Nasopharyngeal carcinoma pathophysiology

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Faizan Sheraz, M.D. [2]

Pathophysiology

Gross

  • Nasal cavity involvement - common in early disease.[1]

Microscopic

Features:[2]

  • Prominent lymphoid component - key feature.
  • Features of squamous cell carcinoma:
    • Cohesive cells with:
      • Abundant dense eosinophilic cytoplasm.
      • Central nuclei +/- small/indistinct nucleoli.
        Nasopharyngeal carcinoma

Histologic subclassification

World Health Classification (2005) for NPC:[2]

Type Histology Description EBV Prevalence Prognosis
1 Keratinizing SCC graded poorly-well-diff. -ve bad
2a Nonkeratinizing carcinoma, differentiated well defined cell borders & tumour nest borders +ve good
2b Nonkeratinizing carcinoma, undifferentiated sheets/syncytial, vescicular nuclei, prominent nucleoli, pink cytoplasm most common
3 Basaloid SCC mimics basal cell carcinoma least common

Immunohistochemistry

  • EBER +ve.
  • p16 -ve.[3]

References

  1. Abdel Khalek Abdel Razek, A.; King, A. (2012). "MRI and CT of nasopharyngeal carcinoma". AJR Am J Roentgenol. 198 (1): 11–8. doi:10.2214/AJR.11.6954. PMID 22194474. Unknown parameter |month= ignored (help)
  2. 2.0 2.1 Nasopharyngeal carcinoma http://librepathology.org/wiki/index.php/Nasopharyngeal_carcinoma
  3. Gulley ML, Nicholls JM, Schneider BG, Amin MB, Ro JY, Geradts J (1998). "Nasopharyngeal carcinomas frequently lack the p16/MTS1 tumor suppressor protein but consistently express the retinoblastoma gene product". Am. J. Pathol. 152 (4): 865–9. PMC 1858242. PMID 9546345. Unknown parameter |month= ignored (help)

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