solo review 2011 part 3

302
No history required Case 8 58.0

Upload: ghsmith

Post on 17-Jun-2015

215 views

Category:

Education


1 download

TRANSCRIPT

Page 1: SOLO review 2011 part 3

No history required

Case 858.0

Page 2: SOLO review 2011 part 3

Case 858.1

Page 3: SOLO review 2011 part 3

Case 858.2

Page 4: SOLO review 2011 part 3

Case 858.3

Page 5: SOLO review 2011 part 3

Case 858.4

Page 6: SOLO review 2011 part 3

58.5

Page 7: SOLO review 2011 part 3

58.6

• Mucoepidermoid carcinoma, low grade

Page 8: SOLO review 2011 part 3

Case 6

39F: Right breast at 7:00

6.0

Page 9: SOLO review 2011 part 3

Case 66.1

Page 10: SOLO review 2011 part 3

Case 66.2

Page 11: SOLO review 2011 part 3

Case 66.3

Page 12: SOLO review 2011 part 3

Case 66.4

Page 13: SOLO review 2011 part 3

Case 66.5

Page 14: SOLO review 2011 part 3

Case 66.6

Page 15: SOLO review 2011 part 3

6.7

Page 16: SOLO review 2011 part 3

6.8

• Micropapillary IDC, Nottingham 3+3+?

