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. 2012 Jun 12;5(2):313–319. doi: 10.1159/000339611

Fig. 2.

Fig. 2

Microscopic appearance of the MANEC tumour. a Moderately differentiated adenocarcinoma intimately admixed with a poorly differentiated neuroendocrine carcinoma. HE ×10. b Squamous cell carcinoma component admixed with the NEC component. Squamous ×10. c Positivity of the neuroendocrine component for chromogranin and negativity of the adenocarcinomatous component for chromogranin. Chromogranin ×20. d Negativity of the squamous cell carcinoma for chromogranin and positivity of the NEC for chromogranin. Chromo-squamous ×20. e Squamous cell differentiation as confirmed by the positivity for high molecular weight cytokeratins such as CK5. CK5-squamous ×20. f Negativity of both the adenocarcinomatous component and the NEC component for CK5. CK5-adeno-NEC.