/CitationPolicy Use + Share + Adapt { Content the copyright holder, author, or law permits you to use, share and adapt. } Public Domain – Government: Works that are produced by the U.S. Government. (USC 17 §105) Public Domain – Expired: Works that are no longer protected due to an expired copyright term. Public Domain – Self Dedicated: Works that a copyright holder has dedicated to the public domain. Creative Commons – Zero Waiver Creative Commons – Attribution License Creative Commons – Attribution Share Alike License Creative Commons – Attribution Noncommercial License Creative Commons – Attribution Noncommercial Share Alike License GNU – Free Documentation License Make Your Own Assessment { Content Open.Michigan believes can be used, shared, and adapted because it is ineligible for copyright. } Public Domain – Ineligible: Works that are ineligible for copyright protection in the U.S. (USC 17 § 102(b)) *laws in your jurisdiction may differ { Content Open.Michigan has used under a Fair Use determination. } Fair Use: Use of works that is determined to be Fair consistent with the U.S. Copyright Act. (USC 17 § 107) *laws in your jurisdiction may differ Our determination DOES NOT mean that all uses of this 3rd-party content are Fair Uses and we DO NOT guarantee that your use of the content is Fair. To use this content you should do your own independent analysis to determine whether or not your use will be Fair.
  • 3. M1 Patients and Populations: NEOPLASIA II Gerald D. Abrams MD Fall 2008
  • 4. MICROSCOPIC FEATURES OF NEOPLASMS •  CONCEPT OF STROMA / ANGIOGENESIS •  CONCEPT OF DIFFERENTIATION •  GRADING / STAGING
  • 5. CANCER CELLS AND STROMA G.D. Abrams, University of Michigan Medical School
  • 6. CANCER CELLS AND STROMA SCIRRHOUS G.D. Abrams, University of Michigan Medical School
  • 7. NORMAL COLONIC MUCOSA G.D. Abrams, University of Michigan Medical School
  • 8. COLON CANCER, MODERATELY DIFFERENTIATED G.D. Abrams, University of Michigan Medical School
  • 9. NORMAL BRONCHIAL MUCOSA G.D. Abrams, University of Michigan Medical School
  • 10. CANCER OF THE BRONCHUS ANAPLASTIC G.D. Abrams, University of Michigan Medical School
  • 11. GRADING OF NEOPLASMS •  ASSESSMENT OF THE DEGREE OF DIFFERENTIATION OF A NEOPLASM •  BASED ON THE RESEMBLANCE OF THE NEOPLASM TO THE NORMAL TISSUE OF ORIGIN
  • 12. WELL DIFFERENTIATED SQUAMOUS CELL CARCINOMA G.D. Abrams, University of Michigan Medical School
  • 13. MODERATELY DIFFERENTIATED SQUAMOUS CELL CARCINOMA G.D. Abrams, University of Michigan Medical School
  • 14. POORLY DIFFERENTIATED SQUAMOUS CELL CARCINOMA G.D. Abrams, University of Michigan Medical School
  • 15. STAGING OF NEOPLASMS •  ASSESSMENT OF THE EXTENT OF PROGRESSION OF A NEOPLASM IN THE BODY •  BASED ON THE SIZE AND EXTENT OF THE PRIMARY, AND ON THE PRESENCE OR ABSENCE OF REGIONAL AND DISTANT METASTASES
  • 16. HISTOPATHOLOGIC DIAGNOSIS OF NEOPLASMS •  DIAGNOSIS AS A PREDICTION •  EVALUATION OF: -ARCHITECTURAL ARRANGEMENT -RELATION OF NEOPLASTIC CELLS TO NORMAL SURROUNDINGS -CYTOLOGIC FEATURES OF NEOPLASTIC CELLS
  • 17. INVASION G.D. Abrams, University of Michigan Medical School
  • 18. NORMAL COLONIC EPITHELIAL CELLS G.D. Abrams, University of Michigan Medical School
