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EQA

North West EQA - Circulation BJ 2023






   

Case BJ 1

Female 46 years

Known breast cancer metastasis to ovary. Bilateral salpingo-oophorectomy to remove met and for ongoing hormonal reduction.

Specimen: A solid ovarian mass 6.6 x 5.3 x 3.8 cm with attached fallopian tube 3.8 cm long including fimbria which appears normal; the surface of the mass is smooth and lobulated and on slicing has a variably gelatinous, pale and haemorrhagic appearance.



Special stains/IHC results:
GATA3, E-cadherin and ER (strong, diffuse). Patchy positivity for PR and synaptophysin. SATB2 shows focal weak positivity of uncertain significance. CK7, CK20, PAX8, GCDFP15, chromogranin, CD56, calretinin and CDX2 are negative.





H&E 552761


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Case BJ 2

Female 83 years

Right lower lid biopsy proven basaloid epithelial tumour with sebaceous differentiation.

Specimen: A wedge of lower eyelid measuring 26 mm (H) x 17 mm (V) x 7 mm (AP). There is subtle nodularity along the lid margin and lower eyelid skin measuring approximately 15 x 6 mm.



Special stains/IHC results:
Positive Adipophyllin, EMA. Negative Androgen receptor.





H&E 552764


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Case BJ 3

Female 72 years

No clinical details provided.

Specimen: Stomach wedge measuring 9 cm along the staple line with up to 3.4 cm in depth. The staple line margin was inked. Slicing shows pale submucosal uniform solid mass measuring 3.9 cm in maximum dimension. The mass is located 0.9 cm away from the closest gastric resection margin.



Special stains/IHC results:
Positive S100, SOX-10. Negative AE1/3, CD117, CD34, DOG1, desmin, SMA, caldesmon and ALK-1.





H&E 552765


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Case BJ 4

Female 93 years

Intermittent left sided headache for a few weeks.

Specimen: Temporal artery.



Special stains/IHC results:
EVG - fragmentation of internal and external elastic lamina.





H&E 552767


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Case BJ 5

Male 27 years

Lump on left lower lip.

Specimen: Excisional biopsy of lump.



Special stains/IHC results:
Tumour cells positive for CK7, p63, CK5/6 and negative for SMA, S100.





H&E 552769


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Case BJ 6

Male 63 years

Tail of pancreas tumour ? Ductal adenocarcinoma, ? NET.

Specimen: Tail of pancreas specimen containing a 42 mm tumour.



Special stains/IHC results:
Tumour cells positive for AE1/3, CAIX, PAX8, RCC marker, CD10. Negative for synaptophysin, chromogranin, beta-catenin.





H&E 552771


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Case BJ 7

Female 89 years

Skin R upper cheek. Multinodular, firm, rapidly growing lesion.

Specimen: Biopsy.



Special stains/IHC results:
AE1/3(+), CK20(+), Synaptophysin(+), Chromogranin(+), LCA(-), Mel-A(-).





H&E 552773


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Case BJ 8

Male 72 years

Left testicular tumour.

Specimen: Orchidectomy specimen.



Special stains/IHC results:
LCA (+), CD20 (+), PLAP (-), OCT 34 (-).





H&E 552775


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Case BJ 9

Female 51 years

Left thyroid nodule (Thy4).

Specimen: Left hemithyroidectomy.



Special stains/IHC results:
None.





H&E 552778


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Case BJ 10

Male 70 years

PSA 5.4. Nodular on both lobes on DRE.

Specimen: Transperineal prostate biopsy.



Special stains/IHC results:
None.





H&E 552779


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Case BJ 11

Male 56 years

3 cm mass in lower limb of adrenal.

Specimen: Left adrenalectomy containing an adrenal gland measuring 70 x 35 x 30 mm with a yellow/brown nodule measuring 40 mm in maximum dimension.



Special stains/IHC results:
Chromogranin (+), synaptophysin (+), AE1/3 (-). Ki67 <2%.





H&E 552784


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Case BJ 12

Female 51 years

M5 U5 lesion right breast.

Specimen: Core biopsy, breast. 1 microcassette.



Special stains/IHC results:
Myoepithelial markers (p63, SMM) are negative surrounding and throughout the lesion. ER and PR positive (8/8).





H&E 552785


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Case BJ 13

Male 83 years

Caecum and ascending colon tumour.

Specimen: Right hemicolectomy specimen containing 120 mm tumour involving caecum and ascending colon. Overlying serosa puckered and strictured.



Special stains/IHC results:
Tumour cells are positive for AE1/AE3, CDX2 and Calretinin. Tumour cells are negative for CK7, CK20, CD56, Synaptophysin and Chromogranin A. Ki67 proliferation index is high (>80%).





H&E 552787


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Case BJ 14

Female 75 years

Elective laparoscopic cholecystectomy.

Specimen: Gallbladder.



Special stains/IHC results:
None.





H&E 552789


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Case BJ 15

Female 42 years

Mixed solid cystic upper pole renal tumour.

Specimen: Left partial nephrectomy.



Special stains/IHC results:
CK7 (+), CD10 (-), racemase (-).





H&E 552790


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