Atypia
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Atypia (from Greek, a + typos, without type; a condition of being irregular or nonstandard)[1] is a histopathologic term for a structural abnormality in a cell, i.e. it is used to describe atypical cells.
Atypia can be caused by infection or irritation. If, for example it were diagnosed in a Pap smear in the uterus it is more likely to be precancerous.
The related concept of dysplasia refers to an abnormality of development,[2] and includes abnormalities on larger, histopathologic scales.
Example features
[edit | edit source]Features that constitute atypia have different definitions for different diseases, but often include the following nucleus abnormalities:[3]
- Enlargement
- Pleomorphism
- Nuclear polychromasia, which means variability in nuclear chromatin content.[4] Polychromasia otherwise refers to a disease of immature red blood cells.
- Numerous mitotic figures
Examples for Barrett's esophagus
[edit | edit source]In Barrett's esophagus, features that are classified as atypia but not as dysplasia are mainly:[5]
- Nuclear stratification, wherein cell nuclei, which are normally located nearly at the same level between adjacent cells, are instead located at different levels.
- Crowding
- Hyperchromatism
- Prominent nucleoli
Prognosis
[edit | edit source]It may or may not be a precancerous indication associated with later malignancy, but the level of appropriate concern is highly dependent on the context with which it is diagnosed.
For example, already differentiated, specialised cells such as epithelia displaying "cellular atypia" are far less likely to become problematic (cancerous/malignant) than are myeloid progenitor cells of the immune system. The 'further back' in an already specialised, differentiated cell's lineage, the more problematic cellular atypia is likely to be. This is due to the conferring of such atypia to progeny-cells further down the lineage of that cell type.
See also
[edit | edit source]
References
[edit | edit source]- ^ Mosby's Medical Dictionary (8th edition). Elsevier.
- ^ "dysplasia" at Dorland's Medical Dictionary
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