SOLO review 2011 part 2

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SOLO review 2011 part 2

  1. 1. 23.0 Case 8 25F: Pap smear
  2. 2. 23.1 Case 8
  3. 3. 23.2 Case 8
  4. 4. 23.3 Case 8
  5. 5. 23.4
  6. 6. 23.5 <ul><li>LGSIL </li></ul>
  7. 7. 41.0 Case 11 49F: FCD versus other
  8. 8. 41.1 Case 11
  9. 9. 41.2 Case 11
  10. 10. 41.3 Case 11
  11. 11. 41.4 Case 11
  12. 12. 41.5
  13. 13. 41.6 <ul><li>Duct involved by ALH or DIALH </li></ul>
  14. 14. 20.0 Case 5 36F, history of HGSIL on Pap smear. Biopsy of cervix.
  15. 15. 20.1 Case 5
  16. 16. 20.2 Case 5
  17. 17. 20.3 Case 5
  18. 18. 20.4 Case 5
  19. 19. 20.5
  20. 20. 20.6 <ul><li>LGSIL, squamous metplasia </li></ul>
  21. 21. 21.0 Case 6 52F, postmenopausal bleeding Endometrial biopsy
  22. 22. 21.1 Case 5
  23. 23. 21.2 Case 5
  24. 24. 21.3
  25. 25. 21.4 <ul><li>Atrophic endometrium </li></ul>
  26. 26. 19.0 Case 4 25F: Pap smear
  27. 27. 19.1 Case 4
  28. 28. 19.2
  29. 29. 19.3 <ul><li>Herpes (consistent with) </li></ul>
  30. 30. 86.0 Case 14 CT guided biopsy of lung mass
  31. 31. 86.1 Case 14
  32. 32. 86.2 TTF-1 Case 14
  33. 33. 86.3 TTF-1 Case 14
  34. 34. 86.4 CK20 Case 14
  35. 35. 86.5 CK7 Case 14
  36. 36. 86.6 <ul><li>TTF1 result </li></ul><ul><li>CK20 result </li></ul><ul><li>CK7 result </li></ul><ul><li>The most likely diagnosis is </li></ul>
  37. 37. 86.7 <ul><li>Case 14 . </li></ul><ul><li>2 TTF1 result: Negative </li></ul><ul><li>2 CK20 result: Weakly positive </li></ul><ul><li>2 CK7 result: Strongly positive </li></ul><ul><li>2 The most likely diagnosis is: Primary if metastasis excluded </li></ul>
  38. 38. 67.0 Elevated PSA – the usual Case 17
  39. 39. 67.1 Case 17
  40. 40. 67.2 Case 17
  41. 41. 67.3 Case 17
  42. 42. 67.4 Case 17
  43. 43. 67.5
  44. 44. 67.6 <ul><li>Adenocarcinoma Gleason patterns 4 and 3 ? perineural invasion </li></ul>
  45. 45. 7.0 Case 7 Ultrasound guided FNA
  46. 46. 7.1 Case 7
  47. 47. 7.2 Case 7
  48. 48. 7.3
  49. 49. 7.4 <ul><li>Benign apocrine cyst </li></ul>
  50. 50. 98.0 52F Left ovarian mass 21 x 19 x 6 cm, 1322 gms Multilocular with papillary excrescences and nodules in lining Case 1
  51. 51. 98.1 Case 1
  52. 52. 98.2 Case 1
  53. 53. 98.3 Case 1
  54. 54. 98.4 Case 1
  55. 55. 98.5 Case 1
  56. 56. 98.6 Case 1
  57. 57. 98.7
  58. 58. 98.8 <ul><li>Granulosa cell tumor </li></ul>
  59. 59. 82.0 Case 10 75F: Omental mass and ascites No visceral masses
  60. 60. 82.1 Case 10
  61. 61. 82.2 Case 10
  62. 62. 82.3 Case 10
  63. 63. 82.4 Case 10
  64. 64. 82.5 Case 10 b
  65. 65. 82.6 Case 10 c
  66. 66. 82.7 <ul><li>a. In this location the most likely diagnosis is </li></ul><ul><li>b. Name the stain </li></ul><ul><li>c. Name the stain </li></ul>
  67. 67. 82.8 <ul><li>Case 10 . </li></ul><ul><li>2 a. In this location the most likely diagnosis is: Mesothelioma </li></ul><ul><li>1 b. Name the stain: WT1/ER </li></ul><ul><li>1 c. Name the stain: Calretinin </li></ul>
