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Author(s): Gerald Abrams, M.D., 2009

License: Unless otherwise noted, this material is made available under the terms
of the Creative Commons Attribution–Non-commercial–Share Alike 3.0
License: http://creativecommons.org/licenses/by-nc-sa/3.0/
We have reviewed this material in accordance with U.S. Copyright Law and have tried to maximize your
ability to use, share, and adapt it. The citation key on the following slide provides information about how you
may share and adapt this material.

Copyright holders of content included in this material should contact open.michigan@umich.edu with any
questions, corrections, or clarification regarding the use of content.

For more information about how to cite these materials visit http://open.umich.edu/education/about/terms-of-use.

Any medical information in this material is intended to inform and educate and is not a tool for self-diagnosis
or a replacement for medical evaluation, advice, diagnosis or treatment by a healthcare professional. Please
speak to your physician if you have questions about your medical condition.

Viewer discretion is advised: Some medical content is graphic and may not be suitable for all viewers.
Citation Key
                          for more information see: http://open.umich.edu/wiki/CitationPolicy



Use + Share + Adapt
  { Content the copyright holder, author, or law permits you to use, share and adapt. }
               Public Domain – Government: Works that are produced by the U.S. Government. (USC 17 §105)
               Public Domain – Expired: Works that are no longer protected due to an expired copyright term.
               Public Domain – Self Dedicated: Works that a copyright holder has dedicated to the public domain.

               Creative Commons – Zero Waiver

               Creative Commons – Attribution License
               Creative Commons – Attribution Share Alike License
               Creative Commons – Attribution Noncommercial License
               Creative Commons – Attribution Noncommercial Share Alike License
               GNU – Free Documentation License

Make Your Own Assessment
  { Content Open.Michigan believes can be used, shared, and adapted because it is ineligible for copyright. }
               Public Domain – Ineligible: Works that are ineligible for copyright protection in the U.S. (USC 17 § 102(b)) *laws in
               your jurisdiction may differ
   { Content Open.Michigan has used under a Fair Use determination. }
               Fair Use: Use of works that is determined to be Fair consistent with the U.S. Copyright Act. (USC 17 § 107) *laws in your
               jurisdiction may differ
               Our determination DOES NOT mean that all uses of this 3rd-party content are Fair Uses and we DO NOT guarantee that
               your use of the content is Fair.
               To use this content you should do your own independent analysis to determine whether or not your use will be Fair.
M1 Patients and Populations:
            NEOPLASIA II
             Gerald D. Abrams MD




Fall 2008
MICROSCOPIC FEATURES OF
       NEOPLASMS
•  CONCEPT OF STROMA /
   ANGIOGENESIS

•  CONCEPT OF DIFFERENTIATION

•  GRADING / STAGING
CANCER CELLS AND STROMA




  G.D. Abrams, University of Michigan Medical School
CANCER CELLS AND STROMA
      SCIRRHOUS




  G.D. Abrams, University of Michigan Medical School
NORMAL COLONIC MUCOSA




  G.D. Abrams, University of Michigan Medical School
COLON CANCER, MODERATELY
     DIFFERENTIATED




   G.D. Abrams, University of Michigan Medical School
NORMAL BRONCHIAL MUCOSA




   G.D. Abrams, University of Michigan Medical School
CANCER OF THE BRONCHUS
      ANAPLASTIC




  G.D. Abrams, University of Michigan Medical School
GRADING OF NEOPLASMS


•  ASSESSMENT OF THE DEGREE OF
   DIFFERENTIATION OF A NEOPLASM

•  BASED ON THE RESEMBLANCE OF
   THE NEOPLASM TO THE NORMAL
   TISSUE OF ORIGIN
WELL DIFFERENTIATED
SQUAMOUS CELL CARCINOMA




 G.D. Abrams, University of Michigan Medical School
MODERATELY DIFFERENTIATED
SQUAMOUS CELL CARCINOMA




 G.D. Abrams, University of Michigan Medical School
POORLY DIFFERENTIATED
SQUAMOUS CELL CARCINOMA




 G.D. Abrams, University of Michigan Medical School
STAGING OF NEOPLASMS


•  ASSESSMENT OF THE EXTENT OF
   PROGRESSION OF A NEOPLASM IN THE
   BODY

•  BASED ON THE SIZE AND EXTENT OF THE
   PRIMARY, AND ON THE PRESENCE OR
   ABSENCE OF REGIONAL AND DISTANT
   METASTASES
HISTOPATHOLOGIC DIAGNOSIS
      OF NEOPLASMS
•  DIAGNOSIS AS A PREDICTION

