Classification

CLASSIFICATION OF NEOPLASM

  • Tumours are classified based on histogenesis (Cell of origin) and behavioral pattern (Dangerous to life or not). Based on histogenesis, the neoplasms are classified as simple tumours (Involvement of one cell type), mixed tumours (Involves more than one cell type arising from a single germinal layer) and compound tumours (Cells arising from all germinal layers). Tumours are further classified based on behavioral pattern as benign (not ordinarily fatal) and malignant (usually fatal).

Nomenclature

  • The nomenclature of neoplasm has two components: an initial part (Prefix) that indicates the type of cell (Histogenesis) and the following part (Suffix) indicates the benign or malignant nature of neoplasm. All benign tumours have the suffix –oma, while malignant tumours originating from epithelial cells carry the suffix carcinoma and mesenchymal cells carry the suffix sarcoma.

S. No.

Histogenesis

Behaviour

Benign

Malignant

I.

Simple tumours:

Epithelial cells

Mesenchymal cells

Others

-oma

-oma

-oma

-carcinoma

-sarcoma

-oma

I I.

Mixed tumours

Benign mixed tumour

Malignant mixed tumour

I I I.

Compound tumours

Mature teratoma

Immature teratoma

Histological classification of neoplasms

Benign

Malignant

Epithelial

i. Epidermis

Papilloma

Squamous cell carcinoma

ii. Basal cell (Skin adnexae)

-

Basal cell carcinoma

Adnexae

i. Hair follicle

Trichoepithelioma

Adenocarcinoma

ii. Sebaceous/Sweat/Perianal

gland

Adenoma of respective gland

Adenocarcinoma

Non glandular epithelium

Papilloma

Carcinoma

Glandular surface

Polyp

Adenocarcinoma

Glandular epithelium

Adenoma

Adenocarcinoma

Mesenchymal

i. Fibrocyte

Fibroma

Fibrosarcoma

ii. Mucoid connective tissue

Myxoma

Myxosarcoma

iii. Adipose connective tissue

Lipoma

Liposarcoma

iv. Cartilage

Chondroma

Chondrosarcoma

v. Bone

Osteoma

Osteosarcoma

Blood vessel

Angioma or haemangioma

Haemangiosarcoma

Lymph vessel

Lymphangioma

Lymphangiosarcoma

Smooth muscle

Leiomyoma

Leiomyosarcoma

Striated muscle

Rhabdomyoma

Rhabdomyosarcoma

Histiocyte

Histiocytoma

Malignant histiocytoma or histiocytic sarcoma

Mast cell

Mastocytoma

Malignant mast cell tumour or mast cell sarcoma

Haemopoietic tissue

i. Lymphocyte

Lymphocytoma

Lymphosarcoma

ii. Plasma cell

-

Myeloma

iii. Monocyte

-

Monocytic leukemia

iv. Granulocyte

-

Myelogenous leukemia or granulocytic leukemia

v. Reticulum cells

-

Reticulum cell sarcoma

vi. Erythroblasts

-

Erythroid leukemia

vii. Myoloblast

-

Myeloid leukemia

Mesothelium

i. Synovial membrane

Synovioma

Synovial carcinoma

ii. Meninges

Meningioma

Meningioma or invasive meningioma

iii. Bronchial epithelium

-

Bronchogenic carcinoma

Nervous tissue

i. Astrocyte

Astrocytoma

Astrocytoma

ii. Oligodendroglia

Oligodendroglioma

Oligodendroglioma

iii. Ependyma

Ependymoma

Ependymoma

iv. Schwann cells

Schwannoma (neurilemmoma)

Neurilemmoma

v. Nerve cell

Neuroblastoma or

Ganglioneuroma

Malignant neuroblastoma or Malignant ganglioneuroma

vi. Chromaffin paraganglia

(adrenal medulla)

Pheochromocytoma

Malignant pheochromocytoma

vii. Non chromaffin paraganglia (Carotid body, aortic body)

Chemodectoma or Non chromaffin paraganglioma

Malignant chemodectoma or Non chromaffin paraganglioma or meduloblastoma

Others

i. Neuroectoderm- Melanocyte

Melanoma

Malignant melanoma

ii. Renal epithelium

Renal tubular adenoma

Renal cell carcinoma

iii. Urinary tract epithelium (Transitional)

Transitional cell papilloma

Transitional cell carcinoma

iv. Placental epithelium (Trophoblast)

Hydatidiform mole

Choriocarcinoma

v. Spermatogonic epithelium (Testicular epithelium;

germ cells)

Seminoma

Seminoma or Embryonal carcinoma

vi. Kidney

Nephroblastoma

Malignant nephroblastoma

vii. Islet cell

Insulinoma (β cell adenoma)

Malignant insulinoma

viii. Liver

ix. Sertoli cell

Hepatoma

Sertoli cell tumour

Hepatocellular carcinoma

Sertoli cell tumour

Last modified: Friday, 16 December 2011, 7:14 AM