  68. 68. 54.0 Abdominal pain probably unless they had a special that day Case 4
  69. 69. 54.1 Case 4
  70. 70. 54.2 Case 4
  71. 71. 54.3 Case 4
  72. 72. 54.4 Case 4
  73. 73. 54.5 Case 4
  74. 74. 54.6
  75. 75. 54.7 <ul><li>Enterobius vermicularis. Need to explain serositis. Submit rest of appendix. In female consider PID </li></ul>
  76. 76. 107.0 39F. Bilateral cystic ovarian masses. Approximate size of larger: 19 x 7 x 11 cm. Weight: 990 gms. Unilocular with papillary excrescences in lining Case 10
  77. 77. 107.1 Case 10
  78. 78. 107.2 Case 10
  79. 79. 107.3 Case 10
  80. 80. 107.4 Case 10
  81. 81. 107.5 Case 10
  82. 82. 107.6 Case 10
  83. 83. 107.7
  84. 84. 107.8 <ul><li>Serios borderline tumor, micropapillary </li></ul>
  85. 85. 68.0 What do you think this is? Case 18
  86. 86. 68.1 Case 18
  87. 87. 68.2 Case 18
  88. 88. 68.3 Case 18
  89. 89. 68.4 Case 18
  90. 90. 68.5 Case 18
  91. 91. 68.6 Case 18
  92. 92. 68.7 Case 18
  93. 93. 68.8
  94. 94. 68.9 <ul><li>Thymus – brand cortical and medullary thymocytes in your brain </li></ul>
  95. 95. 81.0 Case 9 50M: Left middle ear mass
  96. 96. 81.1 Case 9
  97. 97. 81.2 Case 9
  98. 98. 81.3 Case 9 b
  99. 99. 81.4 Case 9 c
  100. 100. 81.5 <ul><li>a. In this location the most likely diagnosis is </li></ul><ul><li>b/c. Given this diagnosis what are these stains most likely to be (in no particular order) </li></ul>
  101. 101. 81.6 <ul><li>Case 9 . </li></ul><ul><li>2 a. In this location the most likely diagnosis is: Carcinoid versus paraganglioma </li></ul><ul><li>Given this diagnosis what are these stains most likely to be (in no particular order) </li></ul><ul><li>1 b. Name the stain: AE1/3 </li></ul><ul><li>1 c. Name the stain: Synaptophysin/Chromogranin </li></ul>
  102. 102. 27.0 Case 12 25F: Pap smear
  103. 103. 27.1 Case 12
  104. 104. 27.2 Case 12
  105. 105. 27.3
  106. 106. 27.4 <ul><li>Reactive squamous epithelium </li></ul>
  107. 107. 42.0 Case 12 58M: Thoraco-lumbar mass
  108. 108. 42.1 Case 12
  109. 109. 42.2 Case 12
  110. 110. 42.3 Case 12
  111. 111. 42.4 Case 12
  112. 112. 42.5 Case 12
  113. 113. 42.6 Case 12
  114. 114. 42.7
  115. 115. 42.8 <ul><li>Plasmacytoma </li></ul>
  116. 116. 61.0 26F: Multiple liver nodules Case 11
  117. 117. 61.1 Case 11
  118. 118. 61.2 Case 11
  119. 119. 61.3 Case 11
  120. 120. 61.4 Case 11
  121. 121. 61.5 Case 11
  122. 122. 61.6 Case 11
  123. 123. 61.7
  124. 124. 61.8 <ul><li>Metastatic melanoma (another face of the monster – a reminder to stick with the basics when starting an immunopanel on something that looks weird – is it epithelial, mesenchymal, lymphoid, melanoma) </li></ul>
  125. 125. 39.0 Case 9 37F: HSIL on Pap
  126. 126. 39.1 Case 9
  127. 127. 39.2 Case 9
  128. 128. 39.3 Case 9