Page 17: SOLO review 2011 part 3

Case 9

85M: Right vocal cord polyp

96.0

Page 18: SOLO review 2011 part 3

Case 996.1

Page 19: SOLO review 2011 part 3

Case 996.2

Page 20: SOLO review 2011 part 3

Case 996.3

Page 21: SOLO review 2011 part 3

Case 996.4

Page 22: SOLO review 2011 part 3

Case 996.5

Page 23: SOLO review 2011 part 3

Case 996.6

Page 24: SOLO review 2011 part 3

Case 996.7

Page 25: SOLO review 2011 part 3

96.8

Page 26: SOLO review 2011 part 3

96.9

Page 27: SOLO review 2011 part 3

72F: Postmenopausal bleeding

Case 1328.0

Page 28: SOLO review 2011 part 3

Case 1328.1

Page 29: SOLO review 2011 part 3

Case 1328.2

Page 30: SOLO review 2011 part 3

Case 1328.3

Page 31: SOLO review 2011 part 3

Case 1328.4

Page 32: SOLO review 2011 part 3

Case 1328.5

Page 33: SOLO review 2011 part 3

Case 1328.6

Page 34: SOLO review 2011 part 3

28.7

Page 35: SOLO review 2011 part 3

28.8

• Endometrial intraepithelial carcinoma

Page 36: SOLO review 2011 part 3

49F: Parotid mass

Case 555.0

Page 37: SOLO review 2011 part 3

Case 555.1

Page 38: SOLO review 2011 part 3

Case 555.2

Page 39: SOLO review 2011 part 3

Case 555.3

Page 40: SOLO review 2011 part 3

Case 555.4

Page 41: SOLO review 2011 part 3

Case 555.5

Page 42: SOLO review 2011 part 3

Case 555.6

Page 43: SOLO review 2011 part 3

55.7

Page 44: SOLO review 2011 part 3

55.8

• Follicular lymphoma, grade 1-2

Page 45: SOLO review 2011 part 3

Case 5

49F: Rush biopsy. Please mention calcium

35.0

Page 46: SOLO review 2011 part 3

Case 535.1

Page 47: SOLO review 2011 part 3

Case 535.2

Page 48: SOLO review 2011 part 3

Case 535.3

Page 49: SOLO review 2011 part 3

Case 535.4

Page 50: SOLO review 2011 part 3

35.5

Page 51: SOLO review 2011 part 3

35.6

• ALH; no calcification

Page 52: SOLO review 2011 part 3

Case 18

34F: Bladder tumor

48.0

Page 53: SOLO review 2011 part 3

Case 1848.1

Page 54: SOLO review 2011 part 3

Case 1848.2

Page 55: SOLO review 2011 part 3

Case 1848.3

Page 56: SOLO review 2011 part 3

Case 1848.4

Page 57: SOLO review 2011 part 3

Case 1848.5

Page 58: SOLO review 2011 part 3

Case 1848.6

Page 59: SOLO review 2011 part 3

48.7

Page 60: SOLO review 2011 part 3

48.8

• Endometriosis

Page 61: SOLO review 2011 part 3

51F: Obese and hypertensive. Presents with vaginal bleeding 4-5 months

Case 1429.0

Page 62: SOLO review 2011 part 3

Case 1429.1

Page 63: SOLO review 2011 part 3

Case 1429.2

Page 64: SOLO review 2011 part 3

Case 1429.3

Page 65: SOLO review 2011 part 3

Case 1429.4

Page 66: SOLO review 2011 part 3

Case 1429.5

Page 67: SOLO review 2011 part 3

Case 1429.6

Page 68: SOLO review 2011 part 3

Case 1429.7

Page 69: SOLO review 2011 part 3

Case 1429.8

Page 70: SOLO review 2011 part 3

Case 1429.9

Page 71: SOLO review 2011 part 3

Case 1429.10

Page 72: SOLO review 2011 part 3

Case 1429.11

Page 73: SOLO review 2011 part 3

29.12

Page 74: SOLO review 2011 part 3

29.13

• Adenocarcinoma with exogenous progesterone influence

Page 75: SOLO review 2011 part 3

65F: Excisional biopsy

Case 1262.0

Page 76: SOLO review 2011 part 3

Case 1262.1

Page 77: SOLO review 2011 part 3

Case 1262.2

Page 78: SOLO review 2011 part 3

Case 1262.3

Page 79: SOLO review 2011 part 3

Case 1262.4

Page 80: SOLO review 2011 part 3

62.5

Page 81: SOLO review 2011 part 3

62.6

• Peripheral intraductal papilloma

Page 82: SOLO review 2011 part 3

38M: Mass at base of skull

Case 1587.0

Page 83: SOLO review 2011 part 3

Case 1587.1

Page 84: SOLO review 2011 part 3

Case 1587.2

Page 85: SOLO review 2011 part 3

Case 1587.3

Page 86: SOLO review 2011 part 3

Case 1587.4

Page 87: SOLO review 2011 part 3

87.5

• The most likely diagnosis is

• What is the differential diagnosis

• What immunostain is most helpful in resolving this differential?

Page 88: SOLO review 2011 part 3

87.6

Case 15.

3 The most likely diagnosis is : Chordoma

2 What is the differential diagnosis: Chondrosarcoma

2 What immunostain is most helpful in resolving this differential? AE1/3/ Brachyury

Page 89: SOLO review 2011 part 3

Case 5

25F: Retroperitoneal mass resection.Section from a separate peritoneal nodule

92.0

Page 90: SOLO review 2011 part 3

Case 592.1

Page 91: SOLO review 2011 part 3

Case 592.2

Page 92: SOLO review 2011 part 3

Case 592.3

Page 93: SOLO review 2011 part 3

Case 592.4

Page 94: SOLO review 2011 part 3

92.5

Page 95: SOLO review 2011 part 3

92.6

Page 96: SOLO review 2011 part 3

25F

Unilateral ovarian mass 15 x 13 x 6 cm, 492 gms

Cystic and solid cut surface.

Case 11108.0

Page 97: SOLO review 2011 part 3

Case 11108.1

Page 98: SOLO review 2011 part 3

Case 11108.2

Page 99: SOLO review 2011 part 3

Case 11108.3

Page 100: SOLO review 2011 part 3

Case 11108.4

Page 101: SOLO review 2011 part 3

Case 11108.5

Page 102: SOLO review 2011 part 3

Case 11108.6

Page 103: SOLO review 2011 part 3

108.7

Page 104: SOLO review 2011 part 3

108.8

• Yolk sac tumor

Page 105: SOLO review 2011 part 3

Case 10

Breast biopsy

10.0

Page 106: SOLO review 2011 part 3

Case 1010.1

Page 107: SOLO review 2011 part 3

Case 1010.2

Page 108: SOLO review 2011 part 3

Case 1010.3

Page 109: SOLO review 2011 part 3

Case 1010.4

Page 110: SOLO review 2011 part 3

10.5

Page 111: SOLO review 2011 part 3

10.6

• DCIS colonizing lobules

Page 112: SOLO review 2011 part 3

Case 12

41M: Multiple masses in this organ

84.0

Page 113: SOLO review 2011 part 3

Case 1284.1

Page 114: SOLO review 2011 part 3

Case 1284.2

Page 115: SOLO review 2011 part 3

Case 1284.3

Page 116: SOLO review 2011 part 3

Case 1284.4

Page 117: SOLO review 2011 part 3

Case 1284.5

Page 118: SOLO review 2011 part 3

Case 1284.6

Page 119: SOLO review 2011 part 3

Case 1284.7

Page 120: SOLO review 2011 part 3

84.8

• a. Name the organ

• b. Pan-keratin and TTF-1 immunostains are negative. What is the diagnosis

• c. Name the stain

Page 121: SOLO review 2011 part 3

84.9

Case 12.

