Here’s your Tumor Terminology Decoding Chart — designed for quick reference so you can decode histopathology/radiology report wording at a glance.
Prefix / Descriptive Term | Meaning (Cell / Tissue Type) | Benign Example | Malignant Example | Notes / Key Points |
---|---|---|---|---|
Squamous | Stratified squamous epithelium (skin, oral cavity, esophagus, cervix) | Squamous papilloma | Squamous cell carcinoma | Often keratin pearls in well-differentiated types |
Adeno- | Glandular / secretory epithelium (GI tract, pancreas, breast, prostate) | Adenoma | Adenocarcinoma | “Adenomatous” = benign but premalignant potential |
Transitional / Urothelial | Lining of urinary tract (renal pelvis → bladder) | Transitional papilloma | Transitional (urothelial) carcinoma | Common in bladder cancer |
Neuroendocrine | Neuroendocrine cells (endocrine + neural features) | Carcinoid tumor | Small-cell carcinoma, large-cell neuroendocrine carcinoma | “Salt-and-pepper” chromatin histology |
Germ cell | Primitive reproductive cells (testis, ovary, midline) | Mature teratoma | Seminoma, yolk sac tumor, embryonal carcinoma | May contain multiple tissue types |
Lymphoid | Lymphocytes / immune system tissue | Reactive lymphoid hyperplasia | Lymphoma (Hodgkin, Non-Hodgkin) | Diagnosed by histology + immunophenotyping |
Melano- | Melanocytes (pigment-producing cells) | – | Melanoma | Aggressive; can arise in skin, eye, mucosa |
Fibro- | Fibrous connective tissue | Fibroma | Fibrosarcoma | Mesenchymal origin |
Lipo- | Adipose tissue | Lipoma | Liposarcoma | Well-differentiated liposarcoma may mimic lipoma radiologically |
Leiomyo- | Smooth muscle | Leiomyoma | Leiomyosarcoma | Common benign uterine tumor |
Rhabdomyo- | Skeletal muscle | Rhabdomyoma | Rhabdomyosarcoma | Malignant form common in pediatrics |
Osteo- | Bone-forming tissue | Osteoma | Osteosarcoma | Osteosarcoma → malignant osteoid production |
Chondro- | Cartilage | Chondroma | Chondrosarcoma | Common in long bones, pelvis |
Hemangio- | Blood vessels | Hemangioma | Angiosarcoma | Angiosarcoma is aggressive, often skin/liver |
Myo- | Muscle (nonspecific) | Myoma | Myosarcoma | Prefix modified to leio-/rhabdo- for smooth/skeletal |
Term | Meaning | Example | Key Point |
---|---|---|---|
Adenomatous | Gland-like benign proliferation | Adenomatous polyp of colon | Premalignant potential |
Papillary | Finger-like projections | Papillary thyroid carcinoma | Architecture description |
Villous | Long, frond-like projections | Villous adenoma (colon) | Higher malignancy risk than tubular adenoma |
Cystic | Fluid-filled spaces | Cystadenoma | Seen in ovary, pancreas |
Mucinous | Producing mucin | Mucinous cystadenocarcinoma | Mucin seen as high T2 signal on MRI |
Solid | Densely packed cells | Solid variant papillary carcinoma | Low stroma |
Clear cell | Cytoplasm appears clear | Clear cell renal cell carcinoma | Due to glycogen/lipid |
Spindle cell | Elongated cells resembling fibroblasts | Spindle cell sarcoma | Often mesenchymal origin |
Giant cell | Multinucleated large cells | Giant cell tumor of bone | May be reactive or neoplastic |
Embryonal | Resembling fetal tissue | Embryonal rhabdomyosarcoma | Often aggressive |
Medullary | Soft, brain-like consistency | Medullary thyroid carcinoma | Often solid cellular mass |
Scirrhous | Dense fibrous stroma | Scirrhous gastric carcinoma | Rock-hard feel |
Suffix Guide
Suffix | Meaning | Example | Malignancy? |
---|---|---|---|
-oma | Tumor (often benign, but exceptions) | Lipoma | Usually benign — EXCEPT lymphoma, melanoma, hepatoma |
-carcinoma | Malignant epithelial tumor | Squamous cell carcinoma | Yes |
-sarcoma | Malignant mesenchymal tumor | Osteosarcoma | Yes |
-blastoma | Malignant tumor from primitive cells | Neuroblastoma | Yes |
-cytoma | Tumor of specific cell type | Astrocytoma | May be benign or malignant |