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Pathology · Neoplasia: anaplasia
Sample itemWhich feature is most characteristic of anaplasia in malignant tumors?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Pleomorphism and hyperchromatic enlarged nuclei
Anaplasia is lack of differentiation and is marked by cellular pleomorphism, hyperchromasia, high nucleus-to-cytoplasm ratio, and atypical mitoses. It is a hallmark of malignant transformation.
Option by option
A. Encapsulation without invasion
Encapsulation without invasion favors benign behavior.
B. Complete preservation of tissue architecture
Architectural preservation is not typical of anaplastic malignancy.
C. Uniform mature cells with normal mitoses
Uniform mature cells favor benign or well-differentiated tissue.
D. Pleomorphism and hyperchromatic enlarged nuclei (correct)
Correct. These cytologic abnormalities indicate poor differentiation.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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