{"id":2089,"date":"2017-08-01T12:46:48","date_gmt":"2017-08-01T12:46:48","guid":{"rendered":"http:\/\/cytologystuff1.wpengine.com\/non-gyn-atlas\/respiratory-cytology-adenocarcinoma\/"},"modified":"2025-02-10T20:04:38","modified_gmt":"2025-02-10T20:04:38","slug":"respiratory-cytology-adenocarcinoma","status":"publish","type":"page","link":"https:\/\/stage.cytologystuff.com\/zh-hans\/non-gyn-atlas\/respiratory-cytology-adenocarcinoma\/","title":{"rendered":"Respiratory Cytology – Adenocarcinoma"},"content":{"rendered":"

[vc_row 0=””][vc_column 0=”” offset=”vc_hidden-lg vc_hidden-md”][vc_raw_html 0=””]JTNDY2VudGVyJTNFJTNDYSUyMGNsYXNzJTNEJTIyc2hpZnRuYXYtdG9nZ2xlJTIwc2hpZnRuYXYtdG9nZ2xlLWJ1dHRvbiUyMiUyMGRhdGEtc2hpZnRuYXYtdGFyZ2V0JTNEJTIyc2hpZnRuYXYtbWFpbiUyMiUzRSUzQ2klMjBjbGFzcyUzRCUyMmZhJTIwZmEtYmFycyUyMiUzRSUzQyUyRmklM0UlMjBUYWJsZSUyMG9mJTIwQ29udGVudHMlMjAlM0MlMkZhJTNFJTNDJTJGY2VudGVyJTNF[\/vc_raw_html][\/vc_column][\/vc_row][vc_row][vc_column][vc_custom_heading text=”Respiratory Cytology – Adenocarcinoma” font_container=”tag:h1|text_align:center” use_theme_fonts=”yes”][\/vc_column][\/vc_row][vc_row][vc_column width=”2\/3″][vc_column_text]<\/p>\n

ADENOCARCINOMA<\/p>\n

<\/a><\/p>\n

\n

Reminder: You may click on any slide image
\nfor an enlarged view.<\/strong><\/p>\n


