TABLE 1.
Mesothelioma subtype | Histolopathologic features |
Epithelioid | Polygonal, oval, or cuboidal cells arranged in various growth patterns including papillary, tubular/acinar (glandular), tubulopapillary, adenomatoid, deciduoid, solid. Psammoma bodies and necrosis may be present. |
Sarcomatoid | Pleomorphic spindled cells arranged in fascicles, whorls or in a haphazard fashion. Heterologous elements (cartilage or bone) may be present. Pleomorphic spindled cells may be entrapped in a dense sclerotic stroma (desmoplastic variant). |
Biphasic | Combination of epithelioid and sarcomatoid features. |