•  EVALUATION OF:
     -ARCHITECTURAL ARRANGEMENT
     -RELATION OF NEOPLASTIC CELLS
      TO NORMAL SURROUNDINGS
     -CYTOLOGIC FEATURES OF
      NEOPLASTIC CELLS
INVASION




G.D. Abrams, University of Michigan Medical School
NORMAL COLONIC EPITHELIAL
                     CELLS




G.D. Abrams, University of Michigan Medical School
NEOPLASTIC COLONIC
                 EPITHELIAL CELLS




G.D. Abrams, University of Michigan Medical School
NORMAL SQUAMOUS
         EPITHELIUM




G.D. Abrams, University of Michigan Medical School
DYSPLASTIC SQUAMOUS
     EPITHELIUM




G.D. Abrams, University of Michigan Medical School
CARCINOMA IN SITU




G.D. Abrams, University of Michigan Medical School
CELLULAR FEATURES
             OF ANAPLASIA




G.D. Abrams, University of Michigan Medical School
PAP SMEAR
                       NORMAL CELLS




G.D. Abrams, University of Michigan Medical School
PAP SMEAR
                MALIGNANT CELLS




G.D. Abrams, University of Michigan Medical School
Additional Source Information
                             for more information see: http://open.umich.edu/wiki/CitationPolicy


Slide 5: G.D. Abrams, University of Michigan Medical School
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Slide 7: G.D. Abrams, University of Michigan Medical School
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Slide 10: G.D. Abrams, University of Michigan Medical School
Slide 12: G.D. Abrams, University of Michigan Medical School
Slide 13: G.D. Abrams, University of Michigan Medical School
Slide 14: G.D. Abrams, University of Michigan Medical School
Slide 17: G.D. Abrams, University of Michigan Medical School
Slide 18: G.D. Abrams, University of Michigan Medical School
Slide 19: G.D. Abrams, University of Michigan Medical School
Slide 20: G.D. Abrams, University of Michigan Medical School
Slide 21: G.D. Abrams, University of Michigan Medical School
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Slide 24: G.D. Abrams, University of Michigan Medical School
Slide 25: G.D. Abrams, University of Michigan Medical School

