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EQA

Head and Neck Histopathology National EQA 20 - Autumn 2011







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Case 01 (Oral & Maxillofacial - Sheffield)

Male 41 years

Recurrent swelling floor of mouth.





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Case 02 (Oral & Maxillofacial - East Grinstead)

Female 67 years

Leukoplakia buccal mucosa/commissure; diabetic, low serum ferritin





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Case 03 (Oral & Maxillofacial - KCL)

Male 80 years

Cyst enucleated from maxillary alveolus causing buccal expansion.





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Case 04 (Oral & Maxillofacial - Sheffield)

Male 74 years

Leukoplakia on ventral surface of tongue.





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Case 05 (Oral & Maxillofacial - East Grinstead)

Female 67 years

Lesion right hard palate; AE1/AE3 (+), cytokeratin 7(+), S100 (+), Melan-A (-).





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Case 06 (Oral & Maxillofacial - Swansea)

Female age unknown

Large mass anterior maxilla/alveolus; present since birth, rapid growth.





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Case 07 (Oral & Maxillofacial/ENT - KCL)

Female 84 years

Mass adjacent to internal jugular vein in level III of neck; S100 (+), neurofilament (-), very low MIB-1(+).





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Case 08 (Oral & Maxillofacial/ENT - Belfast)

Female age unknown

Large soft swelling in neck.





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Case 09 (Oral & Maxillofacial/ENT - Leeds)

Male 26 years

Multiple neck nodes; sample is post-auricular. Scalp primary? FNA: non-small cell ca. Pan-cytokeratin (+), EMA (+), cytokeratin 5/6 (-), CD31 (-), CD34 (-). Scattered nuclear positivity for INI1.





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Case 10 (Oral & Maxillofacial/ENT - Guildford)

Female 63 years

Adenocarcinoma of palate 2003; 2010 - enlarged level IIa lymph node.





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Case 11 (Oral & Maxillofacial/ENT - Manchester)

Male 77 years

Parotid tumour.





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Case 12 (Oral & Maxillofacial/ENT - UCH)

Male 34 years

Enlarged lymph node in the left neck.





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Case 13 (ENT - Middlesborough)

Male 55 years

Mass in deep lobe of parotid - ?pleomorphic adenoma.





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Case 14 (ENT - UCH)

Female 51 years

Right nasal obstruction; S100 (+), HMB-45 (+), Melan-A (-).





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Case 15 (ENT - Sheffield)

Female 18 years

Left nasal cavity mass arising from cribriform plate; NSE (+), chromogranin (+), synaptophysin (+), CD56 (+), cytokeratin (-), CD45 (-), CD99 (-), desmin (-), NB84 (-), EMA (-), CD31 (-), CD34 (-).





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Case 16 (ENT - Chelmsford)

Male 56 years

Fleshy polyp filling right side of nose; inverted papilloma?





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Case 17 (ENT - Oxford)

Female 56 years

Lesion on left vocal cord.





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Case 18 (ENT - Dublin)

Female 15 years

Diffusely enlarged thyroid with discrete white mass, remainder of thyroid had a fine "honeycomb" appearance; section is from the latter area.





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