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Bronchioloalveolar Carcinoma
Etiology

Unknown
Resembles an infectious disease in sheep--Jagziekte
Pathogenesis

Probably derives from terminal bronchiole alveolar complex,
Epidemiology

Affects patients from their 20's and older
Equal incidence in men and women
1-9% of lung cancers
General Gross Description

Peripheral single nodule (coin lesion) or multiple nodules
May fuse into a diffuse involvement of lung
If mucinous, may be gelatinous appearing grossly
•Examples:
Bronchioloalveolar carcinoma
General Microscopic Description

Classically lines preexisting alveolar septae
Tall columnar cells containing mucin (Clara cell like) or
Columnar cells with extensive atypia and scattered mucin vacuoles
•Examples:
Bronchioloalveolar carcinoma (Low Power) Bronchioloalveolar carcinoma (Med Power) Bronchioloalveolar carcinoma (Med Power) Bronchioloalveolar carcinoma (PAS stain) Bronchioloalveolar carcinoma (Hi Power) Bronchioloalveolar carcinoma (low power) Bronchioloalveolar carcinoma (high power)
Clinical Correlation

Late symptoms if not discovered incidentally
Occasional patients may have extensive mucinous secretions in diffuse disease
Isolated lesions may be cured by surgery
Metastatic disease appears late
References

Cotran RS, Kumar V, Robbins SL: Robbins Pathologic Basis of Disease. 5th edition. Philadelphia, W.B. Saunders, 1994, pp. 725-6

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Bronchioloalveolar Carcinoma
Synopsis by: Melinda Sanders M.D. (T28000M82503)[233]
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