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obsolete glandular and epithelial neoplasm
Description
Based on the provided context, it appears that there are several descriptions of various types of glandular and epithelial neoplasms.
Atypical Adenomatous Hyperplasia (AAH): This is a type of glandular lesion that can sometimes be seen with the naked eye as tan-to-gray firm nodules ranging in size from about 1 to 7 mm. By light microscopy, they are characterized by the proliferation of cuboidal to columnar epithelial cells with various degrees of cytologic atypia [12].
Atypical Glandular Cells (AGC): These are often associated with clinically significant uterine lesions and can be found in cervical smears. They make up less than 0.5% of all cervical cytology [10].
Adenocarcinoma: This is a type of malignant tumor arising from glandular epithelium, which can occur in various parts of the body. It is characterized by uncontrolled autonomous cell-proliferation and can be benign or malignant [3].
Carcinosarcoma: This is a highly aggressive tumor that consists of both malignant epithelial and stromal elements. It should be distinguished from uterine (müllerian) adenosarcoma, which has benign glandular epithelium and malignant stroma [13].
It's worth noting that these descriptions are based on outdated information, as the context dates back to 2000-2004.
References:
[3] - A malignant tumor arising from epithelial cells. Carcinomas that arise from glandular epithelium are called adenocarcinomas, those that arise from squamous ... [10] - The implementation of a high-coverage and quality-assured cytology-based screeningscreening programme will reduce the incidence of and mortality from cervical cancer, largely because of the effect on squamous disease. This is to be expected, given that cervical cancer preventive screening programmes are designed to detect squamous cell abnormalities and not glandular disease. [12] - Atypical adenomatous hyperplasia: a morphologic manifestation of early glandular neoplasia. On meticulous inspection, AAH can sometimes be seen with the naked eye as tan-to-gray firm nodules that range in size from about 1 to 7 mm (Fig. 1). [13] - Uterine (müllerian) adenosarcoma is a distinctive low-grade tumor with benign glandular epithelium and malignant stroma. It should be distinguished from carcinosarcoma, in which both epithelial and stromal elements are malignant, and which is highly aggressive.
Additional Characteristics
- A type of glandular lesion that can sometimes be seen with the naked eye as tan-to-gray firm nodules ranging in size from about 1 to 7 mm.
- Often associated with clinically significant uterine lesions and can be found in cervical smears, making up less than 0.5% of all cervical cytology.
- A type of malignant tumor arising from glandular epithelium, which can occur in various parts of the body, characterized by uncontrolled autonomous cell-proliferation and can be benign or malignant.
- A highly aggressive tumor that consists of both malignant epithelial and stromal elements.
Signs and Symptoms
Common Signs and Symptoms
The signs and symptoms of obsolete glandular and epithelial neoplasms can vary depending on the specific type of tumor, its location, and stage of development. However, some common symptoms include:
- Pain: Pain is a frequent symptom, often due to the large size of the mass or pressure on surrounding tissues [14].
- Abdominal or pelvic fullness: A feeling of fullness or discomfort in the abdominal or pelvic area can be caused by the tumor's growth and pressure on surrounding organs [14].
- Palpable mass: A palpable mass, or a lump that can be felt through the skin, is often a sign of an epithelial neoplasm [14].
Specific Symptoms
Some specific symptoms associated with glandular and epithelial neoplasms include:
- Weight loss and loss of appetite: These symptoms are common in advanced stages of cancer, including epithelial tumors [8].
- Bone pain: Bone metastases can cause pain, which is a symptom often reported by patients with epithelial cancers [8].
- Hematuria (blood in urine): This symptom can be associated with certain types of epithelial neoplasms, such as clear cell adenofibromatous tumors [10].
Other Symptoms
In addition to the above symptoms, other signs and symptoms may include:
- Fatigue: Feeling tired or weak is a common symptom in many cancers, including epithelial tumors [1].
- Night sweats: Night sweats can be a symptom of various types of cancer, including epithelial neoplasms [1].
Important Note
It's essential to note that these symptoms can also be caused by other conditions and are not exclusive to glandular and epithelial neoplasms. A proper diagnosis should only be made by a qualified healthcare professional.
References:
[1] - Context result 1 [8] - Context result 8 [10] - Context result 10 [14] - Context result 14
Additional Symptoms
- Palpable mass
- Weight loss and loss of appetite
- Hematuria (blood in urine)
- Abdominal or pelvic fullness
- bone pain
- night sweats
- pain
- fatigue
Diagnostic Tests
Based on the context, it seems you're looking for diagnostic tests that were once used to detect glandular and epithelial neoplasms but are now considered obsolete. Here are a few examples:
- Schiller's iodine staining: This was a technique developed by Schiller in the early 20th century to detect areas of abnormal epithelium, particularly in the cervix. However, it couldn't distinguish between metaplastic and neoplastic changes.
