Female 79 years

Headaches. Temporal artery biopsy.

Macroscopic description:
Tubular segment of tissue 20x2x3mm. All embedded.

Male 45 years

Haematuria. Tumour at the bladder neck.

Macroscopic description:
Irregular pieces of tissue, 9grams in weight.

Female 79 years

Gastric polyp. Dyspepsia, polyp found in fundus of stomach at OGD.

Macroscopic description:
A polyp 7x5mm

Female 63 years

Lung biopsy. Nodules in lungs ?cancer.

Macroscopic description:
Lung wedge 72 x31 x20mm sealed by wire. Focally there are cream nodules up to 4mm scattered throughout the lung parenchyma.

Male 68 years

Pylorous - preserving pancreaticoduodenectomy. Jaundice due to ampullary tumour.

Immunohistochemistry:
CD56, chromogranin A and synaptophysin +ve, Ki67 proliferation greater than 20%.

Macroscopic description:
19mm ampullary nodule.

Male 60 years

Foreskin. Circumcision.

Macroscopic description:
Foreskin 5x2x1cm. Part of the surface is smooth and pale.

Female 37 years

Uterus. Post c/s haemorrhage. Hysterectomy for haemostasis.

Macroscopic description:
Bulky uterus 160x130x100mm. Blood in endometrial cavity. Poorly fixed. No masses. No cervix present.

Male 63 years

Umbilicus. Ulcerating lesion in umbilicus for 3 months. Umbilicus excised.

Immunohistochemistry:
CEA, CK7 and CA19.9 positive. CK20, TTF-1 and PSA negative.

Macroscopic description:
Ellipse of skin 57mm by up to 29mm with an umbilicus in the centre. There is deeper fatty tissue down to 15mm. The cut surface shows a firm lesion, ?tumour arising in the umbilicus and extending down to the deep margin 22mm x20mm deep. ?Not excised at the deep margin.

Male 55 years

Left kidney tumour. Lower pole renal tumour on US and CT 5cm. Lap nephrectomy.

Macroscopic description:
Tumour location: Lower pole, Maximum tumour size: 50x40x30mm

Female 14 years

Appendix. ?appendicitis.

Macroscopic description:
Congested appendix measuring 40x6mm. The lumen contains faecal material.

Male 78 years

Axillary lymph node

Immunohistochemistry:
Positive - AE1/AE3, CAM5.2, CK20, CD56, synaptophysin, chromogranin. Negative: LCA, S100, TTF-1, CK-7. Lump on hand, axillary lymphadenopathy.

Macroscopic description:
Axillary disection, nine nodes recovered the largest 6cm in diameter.

Female 48 years

Tissue from vulva. ?labial cyst.

Macroscopic description:
Polypoid grey lesion 8x8x6mm.