The quality of the slides are not very good. What stain is this? Is it quick H&E? If that is the case, I strongly discourage this type of stain. I basically agree with Dr. Zhao, this is non-small cell carcinoma. If this tumor is surgeically removable, I usually do not bother to do immunostains to further classify. If it is not resectable, because there is treatment differences between squamous cell ca and adenocarcinoma, I will do immunostains to help me further classify. This case I favor an adenocarcinoma on the cell block. One more comment, I have looked at some pictures people posted on this websites, the quality of the slides is not good, that is one of the main reasons to hinder the diagnosis.
The quality of the slides are not very good. What stain is this? Is it quick H&E? If that is the case, I strongly discourage this type of stain. I basically agree with Dr. Zhao, this is non-small cell carcinoma. If this tumor is surgeically removable, I usually do not bother to do immunostains to further classify. If it is not resectable, because there is treatment differences between squamous cell ca and adenocarcinoma, I will do immunostains to help me further classify. This case I favor an adenocarcinoma on the cell block. One more comment, I have looked at some pictures people posted on this websites, the quality of the slides is not good, that is one of the main reasons to hinder the diagnosis.