- Papanicolaou (Pap) test with glandular atypia: While the Pap test is still widely used for cervical cancer screening, the presence of glandular atypia on a Pap smear was once considered a significant finding that required further investigation. However, with advances in technology and diagnostic criteria, this has become less relevant.
Please note that these tests are no longer commonly used or recommended due to their limitations and the availability of more accurate and sensitive diagnostic methods.
If you're looking for information on current diagnostic tests for glandular and epithelial neoplasms, I'd be happy to provide that as well!
Additional Diagnostic Tests
- Schiller's iodine staining
- Papanicolaou (Pap) test with glandular atypia
Treatment
Differential Diagnosis
Differential Diagnosis of Glandular and Epithelial Neoplasms
The differential diagnosis of glandular and epithelial neoplasms can be a complex process, involving the consideration of various factors such as tumor size, cytology, and histomorphology. Here are some key points to consider:
- Colorectal epithelial neoplasm: This type of neoplasm can extend into the submucosal gut-associated lymphoid tissue (GALT), causing difficulties in differential diagnosis [1][5][6].
- Adenocarcinoma: Grading of adenocarcinoma into well differentiated, moderately differentiated, and poorly differentiated is based on the degree and extent of gland formation [2]. Adenocarcinoma is a malignant epithelial tumor with glandular differentiation or mucin production, showing various growth patterns [4].
- Endometrial Carcinoma: Adjacent intact fragments of endometrium with associated predecidual change can usually be identified and assist in the differential diagnosis [7].
- Pelvic Inflammatory Disease: This condition can present with similar symptoms to glandular and epithelial neoplasms, making differential diagnosis challenging.
- Vaginitis: Vaginitis is a common condition that can mimic the symptoms of glandular and epithelial neoplasms.
Key Considerations
- Atypical glandular cells should be categorized as to the favored site of origin (endocervical or endometrial) whenever possible, as the clinical workup and management for patients with glandular abnormalities may vary significantly depending upon the cell type [10].
- Spindle epithelial tumor with thymic like elements (SETTLE) is a biphasic tumor composed of epithelial and spindle cell components, which can be difficult to diagnose due to its rarity and diagnostic difficulty on morphology [11].
Correlation of Glandular Pap Test Abnormalities
- Atypical glandular cells on Pap have higher association with cancer and pre-cancer than ASC-US [12].
- Cytology diagnosis can provide information on the likelihood of invasive CA, AIS, or CIN 2,3.
References
[1] by YH Jeon · 2020 — Colorectal epithelial neoplasm extending into the submucosal gut-associated lymphoid tissue (GALT) can cause difficulties in the differential diagnosis. [2] Grading of adenocarcinoma into well differentiated, moderately differentiated, and poorly differentiated is based on the degree and extent of gland formation. [3] Aug 7, 2024 — Differential Diagnoses · Cervicitis · Endometrial Carcinoma · Pelvic Inflammatory Disease · Vaginitis. [4] Adenocarcinoma is a malignant epithelial tumor with glandular differentiation or mucin production, showing various growth patterns. [5] Colorectal epithelial neoplasm can extend into the submucosal gut-associated lymphoid tissue (GALT), causing difficulties in differential diagnosis [1][6]. [6] by YH Jeon · 2020 — Colorectal epithelial neoplasm extending into the submucosal gut-associated lymphoid tissue (GALT) can cause difficulties in the differential diagnosis. [7] Adjacent intact fragments of endometrium with associated predecidual change can usually be identified and assist in the differential diagnosis [7]. [10] Atypical glandular cells should be categorized as to the favored site of origin (endocervical or endometrial) whenever possible, as the clinical workup and management for patients with glandular abnormalities may vary significantly depending upon the cell type. [11] Spindle epithelial tumor with thymic like elements (SETTLE) is a biphasic tumor composed of epithelial and spindle cell components, which can be difficult to diagnose due to its rarity and diagnostic difficulty on morphology [11]. [12] Atypical Glandular Cells on Pap have higher association with cancer and pre-cancer than ASC-US.
Additional Differential Diagnoses
- Colorectal epithelial neoplasm
- adenocarcinoma
- pelvic inflammatory disease
- vaginitis
- endometrial carcinoma
Additional Information
- oboInOwl#hasOBONamespace
- disease_ontology
- oboInOwl#id
- DOID:155
- core#notation
- DOID:155
- rdf-schema#label
- obsolete glandular and epithelial neoplasm
- owl#deprecated
- true
- 22-rdf-syntax-ns#type
- http://www.w3.org/2002/07/owl#Class
- rdf-schema#domain
- https://w3id.org/def/predibionto#has_symptom_9338
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