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Ackerman Atlas(chaptr31)

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Vagina

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Figure 31.1 Vaginal adenosis with the surface squamous epithelium replaced by glandular epithelium and glands extending down into the superficial lamina propria

Figure 31.2 Vaginal adenosis of tuboendometrial type beneath an ulcerated surface. Other areas of this specimen showed adenocarcinoma arising from the adenosis

Figure 31.3 Extensive squamous metaplasia in vaginal adenosis

 

Figure 31.4 Malakoplakia of Vagina. This periodic acid-Schiff stain shows numerous histiocytes containing particulate material in their cytoplasm

Figure 31.5 Vaginal cyst lined by müllerian epithelium connecting with surface squamous epithelium

Figure 31.6 Mixed Tumor of Vagina. The plexiform pattern of growth seen in this field is characteristic of the entity

 Figure 31.7 High-grade squamous intraepithelial lesions/vaginal intraepi- thelial neoplasia (HSILVAIN3)

Figure 31.8 Invasive squamous cell carcinoma resulting in a large ulcerated mass

Figure 31.9 Well-differentiated keratinizing squamous cell carcinoma of vagina invading the superficial stroma

Figure 31.10 Squamous cell carcinoma of the vagina with a more basaloid morphology

 Figure 31.11 Clear Cell Carcinoma of Vagina. A, Papillary pattern; B, prominent clear cell features

Figure 31.12 Spindle cell (sarcomatoid) carcinoma of vagina. Elongated cells with a mesenchymal-like appearance surround a well-defined nest having a clear-cut epithelial appearance

 Figure 31.13 Curious mushroom-like appearance of vaginal fibroepithelial polyp. (Courtesy of Dr. Pedro J. Grases Galofré; from Grases Galofré PJ. Patología ginecológica. Bases para el diagnóstico morfológico. Barcelona: Masson; 2002.)

 Figure 31.14 Fibroepithelial polyp of vagina showing loose fibrovascular stroma covered by slightly thickened but otherwise unremarkable squamous epithelium

Figure 31.15 Atypical benign stromal cells in a vaginal polyp

Figure 31.16 A and B, Medium- and high-power views of postoperative spindle cell nodule. The lesion is extremely cellular and mitotically active, but there is little pleomorphism

 

Figure 31.17 A and B, Vaginal rhabdomyoma composed of bundles of mature skeletal muscle cells scattered in the stroma beneath normal squamous epithelium

Figure 31.18 Botryoid Embryonal Rhabdomyosarcoma of Vagina. The grape-like configuration of this lesion is characteristic

Figure 31.19 Microscopic Appearance of Embryonal Rhabdomyo- sarcoma. The differential diagnosis is that of small round cell tumors

Figure 31.20 So-called cambium layer beneath non-neoplastic epithelium in embryonal rhabdomyosarcoma

 

Figure 31.21 Malignant Melanoma of Vagina. (From Norris HJ, Taylor HB. Melanomas of the vagina. Am J Clin Pathol. 1966;46:420-426.)

Figure 31.22 Malignant Melanoma of Vagina. The tumor has an undifferentiated appearance, is largely amelanotic, and has an ulcerated surface