By H. Watanabe, J. R. Jass, L. H. Sobin (auth.)
This can be the revised version of the WHO histological type of oesophageal and gastric tumours. It displays the real alterations that haveoccurred because the first variation within the fields of lymphomas, endocrine tumours and the dysplasias in addition to including a few newly describedentities. it units the overseas typical for the subsequent decade.
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Extra info for Histological Typing of Oesophageal and Gastric Tumours
Lymphoid follides are reaetive, if present. Lymphoepithelial lesions (i. e. 91). Lymphoplasmaeytoid eelis may be distended with immunoglobulin, giving an appearanee deseribed as signet-ring eell Iymphoma. This must be distingished from signet-ring eeli earcinoma, for example, with antibodies to leukoeyte common antigen, pan B- or pan T-antigens and eytokeratin or muein studies. 2 Plasmacytoma (Figs. 92,93) This rarely oeeurs in the stomaeh. 3 Malignant Lymphomatous Polyposis A diffuse lymphoma eomposed exclusively of eentroeytes arranged in nodular or polypoid aggregates with in the mueosa and submueosa.
Menetrier disease, see Giant rugal hypertrophy Microcarcinoidosis (stomach) . . . . . 27 Neurilemmoma (stomach) .. Neurogenic tumours (oesophagus) 29 14 86,87 Oesophagitis . . . . . . 18 27-29 Papilloma, squamous cell (oesophagus) Polyp, fibrovascular (oesophagus) Polyp, fundic gland (stomach) ... Polyp, intlammatory (oesophagus) Polyp, hyperplastic (stomach) ... Polyp, intlammatory fibroid (stomach) Polyp, juvenile (stomach) . . . . Polyp, Peutz-Jeghers (stomach) ... Polyp, regenerative, see Polyp, hyperplastic Pseudosarcoma, see Carcinoma, spindIe cell 11 1,2 16 34 97-100 17 34 96 37 114,115 35 104 35 101-103 Regenerating epithelium, immature (oesophagus), see Oesophagitis Schwannoma, see Neurilemmoma StornaI polypoid hypertrophic gastritis, see Gastritis cystica polyposa Tumour-like lesions (oesophagus) .
Classifieations ean be slanted either histogenetieaIly, epidemiologicalIy or elinieaIly. From the elinical standpoint, the elassifieation should be based on the least favourable area whereas the most weIl differentiated component eould provide useful histogenetie or epidemiologieal information. 1 Carcinoid Tumour (Figs. 80- 82) Careinoid tumours arise from the basal part of the gastrie mueosa where endoerine eelIs are most numerous. They oeeur more frequently in the body than in the antrum of the stomaeh.
Histological Typing of Oesophageal and Gastric Tumours by H. Watanabe, J. R. Jass, L. H. Sobin (auth.)