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Acinar pattern of adenocarcinoma composed of glands lined by malignant cells.
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Acinar pattern of adenocarcinoma with desmoplastic stroma containing glands with malignant cells exhibiting pleomorphic nuclei.
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Cribriform pattern of adenocarcinoma showing small regular round back-to-back glands.
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Irregularly shaped invasive glands of adenocarcinoma at periphery of so-called central scar
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Solid pattern of adenocarcinoma with a sheet of malignant cells with abundant cytoplasm and scattered mitotic figures lacking gland formation.
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Papillary adenocarcinoma with fibrovascular cores surrounded by malignant cells.
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Higher power of papillary adenocarcinoma showing atypical vesicular nuclei and prominent nucleoli.
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Clear-cell pattern of adenocarcinoma composed of malignant cells with clear cytoplasm.
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Sarcomatoid (sarcomatous) pattern of adenocarcinoma composed of spindled cells with elongated pleomorphic nuclei.
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Signet-ring pattern of adenocarcinoma with cells containing vacuolated mucin-filled cytoplasm and eccentric nuclei resembling signet rings.
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The micropapillary component displays small papillary tufts, which lack a central fibrovascular core ;Gross figure of adenocarcinoma with micropapillary pattern
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Small papillary tufts are seen focally in an adenocarcinoma.
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A micropapillary pattern can also be observed in the lymphangitic spread of the same tumor.
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Fetal Adenocarcinoma. The tumor is characterized by tubules lined by glycogen-rich columnar cells that resemble the fetal lung at 10 to 15 weeks gestational age. Fetal adenocarcinoma, well-differentiated or low-grade variant, appears similar to tfetal lung or endometrial glands, displaying a villiform tubular pattern.
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The glandular component of this well-differentiated fetal adenocarcinoma shows two squamoid morules.
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On high power, columnar cells in a well-differentiated fetal adenocarcinoma contain glycogen-rich cytoplasm and basally arranged uniform nuclei.
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This squamoid morule in a well-differentiated fetal adenocarcinoma consists of ovoid to polygonal cells with ample eosinophilic cytoplasm.
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High-grade fetal adenocarcinoma shows glycogen-containing columnar cells with nuclear pleomorphism and prominent nucleoli.
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High-grade fetal adenocarcinoma is composed of tubules lined by pleomorphic columnar cells with supranuclear and subnuclear vacuoles.
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BAC: defined as adenocarcinoma of the lung that grows in a lepidic fashion along intact alveolar septa without invasion. Wedge resection of nonmucinous BAC showing subpleural tumor with associated subpleural consolidation or so-called scar.
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Gross figure of mucinous BAC showing pneumonic tumor spread.
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Lepidic growth of nonmucinous BAC along intact alveolar septa
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Subpleural nonmucinous BAC showing circumscription and mildly thickened alveolar septa.
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Nonmucinous BAC showing cuboidal to columnar cells with focal intranuclear cytoplasmic inclusions.
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BAC with cuboidal-to-columnar cells with basally oriented nuclei and eosinophilic or vacuolated cytoplasm proliferating along intact alveolar septa.
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Mucinous BAC cells with abundant apical mucin and small basal nuclei lining thin, delicate alveolar septa and projecting into the alveolar spaces as tufts or pseudopapillae.
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Mucinous BAC with abundant mucin-rich apical cytoplasm and basally oriented small nuclei growing along thin, delicate alveolar septa.