Pleomorphism (cytology)

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A micrograph showing cells with marked nuclear shape and size variation, a component of nuclear pleomorphism. Serous carcinoma 2a - cytology.jpg
A micrograph showing cells with marked nuclear shape and size variation, a component of nuclear pleomorphism.

Pleomorphism is a term used in histology and cytopathology to describe variability in the size, shape and staining of cells and/or their nuclei. Several key determinants of cell and nuclear size, like ploidy and the regulation of cellular metabolism, are commonly disrupted in tumors. [1] Therefore, cellular and nuclear pleomorphism is one of the earliest hallmarks of cancer progression and a feature characteristic of malignant neoplasms and dysplasia. [2] [3] Certain benign cell types may also exhibit pleomorphism, e.g. neuroendocrine cells, Arias-Stella reaction.

A rare type of rhabdomyosarcoma that is found in adults is known as pleomorphic rhabdomyosarcoma. [4]

Despite the prevalence of pleomorphism in human pathology, its role in disease progression is unclear. In epithelial tissue, pleomorphism in cellular size can induce packing defects and disperse aberrant cells. [5] But the consequence of atypical cell and nuclear morphology in other tissues is unknown.

See also

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<span class="mw-page-title-main">Undifferentiated pleomorphic sarcoma</span> Medical condition

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Giant-cell carcinoma of the lung (GCCL) is a rare histological form of large-cell lung carcinoma, a subtype of undifferentiated lung cancer, traditionally classified within the non-small-cell lung carcinomas (NSCLC).

Adenosquamous lung carcinoma (AdSqLC) is a biphasic malignant tumor arising from lung tissue that is composed of at least 10% by volume each of squamous cell carcinoma (SqCC) and adenocarcinoma (AdC) cells.

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NUT carcinoma is a rare genetically defined, very aggressive squamous cell epithelial cancer that usually arises in the midline of the body and is characterized by a chromosomal rearrangement in the nuclear protein in testis gene. In approximately 75% of cases, the coding sequence of NUTM1 in band 14 on the long arm of chromosome 15 is fused to BRD4 or BRD3, which creates a chimeric gene that encodes the BRD-NUT fusion protein. The remaining cases, the fusion of NUTM1 is to an unknown partner gene, usually called NUT-variant.

A rhabdomyoblast is a cell type which is found in some rhabdomyosarcomas. When found histologically, a rhabdomyoblast aids the diagnosis of embryonal, alveolar, spindle cell/sclerosing, and pleomorphic rhabdomyosarcomas; however, in a tumor, expression of the rhabdomyoblast phenotype is not the only factor in diagnosing a rhabdomyosarcoma. Mesenchymal malignancies can exhibit this phenotype as well. Immunohistochemistry techniques allow for the sensitive detection of desmin, vimentin, muscle specific actin, and MyoD1. Similarly the rhabdomyoblast phenotype can be detected morphologically. Rhabdomyoblasts are early stage mesenchymal cells, having the potential to differentiate into a wide range of skeletal cells. Each stage of differentiation exhibits unique and distinguishable histological characteristics. In its initial from, stellate cells with amphiphilic cytoplasm and ovular central nuclei are observed. Commonly referred to as rhabdoid features, the maturing rhabdomyoblast will likely exhibit low levels of eosinophilic cytoplasm in proximal distances to the nucleus. As maturation and differentiation progress, the cell's cytoplasmic levels of white blood cells increase; additionally, elongated shapes, commonly depicted as “tadpole”, “strap” and "spider cells", are observed. In the concluding phase of differentiation, the white blood cell rich cytoplasm appears bright and exhibits cross-striation. The highly regulated organization of actin and myosin microfilaments in contractile proteins results in this appearance.

References

  1. Schmoller, Kurt M.; Skotheim, Jan M. (December 2015). "The Biosynthetic Basis of Cell Size Control". Trends Cell Biol. 25 (12): 793–802. doi: 10.1016/j.tcb.2015.10.006 . PMC   6773270 . PMID   26573465.
  2. Travis, W.D.; Brambilla, B.; Burke, A.P; Marx, A.; Nicholson, A.G. (2015). WHO Classification of Tumours of the Lung, Pleura, Thymus and Heart. Lyon: International Agency for Research on Cancer. ISBN   978-92-832-2436-5. Archived from the original on March 21, 2015.
  3. El-Naggar, A.K.; Chan, J.C.K.; Grandis, J.R.; Takata, T.; Slootweg, P.J. (23 January 2017). WHO Classification of Head and Neck Tumours. Lyon: International Agency for Research on Cancer. ISBN   978-92-832-2438-9. Archived from the original on 2019-10-31. Retrieved 2019-10-31.
  4. Okazaki, Mitsuyoshi; Tajima, Hidehiro; Ohbatake, Yoshinao (21 April 2020). "Pleomorphic rhabdomyosarcoma of the liver in an adult: a rare case report". BMC Surgery. 20 (1): 81. doi: 10.1186/s12893-020-00742-7 . PMC   7171846 . PMID   32316960.
  5. Ramanathan, Subramanian P.; Krajnc, Matej; Gibson, Matthew C. (October 2019). "Cell-Size Pleomorphism Drives Aberrant Clone Dispersal in Proliferating Epithelia". Developmental Cell. 51 (1): 49–61.e4. doi: 10.1016/j.devcel.2019.08.005 . PMC   6903429 . PMID   31495693.