<\/span><\/h2>\nAggressive digital papillary adenocarcinomas are acral<\/span> tumors, which have a broad morphological spectrum and can cause diagnostic confusion. Previously, tumors were divided into adenoma<\/span> and adenocarcinoma based on atypia<\/span>, but this has been revised: even soft tumors can behave in a evil one<\/span> Fashion.<\/p>\n<\/span>\nHistology<\/span> of aggressive digital papillary adenocarcinoma<\/span><\/h2>\nIn aggressive digital papillary adenocarcinoma, sections show a dermal basis tumor<\/span>, which can be connected to the top layer epidermis<\/span> (Figure 1). The tumor may be cystic<\/span>, papillary, ductal or solid<\/span>. The example illustrated here has predominantly solid and ductal. morphology<\/span> with only focal<\/span> papillary formation areas. The cells are basaloid<\/span>, show expanded atypical<\/span> nuclei<\/span>large and enlarged nucleoli mitosis<\/span> (Figures 1-6). Scaly<\/span> metaplasia<\/span> it can be seen inside the tumor (figure 5).<\/p>\n\n<\/span>Aggressive pathology of digital papillary adenocarcinoma<\/span><\/h5>\n<\/section>\n\n\n
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Figure 1<\/p>\n
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Figure 2<\/p>\n
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figure 3<\/p>\n
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Figure 4<\/p>\n
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Figure 5<\/p>\n
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Figure 6<\/p>\n<\/p><\/div>\n<\/section>\n
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<\/span>Special studies of aggressive digital papillary adenocarcinoma<\/span><\/h2>\nGenerally none is needed. In the cases found in lymph nodes<\/span> immunohistochemical studies to rule out metastasis<\/span> Breast, thyroid, or gastrointestinal sites may be required.<\/p>\n<\/span>\nDifferential diagnosis<\/span> of aggressive digital papillary adenocarcinoma<\/span><\/h2>\nMetastatic<\/span> adenocarcinoma: a clinical history and immunohistochemical studies may be necessary to rule out a dermal<\/span> or nodal<\/span> metastasis from another site.<\/p>\nBenign<\/span> attached<\/span> Tumor: Some of these tumors can be deceptively smooth. The acral site, infiltration<\/span> of deep structures and epidermis and the growth pattern helps to reach the correct diagnosis (malignant).<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"Introducci\u00f3n Los adenocarcinomas papilares digitales agresivos son acral tumores, que tienen un amplio espectro morfol\u00f3gico y pueden causar confusi\u00f3n diagn\u00f3stica. Anteriormente, los tumores se divid\u00edan en adenoma y adenocarcinoma basado…<\/p>","protected":false},"author":8,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"footnotes":""},"categories":[204],"tags":[205],"class_list":["post-6834","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones","tag-patologia"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/6834","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/comments?post=6834"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/6834\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/media?parent=6834"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/categories?post=6834"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/tags?post=6834"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}