  129. 129. 39.4 Case 9
  130. 130. 39.5 Case 9
  131. 131. 39.6
  132. 132. 39.7 <ul><li>Contamination from colon adenoma </li></ul>
  133. 133. 65.0 31F: Difficulty in breathing. Numerous nasal polyps Case 15
  134. 134. 65.1 Case 15
  135. 135. 65.2 Case 15
  136. 136. 65.3 Case 15
  137. 137. 65.4 Case 15
  138. 138. 65.5 Case 15
  139. 139. 65.6 Case 15
  140. 140. 65.7 Case 15
  141. 141. 65.8 Case 15
  142. 142. 65.9
  143. 143. 65.10 <ul><li>Respiratory epithelial adenomatoid hamartoma </li></ul>
  144. 144. 91.0 Case 4 23F: Right neck mass
  145. 145. 91.1 Case 4
  146. 146. 91.2 Case 4
  147. 147. 91.3 Case 4
  148. 148. 91.4 Case 4
  149. 149. 91.5 Case 4
  150. 150. 91.6 Case 4
  151. 151. 91.7 Case 4
  152. 152. 91.8 Case 4
  153. 153. 91.9
  154. 154. 91.10
  155. 155. 47.0 Case 17 65F: Wire directed breast excision
  156. 156. 47.1 Case 17
  157. 157. 47.2 Case 17
  158. 158. 47.3 Case 17
  159. 159. 47.4 Case 17
  160. 160. 47.5 Case 17
  161. 161. 47.6
  162. 162. 47.7 <ul><li>ADH </li></ul>
  163. 163. 100.0 54F Purple right ovarian mass 24 x 14 x 11 cm, 1567 gms Multiloculated Case 3
  164. 164. 100.1 Case 3
  165. 165. 100.2 Case 3
  166. 166. 100.3 Case 3
  167. 167. 100.4 Case 3
  168. 168. 100.5 Case 3
  169. 169. 100.6
  170. 170. 100.7 <ul><li>Mucinous borderline tumor </li></ul>
  171. 171. 52.0 49M Splenomegaly 3211.0 gms. Case 2
  172. 172. 52.1 Case 2
  173. 173. 52.2 Case 2
  174. 174. 52.3 Case 2
  175. 175. 52.4 Case 2
  176. 176. 52.5 Case 2
  177. 177. 52.6
  178. 178. 52.7 <ul><li>Hairy cell leukemia </li></ul>
  179. 179. 59.0 4.5 cm retroperitoneal mass Case 9
  180. 180. 59.1 Case 9
  181. 181. 59.2 Case 9
  182. 182. 59.3 Case 9
  183. 183. 59.4 Case 9
  184. 184. 59.5
  185. 185. 59.6 <ul><li>Adrenal myelolipoma </li></ul>
  186. 186. 51.0 74F: Endometrial hyperplasia versus endometrial carcinoma Case 1
  187. 187. 51.1 Case 1
  188. 188. 51.2 Case 1
  189. 189. 51.3 Case 1
  190. 190. 51.4 Case 1
  191. 191. 51.5 Case 1
  192. 192. 51.6
  193. 193. 51.7 <ul><li>Colonic adenocarcinoma invading endometrium </li></ul>
  194. 194. 1.0 Case 1 Mastectomy for DCIS
  195. 195. 1.1 Case 1
  196. 196. 1.2 Case 1
  197. 197. 1.3 Case 1
  198. 198. 1.4 Case 1
  199. 199. 1.5
  200. 200. 1.6 <ul><li>Lactiferous duct </li></ul>
  201. 201. 8.0 Case 8 FNA cirrhotic liver
  202. 202. 8.1 Case 8
  203. 203. 8.2 Case 8
  204. 204. 8.3 Case 8
  205. 205. 8.4 Case 8
  206. 206. 8.5 Case 8
  207. 207. 8.6
  208. 208. 8.7 <ul><li>Well differentiated HCC </li></ul>
  209. 209. 11.0 Case 11 Rising sun
  210. 210. 11.1 Case 11
  211. 211. 11.2 Case 11
  212. 212. 11.3 Case 11
  213. 213. 11.4 Case 11
  214. 214. 11.5 Case 11
  215. 215. 11.6 Case 11
  216. 216. 11.7 Case 11
  217. 217. 11.8 Case 11
  218. 218. 11.9
  219. 219. 11.10 <ul><li>Prostate adenocarcinoma 3+3=6 </li></ul>
