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EQA

Head and Neck Histopathology National EQA A - Autumn 2014







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Case 01

Female 67 years

Lesion upper lip. Multiple tumours excised in the past from buccal mucosa and lip.

Specimen: Oral.





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Case 02

Male 28 years

Expansion of right angle and ramus of mandible. Several episodes of infection. Panoral tomogram shows large cyst at right angle with erosion of distal root of LR 7.

Specimen: Odontogenic





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Case 03

Female 41 years

Mucocele lower lip history of trauma.

Specimen: Oral Mucosa.

Macroscopic description:
Three fragments 4, 5 and 10mm.





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Case 04

Female 1 month

Cystic mass excised from floor of mouth.

Specimen: Oral mucosa.





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Case 05

Female 1 year

Polyp right buccal mucosa increasing in size ? Traumatic aetiology.

Specimen: Oral mucosa.





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Case 06

Male 71 years

2 x 1 cm indurated ulcer left buccal mucosa, sudden onset IHC shows the large pale cells to express CD31 and Factor VIII, CD45 CD68 and S100 all negative.

Specimen: Oral mucosa.

Immunohistochemistry:
As above.





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Case 07

Male 31 years

Right neck lump.

Specimen: Neck lump.





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Case 08

Male 46 years

3 lipomas, one from left base of neck.

Specimen: Neck lump.

Macroscopic description:
73G, 75 x 65 x 30mm smooth surfaced ovoid nodule with a uniform fatty cut surface.





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Case 09

Female 67 years

Raised pearly lesion left temple ? BCC.

Specimen: Skin.





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Case 10

Male 65 years

Left parotid lump, tender, ? intraparotid lymph node ? oncocytoma.

Specimen: Salivary.





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Case 11

Female 41 years

Parotid swelling ? Pleomorphic adenoma.

Specimen: Parotid.





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Case 12

Female 53 years

Red raised nodule forehead ? lymphoma, ZN, DPAS, Giemsa and Wade Fite all negative.

Specimen: Skin.





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Case 13

Male 82 years

Sphenoid biopsy, myeloma and on chemo, nasal congestion, proptosis, ptosis and visual loss.

Specimen: Paranasal sinuses.





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Case 14

Male 50 years

Right maxillary sinus tumour pT4.

Specimen: Sinonasal.





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Case 15

Female age unknown

History of conjuctival melanoma, enlarged left parotid node.

Specimen: Parotid.





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Case 16

Male 12 years

Multifocal thyroid tumour nodules.

Specimen: Thyroid.





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Case 17

Male 71 years

Prior T1a glottis, radiotherapy, probably recurrence. Total laryngectony with right sided neck dissection. This slide = compartment 6 lymph nodes.

Specimen: Neck disection.





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Case 18

Female 73 years

Right parotid tumour with facial nerve palsy.

Specimen: Parotid.





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