  • 19. NEOPLASTIC COLONIC EPITHELIAL CELLS G.D. Abrams, University of Michigan Medical School
  • 20. NORMAL SQUAMOUS EPITHELIUM G.D. Abrams, University of Michigan Medical School
  • 21. DYSPLASTIC SQUAMOUS EPITHELIUM G.D. Abrams, University of Michigan Medical School
  • 22. CARCINOMA IN SITU G.D. Abrams, University of Michigan Medical School
  • 23. CELLULAR FEATURES OF ANAPLASIA G.D. Abrams, University of Michigan Medical School
  • 24. PAP SMEAR NORMAL CELLS G.D. Abrams, University of Michigan Medical School
  • 25. PAP SMEAR MALIGNANT CELLS G.D. Abrams, University of Michigan Medical School
  • 27. CLINICAL CONSEQUENCES OF NEOPLASMS BENIGN LOCAL MECHANICAL EFFECTS LOCAL COMPLICATIONS SYSTEMIC ENDOCRINE EFFECTS MALIGNANT ALL OF THE ABOVE CANCER CACHEXIA PARANEOPLASTIC SYNDROMES
  • 28. NOMENCLATURE OF NEOPLASMS •  BASED ON TISSUE OF ORIGIN BENIGN OR MALIGNANT
  • 29. EPITHELIAL NEOPLASMS •  ADENOMA!!!ADENOCARCINOMA •  PAPILLOMA...PAPILLARY CARCINOMA •  CYSTADENOMA..... CYSTADENOCARCINOMA
  • 30. ADRENAL CORTICAL ADENOMA Source Undetermined
  • 31. PANCREAS, ISLET CELL ADENOMA Department of Pathology, University of Michigan
  • 32. COLON, ADENOMA Department of Pathology, University of Michigan
  • 33. COLON, ADENOMA Department of Pathology, University of Michigan
  • 34. Image of sketch of papilloma removed
  • 35. OROPHARYNX, PAPILLOMA G.D. Abrams, University of Michigan Medical School
  • 36. OVARY CYSTADENOMA Source Undetermined
  • 37. OVARY CYSTADENOMA Source Undetermined
  • 38. PENIS, SQUAMOUS CELL CARCINOMA Source Undetermined
  • 39. VULVA, SQUAMOUS CELL CARCINOMA Source Undetermined
  • 40. CERVIX, SQUAMOUS CELL CARCINOMA Source Undetermined
  • 41. TONGUE, SQUAMOUS CELL CARCINOMA Department of Pathology, University of Michigan
  • 42. LARYNX, SQUAMOUS CELL CARCINOMA Source Undetermined
  • 43. ESOPHAGUS, SQUAMOUS CELL CARCINOMA Department of Pathology, University of Michigan
  • 44. STOMACH, ADENOCARCINOMA Source Undetermined
  • 45. COLON, ADENOCARCINOMA Department of Pathology, University of Michigan
  • 46. COLON, ADENOCARCINOMA Source Undetermined
  • 47. LUNG, SQUAMOUS CELL CARCINOMA Source Undetermined
  • 48. LUNG, SQUAMOUS CELL CARCINOMA Department of Pathology, University of Michigan
  • 49. BRONCHUS, SQUAMOUS CELL CARCINOMA Department of Pathology, University of Michigan
  • 50. BRONCHUS, SQUAMOUS CELL CARCINOMA Department of Pathology, University of Michigan
  • 51. OVARY CYSTADENOCARCINOMA Source Undetermined
  • 52. OVARY CYSTADENOCARCINOMA Source Undetermined
  • 53. SUPPORTING TISSUE NEOPLASMS •  LIPOMA!!!!LIPOSARCOMA •  CHONDROMA!CHONDROSARCOMA •  FIBROMA!!! FIBROSARCOMA •  OSTEOMA!! OSTEOSARCOMA ETC
  • 54. COLON, LIPOMA Department of Pathology, University of Michigan
  • 55. UTERUS, LEIOMYOMAS Department of Pathology, University of Michigan
  • 56. BONE, OSTEOSARCOMA Department of Pathology, University of Michigan
  • 58. LYMPHOID / HEMATOPOIETIC NEOPLASMS •  LYMPHOMA(S) •  LEUKEMIA(S)
  • 60. RETROPERITONEUM, LYMPHOMA Department of Pathology, University of Michigan
  • 61. SPLEEN, LYMPHOMA Department of Pathology, University of Michigan
  • 62. KIDNEY, LYMPHOMA Department of Pathology, University of Michigan