\n\"Image<\/a><\/p>\n
Figure 105<\/strong>
\nBronchial wash
\nThe cells of well and moderately-differentiated pulmonary adenocarcinoma are typically clustered. 20x<\/div>\n<\/div>\n
Figure 105<\/strong>
\nBronchial wash
\nThe cells of well and moderately-differentiated pulmonary adenocarcinoma are typically clustered.
\n20x<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
Figure 106<\/strong>
\nBronchial wash
\nHigher magnification shows relatively bland uniform nuclei in the cell cluster. 40x<\/div>\n<\/div>\n
Figure 106<\/strong>
\nBronchial wash
\nHigher magnification shows relatively bland uniform nuclei in the cell cluster.
\n40x<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
Figure 107<\/strong>
\nBronchial wash
\nA cellular feature of adenocarcinoma is that the nucleoli are usually single and centrally placed. 40x<\/div>\n<\/div>\n
Figure 107<\/strong>
\nBronchial wash
\nA cellular feature of adenocarcinoma is that the nucleoli are usually single and centrally placed.
\n40x<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
Figure 108<\/strong>
\nBronchial wash
\nThe three-dimensional nature of this cluster of adenocarcinoma is apparent. 40x<\/div>\n<\/div>\n
Figure 108<\/strong>
\nBronchial wash
\nThe three-dimensional nature of this cluster of adenocarcinoma is apparent.
\n40x<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
Figure 109<\/strong>
\nBronchial wash
\nA cluster of adenocarcinoma is admixed with respiratory macrophages. 20x<\/div>\n<\/div>\n
Figure 109<\/strong>
\nBronchial wash
\nA cluster of adenocarcinoma is admixed with respiratory macrophages.
\n20x<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
Figure 110<\/strong>
\nBronchial wash
\nCells with vacuolated cytoplasm are seen at the edge of the cluster. 60x<\/div>\n<\/div>\n
Figure 110<\/strong>
\nBronchial wash
\nCells with vacuolated cytoplasm are seen at the edge of the cluster.
\n60x<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
Figure 111<\/strong>
\nBronchial wash
\nThis group of cells forms a small acinar structure. 60x<\/div>\n<\/div>\n
Figure 111<\/strong>
\nBronchial wash
\nThis group of cells forms a small acinar structure. 60x<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
Figure 112<\/strong>
\nBronchial wash
\nThis cluster of adenocarcinoma is present in a background of necrosis. 20x<\/div>\n<\/div>\n
Figure 112<\/strong>
\nBronchial wash
\nThis cluster of adenocarcinoma is present in a background of necrosis.
\n20x<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
Figure 113<\/strong>
\nBronchial wash
\nWhen much of the material is necrotic, the diagnosis of adenocarcinoma should be made with great caution. 20x<\/div>\n<\/div>\n
Figure 113<\/strong>
\nBronchial wash
\nWhen much of the material is necrotic, the diagnosis of adenocarcinoma should be made with great caution.
\n20x<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
Figure 114<\/strong>
\nSputum
\nThis sputum sample shows a cluster of vacuolated cells. 20x<\/div>\n<\/div>\n
Figure 114<\/strong>
\nSputum
\nThis sputum sample shows a cluster of vacuolated cells.
\n20x<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
Figure 115<\/strong>
\nSputum
\nHigher magnification shows the multiple complex vacuoles within the cytoplasm. 60x<\/div>\n<\/div>\n
Figure 115<\/strong>
\nSputum
\nHigher magnification shows the multiple complex vacuoles within the cytoplasm.
\n60x<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
Figure 116<\/strong>
\nSputum
\nA well-formed acinar structure is present within this cluster 60x<\/div>\n<\/div>\n
Figure 116<\/strong>
\nSputum
\nA well-formed acinar structure is present within this cluster
\n60x<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
Figure 117<\/strong>
\nBronchial wash
\nA more poorly-differentiated adenocarcinoma contains cell debris. 20x<\/div>\n<\/div>\n
Figure 117<\/strong>
\nBronchial wash
\nA more poorly-differentiated adenocarcinoma contains cell debris.
\n20x<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
Figure 118<\/strong>
\nBronchial wash
\nHigh magnification of the preserved cells shows features of adenocarcinoma: cell clustering, cell monotony, pale chromatin and eosinophilic nucleoli. 60x<\/div>\n<\/div>\n
Figure 118<\/strong>
\nBronchial wash
\nHigh magnification of the preserved cells shows features of adenocarcinoma: cell clustering, cell monotony, pale chromatin and eosinophilic nucleoli.
\n60x<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
Figure 119<\/strong>
\nBronchial wash
\nNote the centrally located nucleoli and the rudimentary acinar structure in this adenocarcinoma. 40x<\/div>\n<\/div>\n
Figure 119<\/strong>
\nBronchial wash
\nNote the centrally located nucleoli and the rudimentary acinar structure in this adenocarcinoma.
\n40x<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
Figure 120<\/strong>
\nBronchoalveolar lavage
\nLow power magnification shows a poorly-differentiated adenocarcinoma. 20x<\/div>\n<\/div>\n
Figure 120<\/strong>
\nBronchoalveolar lavage
\nLow power magnification shows a poorly-differentiated adenocarcinoma.
\n20x<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
Figure 121<\/strong>
\nBronchoalveolar lavage
\nThe nuclei from this poorly-differentiated adenocarcinoma are variable in shape and have coarsely clumped chromatin. 60x<\/div>\n<\/div>\n
Figure 121<\/strong>
\nBronchoalveolar lavage
\nThe nuclei from this poorly-differentiated adenocarcinoma are variable in shape and have coarsely clumped chromatin.
\n60x<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
Figure 122<\/strong>
\nBronchoalveolar lavage
\nPoorly-differentiated adenocarcinoma. 60x<\/div>\n<\/div>\n
Figure 122<\/strong>
\nBronchoalveolar lavage
\nPoorly-differentiated adenocarcinoma.
\n60x<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
Figure 123<\/strong>
\nBronchial wash
\nNumerous cell clusters are present in this adenocarcinoma of terminal bronchiolar origin.
\n20x<\/div>\n<\/div>\n
Figure 123<\/strong>
\nBronchial wash
\nNumerous cell clusters are present in this adenocarcinoma of terminal bronchiolar origin.
\n20x<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
Figure 124<\/strong>
\nBronchial wash
\nCompare the size of the cells in the cluster to the adjacent columnar epithelium. 20x<\/div>\n<\/div>\n
Figure 124<\/strong>
\nBronchial wash
\nCompare the size of the cells in the cluster to the adjacent columnar epithelium.
\n20x<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
Figure 125<\/strong>
\nBronchial wash
\nHigh magnification showing adenocarcinoma of terminal bronchiolar origin. 60x<\/div>\n<\/div>\n
Figure 125<\/strong>
\nBronchial wash
\nHigh magnification showing adenocarcinoma of terminal bronchiolar origin.
\n60x<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
Figure 126<\/strong>
\nBronchial wash
\nAdenocarcinoma 60x<\/div>\n<\/div>\n
Figure 126<\/strong>
\nBronchial wash
\nAdenocarcinoma
\n60x<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
Figure 127<\/strong>
\nBronchial wash
\nBronchial wash with malignant cells of terminal bronchiolar origin. 20x<\/div>\n<\/div>\n
Figure 127<\/strong>
\nBronchial wash
\nBronchial wash with malignant cells of terminal bronchiolar origin.
\n20x<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
Figure 128<\/strong>
\nBronchial wash
\nHigh magnification shows the relatively bland features in cells of this adenocarcinoma of terminal bronchiolar origin. 60x<\/div>\n<\/div>\n
Figure 128<\/strong>
\nBronchial wash
\nHigh magnification shows the relatively bland features in cells of this adenocarcinoma of terminal bronchiolar origin.
\n60x<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
Figure 129<\/strong>
\nBronchial wash
\nAdenocarcinoma of terminal bronchiolar origin. 60x<\/div>\n<\/div>\n
Figure 129<\/strong>
\nBronchial wash
\nAdenocarcinoma of terminal bronchiolar origin. 60x<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
Figure 130<\/strong>
\nBronchial brushing
\nAdenocarcinoma may show true papillary or pseudo-papillary structures as seen in this case. 40x<\/div>\n<\/div>\n
Figure 130<\/strong>
\nBronchial brushing
\nAdenocarcinoma may show true papillary or pseudo-papillary structures as seen in this case.
\n40x<\/div>\n<\/div>\n
<\/div>\n

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