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Epithelial and soft tissue tumors of the tracheobronchial tree

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1 Epithelial and soft tissue tumors of the tracheobronchial tree
Leslie Litzky, MD  Chest Surgery Clinics  Volume 13, Issue 1, Pages 1-40 (February 2003) DOI: /S (02)

2 Fig. 1 (A) Endoscopic photograph of a bronchial papilloma. The exophytic polypoid excrescences are typical. Microscopically, this proved to be a mixed squamous cell and glandular papilloma. (Courtesy of Michael A. Grippi, Pulmonary, Allergy, and Critical Care Division, University of Pennsylvania Medical Center.) (B) Squamous papilloma of the trachea. This low-power photomicrograph highlights the branching central fibrovascular cores with a surface lined by benign squamous epithelium. Chest Surgery Clinics  , 1-40DOI: ( /S (02) )

3 Fig. 1 (A) Endoscopic photograph of a bronchial papilloma. The exophytic polypoid excrescences are typical. Microscopically, this proved to be a mixed squamous cell and glandular papilloma. (Courtesy of Michael A. Grippi, Pulmonary, Allergy, and Critical Care Division, University of Pennsylvania Medical Center.) (B) Squamous papilloma of the trachea. This low-power photomicrograph highlights the branching central fibrovascular cores with a surface lined by benign squamous epithelium. Chest Surgery Clinics  , 1-40DOI: ( /S (02) )

4 Fig. 2 Squamous cell carcinoma, right mainstem bronchus. The central location allowed this tumor to reach an appreciable size before detection. Chest Surgery Clinics  , 1-40DOI: ( /S (02) )

5 Fig. 3 (A) Left mainstem bronchus resection for an endobronchial mucoepidermoid carcinoma. (B) The same mucoepidermoid carcinoma in cross-section, demonstrating an attachment to the bronchus, but invasion is limited to the superficial portion of the submucosa. (From Litzky LA. The pathology of non–small cell lung carcinomas. In: Fishman AP, Elias JA, Fishman JA, et al, editors. Pulmonary diseases and disorders, 3rd edition. New York, NY: McGraw-Hill; p. 1739–58; with permission.) Chest Surgery Clinics  , 1-40DOI: ( /S (02) )

6 Fig. 3 (A) Left mainstem bronchus resection for an endobronchial mucoepidermoid carcinoma. (B) The same mucoepidermoid carcinoma in cross-section, demonstrating an attachment to the bronchus, but invasion is limited to the superficial portion of the submucosa. (From Litzky LA. The pathology of non–small cell lung carcinomas. In: Fishman AP, Elias JA, Fishman JA, et al, editors. Pulmonary diseases and disorders, 3rd edition. New York, NY: McGraw-Hill; p. 1739–58; with permission.) Chest Surgery Clinics  , 1-40DOI: ( /S (02) )

7 Fig. 4 Endobronchial hamartoma. This low-power photomicrograph demonstrates the characteristic circumscription and lobulated architecture. There is a predominance of cartilaginous elements in this tumor that might lead to a misdiagnosis of chondroma. Chest Surgery Clinics  , 1-40DOI: ( /S (02) )

8 Fig. 5 Inflammatory myofibroblastic tumor. The lesion is well circumscribed with variegations in color and consistency. This lesion might easily be mistaken for a more common lung carcinoma on radiographs and initial gross examination. Chest Surgery Clinics  , 1-40DOI: ( /S (02) )


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