1 a. Name the organ: Lung

2 b. Pan-keratin and TTF-1 immunostains are negative. What is the diagnosis:Epithelioid hemangioendothelioma

1 c. Name the stain: CD 31

Page 122: SOLO review 2011 part 3

Case 8

40F: Lesser sac mass

95.0

Page 123: SOLO review 2011 part 3

Case 895.1

Page 124: SOLO review 2011 part 3

Case 895.2

Page 125: SOLO review 2011 part 3

Case 895.3

Page 126: SOLO review 2011 part 3

Case 895.4

Page 127: SOLO review 2011 part 3

Case 895.5

Page 128: SOLO review 2011 part 3

Case 895.6

Page 129: SOLO review 2011 part 3

95.7

Page 130: SOLO review 2011 part 3

95.8

Page 131: SOLO review 2011 part 3

Case 7

65F: Right breast cancer.

37.0

Page 132: SOLO review 2011 part 3

0.1 cm

Case 737.1

Page 133: SOLO review 2011 part 3

Case 737.2

Page 134: SOLO review 2011 part 3

Case 737.3

Page 135: SOLO review 2011 part 3

Case 737.4

Page 136: SOLO review 2011 part 3

Case 737.5

Page 137: SOLO review 2011 part 3

Case 737.6

Page 138: SOLO review 2011 part 3

37.7

Page 139: SOLO review 2011 part 3

37.8

• ADH verging on low grade DCIS

Page 140: SOLO review 2011 part 3

Case 2

53F: Ultrasound guided breast biopsy

32.0

Page 141: SOLO review 2011 part 3

Case 232.1

Page 142: SOLO review 2011 part 3

Case 232.2

Page 143: SOLO review 2011 part 3

Case 232.3

Page 144: SOLO review 2011 part 3

Case 232.4

Page 145: SOLO review 2011 part 3

Case 232.5

Page 146: SOLO review 2011 part 3

32.6

Page 147: SOLO review 2011 part 3

32.7

• Cyst; no ductal proliferation or Ca

Page 148: SOLO review 2011 part 3

Case 6

30F: Atypical endocervical cells suggestive of adenocarcinoma in situ

36.0

Page 149: SOLO review 2011 part 3

Case 636.1

Page 150: SOLO review 2011 part 3

Case 636.2

Page 151: SOLO review 2011 part 3

Case 636.3

Page 152: SOLO review 2011 part 3

Case 636.4

Page 153: SOLO review 2011 part 3

Case 636.5

Page 154: SOLO review 2011 part 3

Case 636.6

Page 155: SOLO review 2011 part 3

36.7

Page 156: SOLO review 2011 part 3

36.8

• Invasive carcinoma and AIS

Page 157: SOLO review 2011 part 3

Case 10

37M: Anemia

40.0

Page 158: SOLO review 2011 part 3

Case 1040.1

Page 159: SOLO review 2011 part 3

Case 1040.2

Page 160: SOLO review 2011 part 3

Case 1040.3

Page 161: SOLO review 2011 part 3

Case 1040.4

Page 162: SOLO review 2011 part 3

Case 1040.5

Page 163: SOLO review 2011 part 3

Case 1040.6

Page 164: SOLO review 2011 part 3

40.7

Page 165: SOLO review 2011 part 3

40.8

• Giardia

Page 166: SOLO review 2011 part 3

Case 3

73F: Mastectomy

3.0

Page 167: SOLO review 2011 part 3

Case 33.1

Page 168: SOLO review 2011 part 3

Case 33.2

Page 169: SOLO review 2011 part 3

Case 33.3

Page 170: SOLO review 2011 part 3

Case 33.4

Page 171: SOLO review 2011 part 3

Case 33.5

Page 172: SOLO review 2011 part 3

Case 33.6

Page 173: SOLO review 2011 part 3

3.7

Page 174: SOLO review 2011 part 3

3.8

• UDH and apocrine metaplasia

Page 175: SOLO review 2011 part 3

Case 1

62F: Pelvic mass

88.0

Page 176: SOLO review 2011 part 3

Case 188.1

Page 177: SOLO review 2011 part 3

Case 188.2

Page 178: SOLO review 2011 part 3

Case 188.3

Page 179: SOLO review 2011 part 3

Case 188.4