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08.25.08: Neoplasia II

  • 1. Author(s): Gerald Abrams, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Non-commercial–Share Alike 3.0 License: http://creativecommons.org/licenses/by-nc-sa/3.0/ We have reviewed this material in accordance with U.S. Copyright Law and have tried to maximize your ability to use, share, and adapt it. The citation key on the following slide provides information about how you may share and adapt this material. Copyright holders of content included in this material should contact open.michigan@umich.edu with any questions, corrections, or clarification regarding the use of content. For more information about how to cite these materials visit http://open.umich.edu/education/about/terms-of-use. Any medical information in this material is intended to inform and educate and is not a tool for self-diagnosis or a replacement for medical evaluation, advice, diagnosis or treatment by a healthcare professional. Please speak to your physician if you have questions about your medical condition. Viewer discretion is advised: Some medical content is graphic and may not be suitable for all viewers.
  • 2. Citation Key for more information see: http://open.umich.edu/wiki/CitationPolicy Use + Share + Adapt { Content the copyright holder, author, or law permits you to use, share and adapt. } Public Domain – Government: Works that are produced by the U.S. Government. (USC 17 §105) Public Domain – Expired: Works that are no longer protected due to an expired copyright term. Public Domain – Self Dedicated: Works that a copyright holder has dedicated to the public domain. Creative Commons – Zero Waiver Creative Commons – Attribution License Creative Commons – Attribution Share Alike License Creative Commons – Attribution Noncommercial License Creative Commons – Attribution Noncommercial Share Alike License GNU – Free Documentation License Make Your Own Assessment { Content Open.Michigan believes can be used, shared, and adapted because it is ineligible for copyright. } Public Domain – Ineligible: Works that are ineligible for copyright protection in the U.S. (USC 17 § 102(b)) *laws in your jurisdiction may differ { Content Open.Michigan has used under a Fair Use determination. } Fair Use: Use of works that is determined to be Fair consistent with the U.S. Copyright Act. (USC 17 § 107) *laws in your jurisdiction may differ Our determination DOES NOT mean that all uses of this 3rd-party content are Fair Uses and we DO NOT guarantee that your use of the content is Fair. To use this content you should do your own independent analysis to determine whether or not your use will be Fair.
  • 3. M1 Patients and Populations: NEOPLASIA II Gerald D. Abrams MD Fall 2008
  • 4. MICROSCOPIC FEATURES OF NEOPLASMS •  CONCEPT OF STROMA / ANGIOGENESIS •  CONCEPT OF DIFFERENTIATION •  GRADING / STAGING
  • 5. CANCER CELLS AND STROMA G.D. Abrams, University of Michigan Medical School
  • 6. CANCER CELLS AND STROMA SCIRRHOUS G.D. Abrams, University of Michigan Medical School
  • 7. NORMAL COLONIC MUCOSA G.D. Abrams, University of Michigan Medical School
  • 8. COLON CANCER, MODERATELY DIFFERENTIATED G.D. Abrams, University of Michigan Medical School
  • 9. NORMAL BRONCHIAL MUCOSA G.D. Abrams, University of Michigan Medical School
  • 10. CANCER OF THE BRONCHUS ANAPLASTIC G.D. Abrams, University of Michigan Medical School
  • 11. GRADING OF NEOPLASMS •  ASSESSMENT OF THE DEGREE OF DIFFERENTIATION OF A NEOPLASM •  BASED ON THE RESEMBLANCE OF THE NEOPLASM TO THE NORMAL TISSUE OF ORIGIN
  • 12. WELL DIFFERENTIATED SQUAMOUS CELL CARCINOMA G.D. Abrams, University of Michigan Medical School
  • 13. MODERATELY DIFFERENTIATED SQUAMOUS CELL CARCINOMA G.D. Abrams, University of Michigan Medical School
  • 14. POORLY DIFFERENTIATED SQUAMOUS CELL CARCINOMA G.D. Abrams, University of Michigan Medical School
  • 15. STAGING OF NEOPLASMS •  ASSESSMENT OF THE EXTENT OF PROGRESSION OF A NEOPLASM IN THE BODY •  BASED ON THE SIZE AND EXTENT OF THE PRIMARY, AND ON THE PRESENCE OR ABSENCE OF REGIONAL AND DISTANT METASTASES
  • 16. HISTOPATHOLOGIC DIAGNOSIS OF NEOPLASMS •  DIAGNOSIS AS A PREDICTION •  EVALUATION OF: -ARCHITECTURAL ARRANGEMENT -RELATION OF NEOPLASTIC CELLS TO NORMAL SURROUNDINGS -CYTOLOGIC FEATURES OF NEOPLASTIC CELLS
  • 17. INVASION G.D. Abrams, University of Michigan Medical School
  • 18. NORMAL COLONIC EPITHELIAL CELLS G.D. Abrams, University of Michigan Medical School
  • 19. NEOPLASTIC COLONIC EPITHELIAL CELLS G.D. Abrams, University of Michigan Medical School
  • 20. NORMAL SQUAMOUS EPITHELIUM G.D. Abrams, University of Michigan Medical School
  • 21. DYSPLASTIC SQUAMOUS EPITHELIUM G.D. Abrams, University of Michigan Medical School
  • 22. CARCINOMA IN SITU G.D. Abrams, University of Michigan Medical School
  • 23. CELLULAR FEATURES OF ANAPLASIA G.D. Abrams, University of Michigan Medical School
  • 24. PAP SMEAR NORMAL CELLS G.D. Abrams, University of Michigan Medical School
  • 25. PAP SMEAR MALIGNANT CELLS G.D. Abrams, University of Michigan Medical School
  • 26. Additional Source Information for more information see: http://open.umich.edu/wiki/CitationPolicy Slide 5: G.D. Abrams, University of Michigan Medical School Slide 6: G.D. Abrams, University of Michigan Medical School Slide 7: G.D. Abrams, University of Michigan Medical School Slide 8: G.D. Abrams, University of Michigan Medical School Slide 9: G.D. Abrams, University of Michigan Medical School Slide 10: G.D. Abrams, University of Michigan Medical School Slide 12: G.D. Abrams, University of Michigan Medical School Slide 13: G.D. Abrams, University of Michigan Medical School Slide 14: G.D. Abrams, University of Michigan Medical School Slide 17: G.D. Abrams, University of Michigan Medical School Slide 18: G.D. Abrams, University of Michigan Medical School Slide 19: G.D. Abrams, University of Michigan Medical School Slide 20: G.D. Abrams, University of Michigan Medical School Slide 21: G.D. Abrams, University of Michigan Medical School Slide 22: G.D. Abrams, University of Michigan Medical School Slide 23: G.D. Abrams, University of Michigan Medical School Slide 24: G.D. Abrams, University of Michigan Medical School Slide 25: G.D. Abrams, University of Michigan Medical School