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EQA

Head and Neck Histopathology National EQA B - Spring 2015







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Case 01

Male 48 years

Complaining of a strange pressure feeling right maxilla. Radiolucency from central incisor to second premolar, all teeth vital. MH nil relevant.





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Case 02

Female 70 years

Pigmented lesion noticed by GDP last appointment. Adjacent to heavily restored tooth. History of melanoma left and right thigh.

Specimen: Excisional biopsy left buccal mucosa.

Macroscopic description:
Pigmented mucosal ellipse of 5 mm.





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Case 03

Female 59 years

Re-resection of non healing ulcerated area at edge of cancer resection (nasal cavity poorly differentiated squamous cell carcinoma) - site is soft palate.

Specimen: Salivary gland.





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Case 04

Female 32 years

Pigmented area of swelling / pleomorphic adenoma right hard / soft palate.

Specimen: Salivary gland.





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Case 05

Female 42 years

Solid lump left upper lip, present 3 months. 1.5cm diameter, no change in size. FNA non diagnostic, assumed minor salivary gland tumour.

Specimen: Oral mucosa.





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Case 06

Female 46 years

Submucosal lump right soft palate.

Specimen: Palate - salivary.





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Case 07

Female 31 years

Lump level III neck right side, presented as swelling of FOM initially. FNA inconclusive, History of right partial glossectomy and right neck dissection in 2013.

Specimen: Neck lump.





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Case 08

Male 52 years

3 week history of rapidly growing exophytic lesion lower lip, ? SCC, ? keratoacanthoma.

Specimen: Excision biopsy of lesion on lower lip.

Macroscopic description:
Mucosal ellipse of 10 mm with an exophytic mass of 10 x 8 x 5 mm.





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Case 09

Female age unknown



Specimen: Neck lump.

Immunohistochemistry:
S100+.





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Case 10

Male 66 years

Large tumour right side of tongue around 2.5cm in diameter. No enlarged lymph nodes.

Specimen: Tongue.

Immunohistochemistry:
p63, AE1/3 34 beta 12 all positive Chromogranin A, TTF1, CD56 and p16 negative.





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Case 11

Male 34 years

Lump in parotid.

Specimen: Salivary gland.





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Case 12

Male 42 years

Conservative total parotidectomy for parotid lump present for 5 years. FNA - acinic cell carcinoma.

Specimen: Salivary gland - parotid.





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Case 13

Male 19 years

Severe stridor, FNE showed large supraglottis mass, submucosal disease. ? Lymphoma ?sarcoid. Non smoker, tracheal wall at tracheostomy sent for histopath. At MDM, H/O polyarthritis and ? uveitis.

Specimen: trachea subglottis.





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Case 14

Female 22 years



Specimen: Left sided level 2 mass.

Macroscopic description:
Opened cystic lesion 50x30x13mm.





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Case 15

Female 29 years

Enlarged level IV node for 2 months, never smoker, social alcohol.

Specimen: lymph node.





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Case 16

Female 53 years

Necrotic tissue from left submandibular region.

Specimen: Submandibular.





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Case 17

Female 61 years

? node found at time of parathyroidectomy.

Specimen: Neck.





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Case 18

Female 25 years

Total thyroidectomy for compressive Hashimoto's thyroiditis. 15mm lesion in right lobe, beige coloured.

Specimen: Thyroid.





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