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    Learn/Histology/Adenocarcinoma — colon
    Pathologic·Pathology·Colon

    Adenocarcinoma — colon

    Stain: H&E·Magnification: 20x·Tissue: Glandular·4 labeled regions
    Adenocarcinoma — colon histology — Pathology, Colon, H&E
    Wikimedia Commons · File:Micrograph of colorectal carcinoma with dirty necrosis.jpg · https://commons.wikimedia.org/wiki/File:Micrograph_of_colorectal_carcinoma_with_dirty_necrosis.jpg (CC-licensed)
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    Description

    Malignant glands with cribriform / back-to-back architecture, nuclear atypia, and stromal desmoplasia. Invades through muscularis mucosae.

    Labeled regions (4)

    1. 1
      Atypical neoplastic glands

      Irregular, complex shapes; back-to-back without intervening stroma.

    2. 2
      Nuclear pleomorphism

      Variable nuclear size + shape; hyperchromasia.

    3. 3
      Desmoplastic stroma

      Pink dense fibrous reaction to invasion.

    4. 4
      Mitotic figure

      Abnormal mitoses are a malignancy clue.

    More pathology histology

    Comedo DCIS — high-grade ductal carcinoma in situ
    Comedo DCIS — high-grade ductal carcinoma in situ
    Breast
    Liver cirrhosis — regenerative nodules + bridging fibrosis (Trichrome)
    Liver cirrhosis — regenerative nodules + bridging fibrosis (Trichrome)
    Liver
    Cervical intraepithelial neoplasia (CIN 2 / HSIL)
    Cervical intraepithelial neoplasia (CIN 2 / HSIL)
    Cervix
    Acute MI — coagulative necrosis of cardiomyocytes
    Acute MI — coagulative necrosis of cardiomyocytes
    Heart (myocardium)
    Granulomatous inflammation — non-caseating (sarcoid pattern)
    Granulomatous inflammation — non-caseating (sarcoid pattern)
    Squamous cell carcinoma with keratin pearls
    Squamous cell carcinoma with keratin pearls