Preinvasive Lesions Flashcards
Preinvasive Lesions
- Squamous dysplasia and carcinoma in situ
- Atypical adenomatous hyperplasia (AAH)
- Diffuse idiopathic pulmonary neuroendocrine cell hyperplasia
Squamous dysplasia and carcinoma in situ
cigarette smoking
tracheobronchial pseudostratified epithelium to metastatic squamous mucosa
Dysplastic changes in Squamous dysplasia and carcinoma in situ
altered cellular polarity
increase cell sze
number of cell layers
N:C ratio
Gradations Squamous dysplasia and carcinoma in situ
mild
moderate
severe
Atypical Adenomatous Hyperplasia
smaller than 5.0 mm
epithelial cell s lining the alveoli similar to type II pneumocytes
similar to adenocarcinoma in situ
Diagnostics AAH
thin CT scan
Lesions AAH
typically small (5 mm)
ground glass appearance
Diffuse Idiopathic Pulmonary Neuroendocrine Cell Hyperplasia
rare
diffuse proliferation of neuroendocrine cells
without invasion
Lesions of Diffuse Idiopathic Pulmonary Neuroendocrine Cell Hyperplasia
small, less than 5 mm
if lesion of DIPNCH over than 5 mm
Carcinoid tumors