Page 180: SOLO review 2011 part 3

Case 188.5

Page 181: SOLO review 2011 part 3

Case 188.6

Page 182: SOLO review 2011 part 3

88.7

Page 183: SOLO review 2011 part 3

88.8

Page 184: SOLO review 2011 part 3

Case 3

49F: Calcifications in breast

33.0

Page 185: SOLO review 2011 part 3

Case 333.1

Page 186: SOLO review 2011 part 3

Case 333.2

Page 187: SOLO review 2011 part 3

Case 333.3

Page 188: SOLO review 2011 part 3

Case 333.4

Page 189: SOLO review 2011 part 3

33.5

Page 190: SOLO review 2011 part 3

33.6

• UDH; no calcifications

Page 191: SOLO review 2011 part 3

Case 10

27F: Neck dissection

97.0

Page 192: SOLO review 2011 part 3

Case 1097.1

Page 193: SOLO review 2011 part 3

Case 1097.2

Page 194: SOLO review 2011 part 3

Case 1097.3

Page 195: SOLO review 2011 part 3

Case 1097.4

Page 196: SOLO review 2011 part 3

Case 1097.5

Page 197: SOLO review 2011 part 3

97.6

Page 198: SOLO review 2011 part 3

97.7

Page 199: SOLO review 2011 part 3

Case 16

45F. Large mass. Menorrhagia

46.0

Page 200: SOLO review 2011 part 3

Case 1646.1

Page 201: SOLO review 2011 part 3

Case 1646.2

Page 202: SOLO review 2011 part 3

Case 1646.3

Page 203: SOLO review 2011 part 3

Case 1646.4

Page 204: SOLO review 2011 part 3

46.5

Page 205: SOLO review 2011 part 3

46.6

• Squamous metaplasia

Page 206: SOLO review 2011 part 3

Case 4

55M: Cirrhosis secondary to HCV infection. CT guided biopsy.

76.0

Page 207: SOLO review 2011 part 3

Case 476.1

Page 208: SOLO review 2011 part 3

Case 476.2

Page 209: SOLO review 2011 part 3

Case 476.3

Page 210: SOLO review 2011 part 3

Case 476.4

Page 211: SOLO review 2011 part 3

Case 476.5

Page 212: SOLO review 2011 part 3

Case 476.6

Page 213: SOLO review 2011 part 3

76.7

• a. Most comprehensive diagnosis on sections provided

• b. Name the stain

• c. Name the stain

• d. Name the stain

• e. Name the stain

Page 214: SOLO review 2011 part 3

76.8

• Case 4. • 2 a. Most comprehensive diagnosis on

sections provided: • Hepatocellular carcinoma• 1 b. Name the stain: HepPar• 1 c. Name the stain: pCEA/CD10• 1 d. Name the stain: CD34• 1 e. Name the stain: AFP/Glypican-3

Page 215: SOLO review 2011 part 3

Case 19

57F: Bilateral breast calcifications

49.0

Page 216: SOLO review 2011 part 3

0.1 cm

Case 1949.1

Page 217: SOLO review 2011 part 3

Case 1949.2

Page 218: SOLO review 2011 part 3

Case 1949.3

Page 219: SOLO review 2011 part 3

Case 1949.4

Page 220: SOLO review 2011 part 3

Case 1949.5

Page 221: SOLO review 2011 part 3

Case 1949.6

Page 222: SOLO review 2011 part 3

49.7

Page 223: SOLO review 2011 part 3

49.8

• ADH; Ca++

Page 224: SOLO review 2011 part 3

Case 14

39F: Ultrasound guided biopsy of left breast mass

44.0

Page 225: SOLO review 2011 part 3

Case 1444.1

Page 226: SOLO review 2011 part 3

Case 1444.2

Page 227: SOLO review 2011 part 3

Case 1444.3

Page 228: SOLO review 2011 part 3

Case 1444.4

Page 229: SOLO review 2011 part 3

Case 1444.5

Page 230: SOLO review 2011 part 3

Case 1444.6

Page 231: SOLO review 2011 part 3

44.7

Page 232: SOLO review 2011 part 3

44.8

• UDH

Page 233: SOLO review 2011 part 3

Case 10

Scrape preparation from a thyroid nodule.

