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EQA

North West EQA - Circulation AS 2014






Circulation AS Spring 2014 Histories  word document symbol   AS answer sheet  excel document symbol

Case AS1 Category A (scoring)

Male 70 years

Persistent hematuria. Cystoscopy showed a solid-looking bladder tumour. TURBT performed. Section from the bladder chippings.

Immunohistochemistry:
None.


H&E 250962


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Case AS2 Category A (scoring)

Female 73 years

Excisional skin biopsy of ? 'vascular anomaly' right axilla.

Immunohistochemistry:
Lesional cells positive for MNF116, CEA, CK7, GCDFP15 and negative for S100, Melan A, p63


H&E 250964


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Case AS3 Category A (scoring)

Female 34 years

Pregnant Asian female with premature rupture of membranes at 29 weeks. Caesarean section performed at 34 weeks. Multiple nodules and plaques over the peritoneum ?TB. Section of the peritoneal biopsy.

Immunohistochemistry:
None.


H&E 250967


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Case AS4 Category A (scoring)

Male 69 years

Lap R radical nephrectomy.

Specimen: Nephrectomy with well-defined unencapsulated mahogany brown tumour with a central scar in the upper pole.

Immunohistochemistry:
CK7 positive (patchy).


H&E 250968


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Case AS5 Category A (scoring)

Female 48 years

? Meckel's intussusception.

Specimen: R hemicolectomy; 1- proximal small bowel diverticulum containing mural tumour with a perforation, 2- two separate 10mm nodules of mural tumour in distal ileum, 3- Ileocaecal intussusception at the lead point of which is 20mm mural tumour nodule. Section is from the diverticulum.

Immunohistochemistry:
Melan A and S100 positive.


H&E 250969


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Case AS6 Category A (scoring)

Male 33 years

Rt radical orchidectomy. Normal tumour markers. Previous Lt orchidectomy for undescended testis.

Specimen: 8mm solid grey nodule within testis.

Immunohistochemistry:
OCT3/4, CD30 and AFP negative.


H&E 250971


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Case AS7 Category A (scoring)

Female 21 years

Left breast lump. Previous FNA reported C2. Lobulated rubbery mass, 8.1g, 34 x 22 x 20mm.

Immunohistochemistry:
None.


H&E 250974


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Case AS8 Category A (scoring)

Female 37 years

Left Thyroid lobe, 65.2g, 90x 60 x 50mm. Lesion part solid, part cystic. Cyst not present in submitted section. Previous right thyroid lobectomy, history of Hashimoto's disease.

Immunohistochemistry:
None.


H&E 250975


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Case AS9 Category A (scoring)

Male 60 years

Anterior resection for Dukes' C1 rectal adenocarcinoma. Tumour very close to distal resection margin. Section of "donut" submitted.

Immunohistochemistry:
None.


H&E 250976


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Case AS10 Category A (scoring)

Female 72 years

Left ovarian cyst weighing 670g, measuring 120 x 110 x 75mm. wall is up to 5mm thick. The lumen contains gelatinous material and hair. Teeth are present in the wall.

Immunohistochemistry:
focal positivity for chromogranin and synaptophysin.


H&E 250977


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Case AS11 Category A (scoring)

Female 81 years

WLE Breast lump. Core biopsy B4. Breast tissue weighing 17g, measuring 40 x 35 x 25mm containing a tumour 24 x 16 x 16mm.

Immunohistochemistry:
None.


H&E 250982


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Case AS12 Category A (scoring)

Male 47 years

Para-aortic mass biopsy. 4 pieces of tissue, the largest 18mm in maximum dimension. Testes are clinically normal.

Immunohistochemistry:
PLAP strongly positive, CD117 positive, patchy positivity for CD30 and HCG. Background lymphocytes positive for CD45, CD3, CD5 and CD20. ALK1, CK8/18, AE1/3 negative.


H&E 250984


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Case AS13 Category B (non-scoring educational)

Female 68 years

Slowly growing left parotid mass since 2 years ?pleomorphic adenoma.

Immunohistochemistry:
AE1/3, Cam5.2, S100, p63.


H&E 250987


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Case AS14 Category B (non-scoring educational)

Female 32 years

Large endocervical polyp. Hysteroscopy, D&C and polypectomy performed.

Specimen: Endocervical polyp: smooth surfaced polyp 53 x 35 x 20mm, pale and fleshy with a haemorrhagic core.

Immunohistochemistry:
Desmin, Myogenin, Beta catenin (weak), CD99 and Ki67>90% positive. CK8/18, S100, Smooth muscle actin, Smooth muscle myosin and Caldesmon negative.


H&E 250992


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Case AS15 Category B (non-scoring educational)

Male 17 years

Enlarged lymph node right side of neck.


H&E 250994


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Case AS16 Category B (non-scoring educational)

Male 57 years

'Clinically Ca' testicular mass. Testis 58 x 35 x 25mm with 75mm of cord. Testis is diffusely firm and pale.

Immunohistochemistry:
Lesional cells are positive for CD45, CD117 and bcl-2. CD79a equivocal. Ki-67 25%. Scattered S100 positive cells. CD20, CD3, CD5, Bob-1, ALK1, CD138, CD34, Cyclin D1, CK8/18, CKAE1/3, CD68, CD15 all negative.


H&E 251009


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