Dobrițoiu M, Stepan A E, Vere C C, Cataraga I, Simionescu C E
PhD student, University of Medicine and Pharmacy of Craiova.
Department of Pathology, University of Medicine and Pharmacy of Craiova.
Curr Health Sci J. 2018 Jul-Sep;44(3):225-230. doi: 10.12865/CHSJ.44.03.04. Epub 2018 Jul 15.
Micropapillary carcinoma was recently identified as a carcinoma variant characterized by the presence of small clusters of tumor cells located in optically empty spaces. The study included a number of 14 cases represented by surgical excision specimens diagnosed with gastric carcinoma (tubular, papillary and signet-ring) which associated the micropapillary component in variable proportions. Regarding the low-grade tubular carcinomas, the micropapillary component represented less than 25% of the tumor, while in the high-grade tubular carcinomas and papillary carcinomas it represented 25-50%. Among signet-ring carcinomas, the micropapillary component had a percentage of over 50. The depth of invasion was frequently associated with T3 and T4 categories. Lymph nodes metastasis were found in ten cases and distant metastasis were present in three cases. Recognition of the micropapillary component associated with gastric carcinoma represents an aspect of great importance because it is frequently correlated with unfavorable prognosis parameters.
微乳头癌最近被确认为一种癌变体,其特征是在光学上呈空泡状的区域存在小簇肿瘤细胞。该研究纳入了14例经手术切除标本诊断为胃癌(管状、乳头状和印戒细胞型)的病例,这些病例中微乳头成分所占比例各不相同。对于低级别管状癌,微乳头成分占肿瘤的比例不到25%,而在高级别管状癌和乳头状癌中,其占比为25%-50%。在印戒细胞癌中,微乳头成分的占比超过50%。浸润深度常与T3和T4分期相关。10例出现淋巴结转移,3例出现远处转移。认识到与胃癌相关的微乳头成分是一个非常重要的方面,因为它常常与不良预后参数相关。