BLPG EQA Round 11
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Scoring for BLPG EQA, Round 11 ![]()
BLPG EQA Round 11 - Case 1
Female 86 years
Right level 5 lymph node ?lymphoma. Right cervical lymph node.
Slides submitted: H&E, CD20, CD5, CD23, MUM1 & LEF1.
Other relevant immunostain results:
Positive for: CD79a & BCL-2
Negative for: CD3, EBER, CD10, CD21, CyclinD1 and SOX-11.
Ki-67 proliferation index is up to 45%.
BLPG EQA Round 11 - Case 2
Female 64 years
Left parotid lesion and cervical lymph nodes.
Slides submitted: H&E, CD3, CD4, CD25, MUM1 & Ki67.
Other relevant immunostain results:
Positive for: CD5, BCL6, MUM1, CD2, CD30 & BCL-2.
Negative for: CD8, CD19, CD20, CD10, CD21, CD23, MYC, TdT, P63, ALK and EBER. Ki-67.
There was partial loss of CD7. There was focal expression of granzyme B and focal/weak expression of GATA3. A minority of cells express cyclin D1. Ki67 expression is ~70%.
BLPG EQA Round 11 - Case 3
Male 35 years
HIV pos (advanced), weight loss, splenomegaly, neutropaenia. ?Lymphoma. Cervical lymph node.
Slides submitted: H&E, CD68R (PGM1), Kappa light chain & lambda light chain.
BLPG EQA Round 11 - Case 4
Female 51 years
Patient with long standing widespread rash on body for 14 years. Generalised lymphadenopathy, plaques on left thigh, and nodules on chest, legs.
Slides submitted: H&E, CD3, CD4, CD25 & Ki67.
Other relevant immunostain results:
Positive for: CD2, CD5 and TCR -beta (focal).
Negative for: CD7, CD8, CD19, CD20, CD30 (most cells), CD43, CD56, CD57, CD25, FOXP3, P53, ALK & granzyme B.
BLPG EQA Round 11 - Case 5
BLPG EQA Round 11 - Case 6
Male 60 years
Treated CLL; Bone marrow trephine biopsy.
Slides submitted: H&E, CD15, CD30, PAX5 & EBER.
Other relevant immunostain results:
Negative for: CD20, CD3 & CD5.
BLPG EQA Round 11 - Case 7
Male 75 years
Anaemia, thrombocytopenia, and atypical cells in peripheral blood; Bone marrow trephine biopsy.
Slides submitted: H&E, CD34, Myeloperoxidase, CD42b, CD117 & CD68R (PGM1).
Marrow reticulin was grade 1/3.
BLPG EQA Round 11 - Case 8
Male 60 years
Patient treated for mycosis fungoides 10 years back; now presents with pancytopenia; Bone marrow trephine biopsy.
Slides submitted: H&E, CD34, Ret40F (Glycophorin C), Myeloperoxidase, CD42b, CD117 & P53.
Marrow reticulin was focally increased (grade 1-2/3).