MALIGNANT CELLS • In some cases malignant cells stand out like a guy in a yellow dark suit playing the thrombone.
• Adenocarcinoma…tumo r cells form aggregates
• Cell balls
• Papillae
• Gland like groups
• Single file chains
• Lymphoma
• Unusual abnormal bizarre shapes are suggestive of malignancy.
• Cell borders of malignant cells are often sharply defined.
• Malignant nuclear features are the sine qua of a non malignant diagnosis.
• pseudoinclusions
• Large multiple and especially abnormal shaped nucleoli are suspicious for malignancy.
• Mitotic figures are not so helpful in diagnosis unless they are clearly abnormal or numerous.
• In Secretory vacuoles containing epithelial mucin are essentially diagnostic of adenocarcinoma.
• Cytoplasmic lipid can occur in tumors such as renal and hepatocellular carcinoma,cytoplasmic glycogen.
• Keratin formation is diagnostic of squamous cell carcinoma in an effusion.
• Mucinous effusion