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EQA

Head and Neck Histopathology National EQA 22 - Autumn 2012







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Case 01 (Oral & Maxillofacial - East Grinstead)

Male 61 years

Ulcerated lump left lower labial mucosa


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Case 02 (Oral & Maxillofacial - UCH)

Male 77 years

Cystic lesion in the anterior midline of maxilla


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Case 03 (Oral & Maxillofacial - GKT)

Male 64 years

Irregular firm mobile nodular mucosa lower labial sulcus


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Case 04 (Oral & Maxillofacial - Edinburgh)

Female 53 years

Cystic swelling distal to LR8 ? inflammatory dental cyst ? lateral periodontal cyst


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Case 05 (Oral & Maxillofacial - Newcastle)

Male 72 years

Swelling left posterior hard palate ? mucocele ? salivary tumour


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Case 06 (Oral & Maxillofacial - East Grinstead)

Female 85 years

Lesion right floor of mouth ? lipoma


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Case 07 (Oral & Maxillofacial/ENT - Dublin)

Female 74 years

Pedunculated swelling gingiva ? giant cell granuloma ? malignant. History of liver cancer


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Case 08 (Oral & Maxillofacial/ENT - UHNS)

Male 56 years

Cystic lesion right upper neck 12 months history. Past history of mucoepidermoid carcinoma right maxilla 6 years ago. Cyst from right side of neck ? branchial ? cystic met ? ectopic Warthins


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Case 09 (Oral & Maxillofacial/ENT - KCL)

Female 38 years

Lesion in the midline of the neck - complete excision ? calcinosis due to foreign body reaction


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Case 10 (Oral & Maxillofacial/ENT - Dublin)

Male 69 years

Exophytic soft tissue mass right posterior mandible. Palpable submental node ? pyogenic granuloma, ? squamous cell carcinoma


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Case 11 (Oral & Maxillofacial/ENT - North Staffs)

Female 78 years

Right parotid gland lesion


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Case 12 (Oral & Maxillofacial/ENT - South Tees)

Male 62 years

Left sided neck swelling. Biopsy from left upper pole of tonsil


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Case 13 (ENT - Chichester)

Female 44 years

Parotid tumour


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Case 14 (ENT - Edinburgh)

Male 69 years

Previous T1 laryngeal carcinoma, now painful lesion right pinna especially when lying on right side


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Case 15 (ENT - Manchester Royal Infirmary)

Female 19 years

Slightly asymmetrical tonsils, R>L, section from right tonsil


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Case 16 (ENT - Aberdeen)

Female 71 years

Left mastoid biopsy. Large solitary fibrous tumour of lung 2 years previously. Recent headaches and left chronic ear infection. CT showed mass in posterior fossa and temporal bone. Erosion of mastoid tip. IHC positive for CD56, synaptophysin and chromogranin. Scattered cells positive for S-100. Negative for bcl-2, CD99 and cytokeratins


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Case 17 (ENT - Manchester Royal Infirmary)

Female 47 years

Persistent swelling right pinna


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Case 18 (ENT - UCH)

Male 76 years

Nodular left thyroid lobe


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