Gastrointestinal Pathology for Medical II Students

Lab 1g Squamous Cell Carcinoma of the Esophagus continued (62000-80713)

Slide 4

This left panel shows a histologic section taken through the full thickness of the esophageal wall.  Carcinomas of the esophagus are typically deeply infiltrating lesions and this one has extended through the muscularis propria (arrows).

The right panel shows nests of malignant squamous cells within the submucosa.  This is a moderately differentiated squamous cell carcinoma which shows keratin production.  The malignant cells show a common feature of malignancy, namely altered polarity.  The differentiating squamous cells within the submucosal nests cannot slough keratin to the luminal surface.  Instead, the keratin accumulates in the center of the nests as spherical keratin "pearls" (arrow).

 

SCC of the Esophagus Histology 2

Slide 5

Shows the moderately differentiated squamous cell carcinoma with keratin pearls at higher power.

SCC of the Esophagus Histology 3

Slide 6

Mitotic figures are usually common in malignant tumors and often they are abnormal.  This is a tripolar mitosis. If you look carefully, you can see 3 mitotic spindles.

SCC of the Esophagus Histology 4

Digital Legends for Labs/Cases
Lab 1
1.a | 1.b | 1.c | 1.d | 1.e | 1.f | 1.g | 1.h | 1.i | 1.j | 1.k | 1.l | 1.m
Lab 2
2.a | 2.b | 2.c | 2.d | 2.e | 2.f | 2.g | 2.h | 2.i | 2.j | 2.k | 2.l | 2.m
Lab 3
3.a | 3.b | 3.c | 3.d | 3.e | 3.f | 3.g | 3.h | 3.i | 3.j | 3.k | 3.l

Medical II


Updated January 8, 2009