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EQA

North West EQA - Circulation BB 2019






   

Case BB1 Category A (scoring)

Male 52 years

X2 lumps on middle finger. History of arthritis. Soft tissue nodule excision x2 nodules 12mm + 9mm.

Special stains/IHC results:
None.


H&E 438513


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Case BB2 Category A (scoring)

Male 29 years

Left pre-auricular skin lesion ?seb cyst. Skin excision 35 x 20 x 4mm with nodule 15mm.

Special stains/IHC results:
None.


H&E 438512


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Case BB3 Category A (scoring)

Male 56 years

Chronic right orchalgia ?epididymal cyst. Epididymis measuring 55mm long.

Special stains/IHC results:
None.


H&E 438511


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Case BB4 Category A (scoring)

Female 15 years

Left breast lump. 13g brown nodule 35 x 32 x 20mm. Solid grey surface.

Special stains/IHC results:
positive - p63, SMA, CD34 (in stroma).


H&E 438509


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Case BB5 Category A (scoring)

Female 56 years

Post-menopausal bleeding. ?malignant on MRI. Endometrial curettings.

Special stains/IHC results:
None


H&E 438508


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Case BB6 Category A (scoring)

Female 45 years

Thyroid lesion. R lobe, poorly outlined lesion 25 x 18 x 15mm.

Special stains/IHC results:
None.


H&E 438506


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Case BB7 Category A (scoring)

Male 77 years

Scrotal skin lesion. Clinically Bowen's. Skin.

Special stains/IHC results:
positive - CK7; negative - SOX10, Melan A, p40.


H&E 438505


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Case BB8 Category A (scoring)

Female 54 years

Right mandibular cyst. Mandibular cyst.

Special stains/IHC results:
None.


H&E 438503


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Case BB9 Category A (scoring)

Female 59 years

Renal mass. 4cm solid, pale renal mass contained within kidney.

Special stains/IHC results:
None.


H&E 438502


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Case BB10 Category A (scoring)

Female 59 years

Left partial nephrectomy. Partial nephrectomy 37 x 37 x 30mm, slicing showed a tumour 23 x 21 x 28mm.

Special stains/IHC results:
positive (lesional cells) - Melan-A, SMA; negative - HMB45.


H&E 438500


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Case BB11 Category A (scoring)

Male 70 years

Scrotal skin. Skin 41 x 28 x 4mm with a firm nodule 8 x 3 x 2mm surrounded by a pale brown area.

Special stains/IHC results:
positive (atypical cells) - CAM5.2, CK20; negative - Melan-A.


H&E 438499


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Case BB12 Category A (scoring)

Female 47 years

Lump left groin ? cause. A variably pigmented nodule 23 x 14 x 20mm.

Special stains/IHC results:
positive (lesional cells) - SMA, vimentin (focal), cyclin D1 (light staining); negative - cytokeratin, desmin, EMA, S100.


H&E 438497


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Case BB13 Category B (non-scoring educational)

Female 62 years

Breast screening patient reported recent nipple inversion palpable retro-areolar mass assessed P3 M3 U3. Central wide local excision breast 40.7g with disc of nipple bearing skin. Nipple inverted, central palpable lesion 17mm main diameter, remote from margins.

Special stains/IHC results:
p63, OR, PR, HER2, S100, CEA performed on core biopsy.


H&E 438495


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Case BB14 Category B (non-scoring educational)

Male 71 years

Anterior mediastinal mass. Known Ca of bladder and oesophagus. Tumour resection. 46g, 60 x 49 x 32mm with pale lobulated and rubbery cut surface.

Special stains/IHC results:
positive - AE1/3, 34Be12, p63, CK5/6, CK7; negative - GATA3, CK20, CDX2 and TTF-1.


H&E 438493


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Case BB15 Category B (non-scoring educational)

Female 31 years

Biopsy sent from North Wales A&E department "Right toe infection". Tissue from under toe nail.

Special stains/IHC results:
None.


H&E 438492


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Case BB16 Category B (non-scoring educational)

Male 39 years

Three month history of growing lesion right side of neck. An ellipse of skin 21 x 13 x 3mm with a pale nodular lesion 14 x 12 x 10mm.

Special stains/IHC results:
Patchy positive staining - Melan-A, S100, SOX10, desmin, SMA; giant cells positive - CD68.


H&E 438491


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