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EQA

GI EQA circulation T 2011







T 01

Female 29 years

Appendix. Ileitis RIF pain. Grossly normal appendix removed.

Macro: appendix 55x20 with diameter 7mm, macroscopically normal.


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T 02

Male 49 years

Large intestine. Diarrhoea. Diverticula. 4mm pale rectal sessile polyp 15cm above anal verge.

Macro: rectal polyp - a polypoid piece of tissue 0.7cm.

Specials: CD56, chromogranin, synaptophysin, AE1/AE3 all positive. Ki67 <2%positivity.


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T 03

Male 48 years

Stomach. Three benign pedunculated polyps measuring up to 20mm in size in gastric antrum. One excised and retrieved.

Macro: gastric polyp. 26mm maximum dimension with 3mm stalk. Very friable.


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T 04

Male 34 years

Oesophagus. Oesophageal cyst removed - most likely duplication cyst.

Macro: specimen measuring 60x35x25mm comprising fibrous nodular tissue with haemorrhagic external surface. Slicing reveals a semi solid haemorrhagic light brown cut surface.

Specials: S100, MNF116, CD117, Desmin negative perivascular cells positive for SMA and Caldesmon. Pericellular positivitiy for collagen IV and laminin. Cd34 highlights endothelial cells.


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T 05

Female 65 years

Gall bladder.

Macro: opened gall bladder 40x21x22mm. Mucosa is smooth. Small calculi noted. The wall is 6mm.


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T 06

Male 73 years

Stomach. Gastric cancer on upper GI endoscopy.

Macro: six pieces of tissue, the largest measures 5x3mm and the smallest measures 2x2mm.

Specials: positive - CD20, CD79a, BCL2, BCL6 and MUM1 negative - CD5, CD10, CD15, CD43, Tdt, cyclin D1, CAM5.2, S100. Occasional positive CD30.


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T 07

Female 16 years

Appendix. Appendicectomy.

Macro: a swollen appendix with a solid bright yellow tumour measuring 10x8mm at its proximal end. Distal to the tumour the appendix contained round white, pearl like pellets.

Specials: chromogranin and synaptophysin positive.


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T 08

Female 65 years

Pancreas. Cystic lesion body / tail of pancreas therefore laparoscopic distal pancreatectomy.

Macro: tail of pancreas 70mm in length and 25mm in diameter. Sectioning reveals a multiloculated fluid filled cyst 40mm in diameter.


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T 09

Female 71 years

Large intestine. Subtotal colectomy. Acute colitis, colonoscopic perforation.

Macro: Subtotal colectomy 6cm of terminal ileum, 56cm of large bowel. Multiple mucosal tears.


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T 10

Male 66 years

Large intestine. Segmented resection (palliative) for obstructing tumour descending colon with extensive liver metastases.

Macro: descending colon 90mm in length 25mm from one margin a polypoid tumour 28x26x12mm obstructing the lumen.


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T 11

Male 66 years

Appendix. Subtotal colectomy for obstructing carcinoma of descending colon. Section of appendix.


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T 12

Female 65 years

Appendix. Sweet's syndrome and lumbo-peritoneal shunt for CSF rhinorrhoea. CT showed collection of fluid in lower abdomen possibly related to shunt. Abnormal appendix - appendicectomy.


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T 13

Female 22 years

Appendix. Amenorrhoea and weight gain. Also has acanthosis nigricans. Enlarged appendix.


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T 14

Female 60 years

Appendix. Irritable bowel syndrome and weight loss. CT suggested ileocaecal Crohn's.


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