⭕Ameloblastoma (follicular and plexiform patterns)
🔬Epithelial islands with peripheral palisading of columnar cells and central stellate reticulum-like cells in a fibrous stroma
☢Well-defined radiolucency around the crowns of impacted molars with partial cortical resorption
🧬NAB2-STAT6 fusion (intrachromosomal rearrangement on 12q)
☢️Well-circumscribed pleural-based mass, mostly attached to visceral pleura; may grow large enough to fill a hemithorax and displace the mediastinum
🧬At least 30% hereditary: SDH genes (most common), NF1, VHL, RET, MAX, EPAS1, FH; SDHB IHC screens for SDH loss
☢️Marked T2 hyperintensity ("light bulb sign"); no signal drop on opposed-phase MRI, unlike lipid-rich adenoma
⭕oncocytoma
🔬Nests and tubules of cells with abundant granular eosinophilic cytoplasm and small round regular nuclei, floating in edematous stroma
🧪c-kit+; CK7-
🧬Loss of chromosome 1, 11q13 rearrangement, deletion of chromosome 14
☢️Central scar may be seen on CT
To everyone who follows me: thank you, as always, for reading, liking, and reposting. This account posts one case a day, drawn mainly from diseases that have appeared on Japan's pathology board examination (every image cited comes from CC BY papers only).
My aim is the sharpest possible diagnostic skill — reading an H&E image alone and "seeing through" it to what lies beyond the disease and to its genetics — and I will keep working toward it. Thank you all for your continued support.
Image (pathology): Zhou L, et al. Front Oncol 2024;14:1349610 (CC BY 4.0)
Image (CT): Yang Y, et al. Front Oncol 2023;13:1187495 (CC BY 4.0)
Ref: El-Zaatari ZM, Truong LD. Biomedicines 2022;10:657
Ref: Yang Y, et al. Front Oncol 2023;13:1187495
🧬KRAS mutation in most cases (~80–90%), clustered in exon 2 codon 12 (mainly G12V); no trisomy 7/17. Indolent behavior
☢️Small, round, well-defined renal mass with high attenuation on pre-contrast CT (arrow)
Image (pathology): Mohanty SK, et al. Virchows Arch 2024;485:829 (CC BY 4.0)
Image (CT): Lee HJ, et al. Jpn J Radiol 2024;42:1458 (CC BY 4.0)
Ref: Marletta S, et al. Virchows Arch 2026;489:631
Al-Obaidy KI, et al. Mod Pathol 2022;35:1279