  220. 220. 17.0 42F, maternal aunt diagnosed with breast cancer at 53 yrs Bilateral areas of mammographic distortion Case 2
  221. 221. 17.1 Case 2
  222. 222. 17.2 Case 2
  223. 223. 17.3 Case 2
  224. 224. 17.4 Case 2
  225. 225. 17.5 Case 2
  226. 226. 17.6
  227. 227. 17.7 <ul><li>Sclerosing adenosis </li></ul>
  228. 228. 93.0 Case 6 54F: Neck dissection
  229. 229. 93.1 Case 6
  230. 230. 93.2 Case 6
  231. 231. 93.3 Case 6
  232. 232. 93.4 Case 6
  233. 233. 93.5 Case 6
  234. 234. 93.6
  235. 235. 93.7
  236. 236. 13.0 Case 13 39F: MRI guided breast biopsy
  237. 237. 13.1 Case 13
  238. 238. 13.2 Case 13
  239. 239. 13.3 Case 13
  240. 240. 13.4 Case 13
  241. 241. 13.5 Case 13
  242. 242. 13.6
  243. 243. 13.7 <ul><li>DCIS, intermediate nuc grade, Ca+ </li></ul>
  244. 244. 71.0 61F: Complex cystic lesion in left retroperitoneum Case 21
  245. 245. 71.1 Case 21
  246. 246. 71.2 Case 21
  247. 247. 71.3 Case 21
  248. 248. 71.4 Case 21
  249. 249. 71.5 Case 21
  250. 250. 71.6
  251. 251. 71.7 <ul><li>Well-differentiated liposarcoma </li></ul>
  252. 252. 31.0 Case 1 37F: HSIL on Pap
  253. 253. 31.1 Case 1
  254. 254. 31.2 Case 1
  255. 255. 31.3 Case 1
  256. 256. 31.4 Case 1
  257. 257. 31.5 Case 1
  258. 258. 31.6 Case 1
  259. 259. 31.7
  260. 260. 31.8 <ul><li>SCC in-situ colonizing endocer gls </li></ul>
  261. 261. 89.0 Case 2 33F: Cervical cancer versus uterine cancer Total abdominal hysterectomy
  262. 262. 89.1 Case 2
  263. 263. 89.2 Case 2
  264. 264. 89.3 Case 2
  265. 265. 89.4 Case 2
  266. 266. 89.5 Case 2
  267. 267. 89.6 Case 2
  268. 268. 89.7 Case 2
  269. 269. 89.8 Case 2
  270. 270. 89.9 Case 2
  271. 271. 89.10 Case 2
  272. 272. 89.11
  273. 273. 89.12
  274. 274. 106.0 39F Right pelvic lymph node removed for staging Frozen section of ovarian mass reported as At least serous borderline, well-differentiated carcinoma cannot be excluded. Case 9
  275. 275. 106.1 Case 9
  276. 276. 106.2 Case 9
  277. 277. 106.3 Case 9
  278. 278. 106.4 Case 9
  279. 279. 106.5 Case 9
  280. 280. 106.6
  281. 281. 106.7 <ul><li>Cystic endosalpingiosis </li></ul>
  282. 282. 66.0 75F Case 16
  283. 283. 66.1 Case 16
  284. 284. 66.2 Case 16
  285. 285. 66.3 Case 16
  286. 286. 66.4 Case 16
  287. 287. 66.5 Case 16
  288. 288. 66.6
  289. 289. 66.7 <ul><li>Spleen; extramedullary hematopoesis </li></ul>
  290. 290. 15.0 Case 15 66M. No history
  291. 291. 15.1
  292. 292. 15.2
  293. 293. 15.3
  294. 294. 15.4
  295. 295. 15.5
  296. 296. 15.6
  297. 297. 15.7 <ul><li>Urothelial carcinoma in-situ; cystic von Brunn’s nest of cystitis cystica </li></ul>
  298. 298. 70.0 47F: Left ovary Case 20
  299. 299. 70.1 Case 20
  300. 300. 70.2 Case 20
  301. 301. 70.3 Case 20
  302. 302. 70.4 Case 19
  303. 303. 70.5 Case 20
  304. 304. 70.6
  305. 305. 70.7 <ul><li>carcinosarcoma </li></ul>

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