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South Bay Pathology Society



                                                                        DIAGNOSES

 

                                                                        FOR THE MEETING OF MONDAY, 1/8/07

 

 

 

DIAGNOSTIC TALLY

Metastatic clear cell carcinoma.................2

Adenocarcinoma-........................................2

Psammomatous carcinoma, micropapillary type.....................................8

metastatic ovarian serous ca.....................16

SB-5021 Stromal and Lymphovascular Invasion by Ovarian Carcinoma, Cervix

Note: The site of origin of the tumor appears to be the surface of the ovaries. The tumor also involves the uterus, peritoneum, omentum and lymph nodes.

Follow-up: This is a recent case with only very short follow up.

 

 


 

DIAGNOSTIC TALLY

Sertoli cell tumor w/ thyroid like areas..............................................................2

Brenner tumor...........................................12

Struma ovarii w/ adenofibroma.................2

SB-5022 Struma Ovarii and Brenner Tumor, Ovary.


 

Follow-up: The patient expired of mesenteric ischemia.







SB-5023 Mixed Tumor, Probably Benign, Soft Tissue, Right Foot.

DIAGNOSTIC TALLY

Eccrine carcinoma....................................4

Atypical mixed tumor..............................1

Glomus tumor............................................4

Mixed tumor.............................................24


 

Note: The tumor cells are positive for AE 1/3, S 100 and Calponin; SMA, p63 and GFAP are negative.

              Consultant: Sharon Weiss, M.D.





DIAGNOSTIC TALLY

Myiasis.........................................................4

Dracunculiasis............................................2

Gnathostomiasis..........................................1

SB-5024 Furuncular Myiasis, Posterior Scalp.

 

Note: The submitted slides were of the breathing tubes.

Follow-up: The patient is currently well.




DIAGNOSTIC TALLY

Large cell lymphoma................................3

Benign, viral/reactive changes................4

SB-5025 Mantle Cell Lymphoma, Mantle Zone Pattern, with an Unusual Interfollicular Mixed Inflammatory Infiltrate, Right Cervical Lymph Node.

 

Follow-up: This is a recent case with only short follow.

Note: C5, CD 20 and BCL-1 are positive in mantle zones. There is no T cell clonality. EBV ISH is neg.

Reference: 1. J Clin Oncol 15: 1664-71, 1997.

                                 2. Br. J Haematol. 131(1): 29-38, 2005.




DIAGNOSTIC TALLY

Fibrous meningioma arising in Meningoangiomatosis..........................52

SB-5026 Malignant Meningioma, WHO Grade II with Neural Parenchymal Invasion, Right Tentorial Tumor.

 

Follow-up: The patient has not done well and has had recurrences.

Note: EMA is negative. GFAP is positive in surrounding brain tissue and negative in the tumor.

Reference: Neurosurg. 86(5): 793-800, 1997.




DIAGNOSTIC TALLY

Fibromatosis ..............................................2

Low grade myxoid sarcoma..................4

Schwannoma...............................................6

Myofibroblastic/inflammatory lesion....4

SB-5027 Monophasic Synovial Sarcoma, Right Parapharyngeal Space Mass.

 

Follow-up: This is a recent case with a short follow up.

Note: S 100, SMA and MSA (HHF35) are negative. FISH analysis shows the characteristic [t(X;18)] SYG gene rearrangement.

Reference: Weiss, SR, Goldblum JR. Enzinger and Weiss's Soft Tissue Tumors, 4th edition, page 1484.




DIAGNOSTIC TALLY

Sarcoma NOS........................Unanimous

SB-5028 Atypical Lipomatous Tumor (Well Differentiated Liposarcoma) Associated with Dedifferentiated Liposarcoma, Left Retroperitoneal Mass.

 

Note: CD 34 positive; keratin, vimentin, EMA, S100, actin, desmin and CD 117 negative.





SB-

DIAGNOSTIC TALLY

Papillary renal cell carcinoma..............46

Mucinous/tubular spindled carcinoma..4

5029 Mucinous and Tubular Spindled Carcinoma, Kidney

 

Note: Racemase diffusely positive.

              Reference: AJSP 30: 1554, 2006.





DIAGNOSTIC TALLY

Nephrogenic fibrous dermatopathic changes........................................................2

Localized cutaneous nodular amyloidosis...............................................52

SB-5030 Nodular Amyloidosis, Vulva (Labia)

 









Post conference evaluation case: Mixed tumor, digit of foot.

Post conference evaluation case, December 2006: Polymorphous low-grade adenocarcinoma, palate.