|
| 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 |
| Clinical |
• 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 |
| 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 |
| General Micro Description |
• Classically lines
preexisting alveolar septae • Tall columnar cells containing mucin (Clara cell like) or • Columnar cells with extensive atypia and scattered mucin vacuoles |
| Reference |
• Cotran RS, Kumar V, Robbins SL: Robbins Pathologic Basis of Disease. 5th edition. Philadelphia, W.B. Saunders, 1994, pp. 725-6
|