Pathology · single question

Histopathology describes giant cells. Which differential diagnosis is most related?

  1. Brown's tumor (hyperparathyroidism)
  2. Squamous cell carcinoma
  3. Ameloblastoma
  4. Pleomorphic adenoma
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Correct answer: A. Brown's tumor (hyperparathyroidism)

  • A. Correct. Brown's tumor (associated with hyperparathyroidism) classically shows multinucleated giant cells histologically, similar in appearance to central giant cell granuloma and cherubism, and must be included in this differential.
  • B. Squamous cell carcinoma shows malignant epithelial cells, not multinucleated giant cells, on histology.
  • C. Ameloblastoma shows odontogenic epithelial islands, not giant cells, on histology.
  • D. Pleomorphic adenoma shows mixed epithelial/myoepithelial and stromal elements, not giant cells.

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