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EQA

Endocrine EQA circulation 20





Case 1

Female age unknown

Female, mid 30's total thyroidectomy with level VI dissection, 25mm nodule in right lobe of thyroid, single H+E





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Case 2

Female age unknown

Female under 5 years of age. Virilising right adrenal tumour, weighing 16g, with pale yellow tumour up to 25mm. Cortex of normal thickness.





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Case 3

Female age unknown

Female in 80's. Primary hyperparathyroidism secondary to adenoma. Hypercalcaemia, urgent neck exploration, 1.4g parathyroid up to 45mm in size, with 40mm blood containing cyst.





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Case 4

Female age unknown

Female in early 80's Iron deficiency anaemia, duodenal polypoid tumour ? ampullary carcinoma.





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Case 5

Female age unknown

Female in 40's. Biopsy of pigmented retroperitoneal lesion. Patient also has a pigmented adrenal cortical lesions and pigmented skin lesions.





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Case 6

Male age unknown

Male in 40's, thyroid nodule, hyperparathyroidism.





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Case 7

Female age unknown

Female in 70's, biopsy of 7cm sternal mass in close proximity to thyroid isthmus, multiple destructive bony lesions ? lung cancer with bony metastases





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References

1. Adrenal cortical neoplasms in childhood. In Lack EE Tumors of the adrenal glands and extraadrenal paraganglia. AFIP Atlas of Tumor Pathology. AFIP Washington, 2007, pp161-180.

2. Gastrointestinal neuroendocrine lesions. In Fenoglio-Preiser C et al Gastrointestinal pathology, an atlas and text, 3rd edition, Lippincott Williams and Wilkins, Philadelphia, 2008. 1099-1160.

3. Mandal RV et al. Pigmented epithelioid melanocytoma: favourable outcome after 5 year follow up. Am J Surg Pathol 2009;33:1778-82.