Difference between revisions of "Carcinoma"

From WikiVet English
Jump to navigation Jump to search
(8 intermediate revisions by one other user not shown)
Line 1: Line 1:
 +
 
==Primary Liver Tumours==
 
==Primary Liver Tumours==
 +
 
===Hepatocytic===
 
===Hepatocytic===
 +
 
*more in dogs and cats
 
*more in dogs and cats
 
=====Gross=====
 
=====Gross=====
Line 9: Line 12:
 
*can be very variable appearing as sheets or cords of neoplastic cells
 
*can be very variable appearing as sheets or cords of neoplastic cells
 
*cells generally smaller with a higher nucleus to cytoplasmic ratio
 
*cells generally smaller with a higher nucleus to cytoplasmic ratio
 +
  
 
===Cholangiocellular - bile duct===
 
===Cholangiocellular - bile duct===
Line 22: Line 26:
 
*ductal and acinar proliferation in abundant fibrous tissue
 
*ductal and acinar proliferation in abundant fibrous tissue
 
*sometimes papillary formations
 
*sometimes papillary formations
 +
  
 
==Secondary Liver Tumours==
 
==Secondary Liver Tumours==
 
*from a variety of origins
 
*from a variety of origins
 
==Pancreatic==
 
 
[[Image:Pancreatic carcinoma.jpg|right|thumb|100px|<small><center>Pancreatic carcinoma (Image sourced from Bristol Biomed Image Archive with permission)</center></small>]]
 
 
[http://w3.vet.cornell.edu/nst/nst.asp?Fun=Image&imgID=11616 Image of haemorrhage and pancreatic carcinoma in a cat from Cornell Veterinary Medicine]
 
 
*In older dogs, more common in Airedale terriers, rare in cats, other species too
 
*Tend to arise centrally in the gland
 
*Highly invasive and infiltrative
 
*Metastases to the [[Liver - Anatomy & Physiology|liver]], visceral serosa, abdominal [[Lymph Nodes - Anatomy & Physiology|lymph nodes]], [[Spleen - Anatomy & Physiology|spleen]], [[Adrenal Glands - Anatomy & Physiology|adrenals]] etc.
 
*Similar to malignant ovarian tumours - implant on the [[Peritoneal Cavity - Anatomy & Physiology|peritoneum]]
 
 
===Gross appearance===
 
[[Image:Pancreatic carcinoma histo.jpg|right|thumb|100px|<small><center>Pancreatic carcinoma (Image sourced from Bristol Biomed Image Archive with permission)</center></small>]]
 
 
*Usually spherical nodules with adhesions to nearby structures
 
*Single or multiple, variable size
 
*Greyish or yellow fibrous tissue - firm on cutting
 
*May show internal necrosis and haemorrhage
 
*Some tumours may contain cysts wih mucinous content
 
*Adhesions may occur
 
 
===Microscopic appearance===
 
*May be well differentiated with normal acini and ducts
 
*Or diffuse sheet of undifferentiated cells
 
 
==Endocrine Pancreatic==
 
 
*Larger than adenomas
 
*Multilobular
 
*Invasive into parenchyma and surrounding tissue
 
*Metastasis into [[Lymph Nodes - Anatomy & Physiology|lymph nodes]], [[Liver - Anatomy & Physiology|liver]] mesentery, omentum
 
*Few mitotic figures
 
 
==Peritoneal==
 
 
*'''Carcinomas'''
 
**[http://w3.vet.cornell.edu/nst/nst.asp?Fun=Image&imgID=11314 Image of carcinoma in a cow's peritoneum from Cornell Veterinary Medicine]
 
**Must be differentiated from mesotheliomas
 
**More common than sarcomas
 
**Sometimes very scirrhous
 
**May resemble chronic [[Peritonitis|peritonitis]] when present with ascites
 
**Absence of adhesions
 
 
{{Learning
 
|Vetstream = [https://www.vetstream.com/canis/search?s=carcinoma carcinoma]
 
}}
 
  
 
[[Category:Liver,_Primary_Tumours]]
 
[[Category:Liver,_Primary_Tumours]]
 
[[Category:Liver,_Secondary_Tumours]]
 
[[Category:Liver,_Secondary_Tumours]]
[[Category:Pancreas_-_Hyperplastic_and_Neoplastic_Pathology]]
 
[[Category:Endocrine_System_-_Pathology]]
 
[[Category:Peritoneal_Cavity_-_Neoplastic_Pathology]]
 
 
[[Category:Neoplasia]]
 

Revision as of 14:45, 8 June 2010

Primary Liver Tumours

Hepatocytic

  • more in dogs and cats
Gross
  • can be difficult to distinguish grossly from adenomas
  • usually one single large mass and additional smaller masses (intrahepatic metastases)
  • may have features of malignancy such as internal necrosis and haemorrhage
Microscopically
  • can be very variable appearing as sheets or cords of neoplastic cells
  • cells generally smaller with a higher nucleus to cytoplasmic ratio


Cholangiocellular - bile duct

  • more common than adenoma
  • reported in all species (mostly dogs and cats)
Gross
  • usually multiple whitish umbilicated nodules that are present diffusely throughout the liver
    • actually look as though they were secondary tumours
  • firm on cut surface
    • due to fibrosis
Microscopically
  • distinctly adenocarcinomatous
  • ductal and acinar proliferation in abundant fibrous tissue
  • sometimes papillary formations


Secondary Liver Tumours

  • from a variety of origins