  • 64. BRAIN, GLIOMA Department of Pathology, University of Michigan
  • 65. NEOPLASMS WITH MIXED DIFFERENTIATION •  CARCINOSARCOMA •  TERATOMA BENIGN MALIGNANT
  • 66. OVARY, TERATOMA Department of Pathology, University of Michigan
  • 67. OVARY, TERATOMA Department of Pathology, University of Michigan
  • 68. OVARY, TERATOMA Department of Pathology, University of Michigan
  • 69. Additional Source Information for more information see: http://open.umich.edu/wiki/CitationPolicy Slide 5: G.D. Abrams, University of Michigan Medical School Slide 6: G.D. Abrams, University of Michigan Medical School Slide 7: G.D. Abrams, University of Michigan Medical School Slide 8: G.D. Abrams, University of Michigan Medical School Slide 9: G.D. Abrams, University of Michigan Medical School Slide 10: G.D. Abrams, University of Michigan Medical School Slide 12: G.D. Abrams, University of Michigan Medical School Slide 13: G.D. Abrams, University of Michigan Medical School Slide 14: G.D. Abrams, University of Michigan Medical School Slide 17: G.D. Abrams, University of Michigan Medical School Slide 18: G.D. Abrams, University of Michigan Medical School Slide 19: G.D. Abrams, University of Michigan Medical School Slide 20: G.D. Abrams, University of Michigan Medical School Slide 21: G.D. Abrams, University of Michigan Medical School Slide 22: G.D. Abrams, University of Michigan Medical School Slide 23: G.D. Abrams, University of Michigan Medical School Slide 24: G.D. Abrams, University of Michigan Medical School Slide 25: G.D. Abrams, University of Michigan Medical School Slide 30: Source Undetermined Slide 31: Department of Pathology, University of Michigan Slide 32: Department of Pathology, University of Michigan Slide 33: Department of Pathology, University of Michigan Slide 35: G.D. Abrams, University of Michigan Medical School Slide 36: Source Undetermined Slide 37: Source Undetermined Slide 38: Source Undetermined Slide 39: Source Undetermined Slide 40: Source Undetermined Slide 41: Department of Pathology, University of Michigan Slide 42: Source Undetermined Slide 43: Department of Pathology, University of Michigan Slide 44: Source Undetermined Slide 45: Department of Pathology, University of Michigan Slide 46: Source Undetermined Slide 47: Source Undetermined Slide 48: Department of Pathology, University of Michigan
  • 70. Slide 49: Department of Pathology, University of Michigan Slide 50: Department of Pathology, University of Michigan Slide 51: Source Undetermined Slide 52: Source Undetermined Slide 54: Department of Pathology, University of Michigan Slide 55: Department of Pathology, University of Michigan Slide 56: Department of Pathology, University of Michigan Slide 57: Department of Pathology, University of Michigan Slide 59: Source Undetermined Slide 60: Department of Pathology, University of Michigan Slide 61: Department of Pathology, University of Michigan Slide 62: Department of Pathology, University of Michigan Slide 64: Department of Pathology, University of Michigan Slide 66: Department of Pathology, University of Michigan Slide 67: Department of Pathology, University of Michigan Slide 68: Department of Pathology, University of Michigan