25.0

Page 234: SOLO review 2011 part 3

Case 1025.1

Page 235: SOLO review 2011 part 3

Case 1025.2

Page 236: SOLO review 2011 part 3

25.3

Page 237: SOLO review 2011 part 3

25.4

• Papillary thyroid carcinoma

Page 238: SOLO review 2011 part 3

79F

Bilateral cystic ovarian masses

Each approximately 7.0 cm in size

Excrescences noted in lining of cysts

Case 5102.0

Page 239: SOLO review 2011 part 3

Case 5102.1

Page 240: SOLO review 2011 part 3

Case 5102.2

Page 241: SOLO review 2011 part 3

Case 5102.3

Page 242: SOLO review 2011 part 3

102.4

Page 243: SOLO review 2011 part 3

102.5

• Serous cystadenoma

Page 244: SOLO review 2011 part 3

Abdominal pain

Case 1464.0

Page 245: SOLO review 2011 part 3

Case 1464.1

Page 246: SOLO review 2011 part 3

Case 1464.2

Page 247: SOLO review 2011 part 3

Case 1464.3

Page 248: SOLO review 2011 part 3

64.4

Page 249: SOLO review 2011 part 3

64.5

• Strongyloides stercoralis in stomach

Page 250: SOLO review 2011 part 3

Case 4

56F: No history

34.0

Page 251: SOLO review 2011 part 3

Case 434.1

Page 252: SOLO review 2011 part 3

Case 434.2

Page 253: SOLO review 2011 part 3

Case 434.3

Page 254: SOLO review 2011 part 3

Case 434.4

Page 255: SOLO review 2011 part 3

Case 434.5

Page 256: SOLO review 2011 part 3

Case 434.6

Page 257: SOLO review 2011 part 3

34.7

Page 258: SOLO review 2011 part 3

34.8

• Cystic atrophy, endometrium

Page 259: SOLO review 2011 part 3

Case 4

73M: Submitted as sebaceous cyst

4.0

Page 260: SOLO review 2011 part 3

Case 44.1

Page 261: SOLO review 2011 part 3

Case 44.2

Page 262: SOLO review 2011 part 3

Case 44.3

Page 263: SOLO review 2011 part 3

Case 44.4

Page 264: SOLO review 2011 part 3

4.5

Page 265: SOLO review 2011 part 3

4.6

• Pilar, sebaceous or tricholemmal cyst

Page 266: SOLO review 2011 part 3

47F

Sections from unilateral ovarian cystic and solidmass measuring 11 x 9 x 6 cm.

Has a synchronous endometrioid adenocarcinoma of uterus

Case 7104.0

Page 267: SOLO review 2011 part 3

Case 7104.1

Page 268: SOLO review 2011 part 3

Case 7104.2

Page 269: SOLO review 2011 part 3

Case 7104.3

Page 270: SOLO review 2011 part 3

Case 7104.4

Page 271: SOLO review 2011 part 3

Case 7104.5

Page 272: SOLO review 2011 part 3

Case 7104.6

Page 273: SOLO review 2011 part 3

Case 7104.7

Page 274: SOLO review 2011 part 3

Case 7104.8

Page 275: SOLO review 2011 part 3

Case 7104.9

Page 276: SOLO review 2011 part 3

Case 7104.10

Page 277: SOLO review 2011 part 3

104.11

Page 278: SOLO review 2011 part 3

104.12

• Endometrioid adenocarcinoma and endometriosis

Page 279: SOLO review 2011 part 3

Recurrent pancreatitis

Case 656.0

Page 280: SOLO review 2011 part 3

Case 656.1

Page 281: SOLO review 2011 part 3

Case 656.2

Page 282: SOLO review 2011 part 3

Case 656.3

Page 283: SOLO review 2011 part 3

Case 656.4

Page 284: SOLO review 2011 part 3

56.5

Page 285: SOLO review 2011 part 3

56.6

• Mucinous (colloid carcinoma) developing in a background of IPMN

Page 286: SOLO review 2011 part 3

Parotid mass

Case 1969.0

Page 287: SOLO review 2011 part 3

Case 1969.1

Page 288: SOLO review 2011 part 3

Case 1969.2

Page 289: SOLO review 2011 part 3

Case 1969.3

Page 290: SOLO review 2011 part 3

Case 1969.4

Page 291: SOLO review 2011 part 3

Case 1969.5

Page 292: SOLO review 2011 part 3

69.6

Page 293: SOLO review 2011 part 3

69.7

• Traumuatic neuroma

Page 294: SOLO review 2011 part 3

32F: Single myometrial nodule measuring 1.5 cm.

Case 353.0

Page 295: SOLO review 2011 part 3

Case 353.1

Page 296: SOLO review 2011 part 3

Case 353.2

Page 297: SOLO review 2011 part 3

Case 353.3

Page 298: SOLO review 2011 part 3

Case 353.4

Page 299: SOLO review 2011 part 3

Case 353.5

Page 300: SOLO review 2011 part 3

Case 353.6

Page 301: SOLO review 2011 part 3

53.7

Page 302: SOLO review 2011 part 3

53.8

• Adenomatoid tumor