Lung tumor
Other carcinoma
Large cell undifferentiated carcinoma

Author: Deepali Jain, M.D. (see Authors page)

Revised: 21 December 2016, last major update September 2012

Copyright: (c) 2003-2016, PathologyOutlines.com, Inc.

PubMed Search: large cell undifferentiated carcinoma lung
Cite this page: Large cell undifferentiated carcinoma. PathologyOutlines.com website. http://pathologyoutlines.com/topic/lungtumorlargecell.html. Accessed May 28th, 2017.
Definition / general
  • Malignant epithelial neoplasm composed of large, atypical cells; subtypes include basaloid carcinoma, large cell neuroendocrine carcinoma, large cell carcinoma with rhabdoid phenotype, lymphoepithelial carcinoma (PubCan)
  • Tumor with solid nests of large polygonal and anaplastic cells without obvious squamous or glandular differentiation; may be undifferentiated squamous cell carcinoma or adenocarcinoma
  • Diagnosis of exclusion - cannot diagnose on small biopsies or in lymph node metastases
  • Extended panel of immunohistochemical markers can reclassify 60%; miRNA-based analysis can reclassify the balance, but clinical relevance is unknown (Am J Clin Pathol 2011;136:773)
  • 80% men
  • Often associated with peripheral eosinophilia and leukocytosis, due to tumor production of colony stimulating factor
  • Behavior is similar to adenocarcinoma
Case reports
Gross description
  • Usually peripheral lung; spherical tumor with well-defined borders and bulging, fleshy, homogenous gray-white cut surface
  • No anthracosis
  • Frequently involves thoracic wall
Microscopic (histologic) description
  • Large polygonal cells and anaplastic cells growing in solid nests without obvious squamous or glandular differentiation
  • Moderately abundant cytoplasm, well defined cell borders, vesicular nuclei, prominent nucleoli
Microscopic (histologic) images

Images hosted on other servers:

Rhabdoid cells

Various images

Tumors reclassified and unable to be reclassified with extended IHC panel

Virtual slides

Images hosted on other servers:

Anaplastic tumor cells

Positive stains
  • CK5 (56%), calretinin (38%), thrombomodulin (25%), mesothelin (13%), TTF1 (variable)
Electron microscopy description
  • Glandular (intracellular and extracellular lumina) and squamous (desmosomes, tonofilaments) features often present although not obvious with H&E staining