SOUTH BAY PATHOLOGY SOCIETY
DIAGNOSES FOR THE MEETING OF October 6th, 2008
SBPS
SB 5211 Sebaceous adenoma
Diagnostic Talley: Sebaceous adenoma—30, low grade sebaceous carcinoma—3.
Reference: Am J Opthalmol 102:771-778, 1986.
SB 5212 Adenomatoid tumor, oxyphilic variant
Diagnostic Talley: Mesothelial hyperplasia—3, ectopic Leydig cells—5, adenomatoid tumor—10.
IPOX: CK (+), calretinin (+), WT-1 (+), inhibin (-), S100 (-).
SB 5213 Herpes simplex virus infection
Diagnostic Talley: HSV-15, eosinophilic folliculitis—10, syphilis—5.
SB 5214 Ovarian carcinoid tumor, trabecular variant
Diagnostic Talley: Carcinoid tumor—unanimous.
IPOX: synaptophysin (+), inhibin (-), insulin (-).
SB 5215 Well differentiated hepatocellular neoplasm with osseous metaplasia, favor hepatocellular carcinoma
Diagnostic talley: Focal nodular hyperplasia with osseous metaplasia—10, low grade hepatoma—15, fibrolamellar carcinoma—3.
Reference: J Mol Diagn 2001;3:68-73.
SB 5216 Metastatic melanoma with osteocartilagenous differentiation
Diagnostic Tally: High grade osteosarcoma—30, dedifferentiated liposarcoma—3.
Reference: Am J Surg Pathol 1993;17:400-9.
SB 5217 Follicular dendritic cell sarcoma
Diagnostic tally: Lymphoma—10, DRC sarcoma—20, Lymphoepithelial carcinoma—2.
IPOX: CD23(+, focal), CD35(+, weak diffuse), D2-40(+), S100(-), CD68(-), CD163(-), desmin(-), CK(-), lysozyme(-), CD1a(-).
References: Histopathology 2002;41(1):1-29. Am J Clin Pathol 2007 Nov;128(5):776-82.
SB 5218 Low grade myofibroblastic sarcoma
Diagnostic Tally: Low grade sarcoma, NOS—15, myofibroblastic sarcoma—5, proliferative myositis—5.
IPOX: Desmin (+), smooth muscle actin (+), CD34(-).
Consultant: Chris Fletcher, M.D.
Reference: Am J Surg Pathol 1998 Oct;22(10):1228-38.
SB 5219 Dedifferentiated chondrosarcoma
Diagnostic Talley: Dedifferentiated chondrosarcoma—20, chondrosarcoma NOS—3.
IPOX: Spindle cell component: smooth muscle actin (+).
SB 5220 Malignant pheochromocytoma
Diagnostic Talley: Malignant pheochromocytoma—unanimous.
Reference: Am J Surg Pathol 2002; 26:551-566.
Post Conference Evaluation Case: Fibrolamellar carcinoma of liver