Table 4. Major and minor histological feature of type B1 versus B2 thymomas.
Features | Type B1 thymoma | Type B2 thymoma |
---|---|---|
Major criteria | ||
Thymus-like pattern throughout | Consistently present | Rarely present |
Medullary islands (+/− Hassal’s corpuscles) | Consistently present | Occasionally presenta |
Confluence of epithelial cells in cortical areasb | No (like in the NT) | Yes |
Absence of type A areas (even if <10%) | Yes | Yes |
Minor criteria | ||
Small lobular growth pattern | Rare | Common |
Large lobular growth pattern | Common | Rare |
Perivascular spaces | Commonly present | Commonly present |
Keratin+c network like in NT | Yes | Denser than in NT |
a, These features are, therefore, minor criteria of type B2 thymomas; b, defined as at least three contiguous epithelial cells; c, on immunostaining. NT, normal thymus.