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EQA

Head and Neck Histopathology National EQA C - Autumn 2015







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Case 01

Male 15 years

Loose teeth anterior mandible, large cystic lesion with buccal and lingual expansion. Incisional biopsy.

Specimen: ODONTOGENIC.


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Case 02

Male 40 years

Lump on gum ? epulis.

Specimen: ORAL MUCOSA.


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Case 03

Male 52 years

Incisional biopsy of asymptomatic uniform well defined white lesion from ventral tongue. Smokes 15 / day.

Specimen: ORAL.


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Case 04

Male 53 years

LUMP UPPER LIP FOR 2 YEARS ? FIBROEPITHELIAL POLYP.

Specimen: ORAL MUCOSA.


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Case 05

Male 28 years

Palatal ulceration with loosening of tooth. Previous lesions at this site and also history of lung lesions.

Specimen: ORAL MUCOSA.


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Case 06

Female 59 years

Small lump with central punctum, 4mm diameter. Right labial mucosa below commissure.

Specimen: ORAL.


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Case 07

Male 62 years

No clinical details provided.

Specimen: Parotid gland.

Macroscopic description:
A salivary gland measuring 50 x 25 x 18mm weighing 13g. On slicing there is a well circumscribed yellow mass mass identified measuring 10 x 8 x 9mm which is firm and solid.

Immunohistochemistry:
None done.


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Case 08

Male 70 years

Parotid mass, FNA susicious for mucoepidermoid carcinoma.

Specimen: PAROTID.

Immunohistochemistry:
CK7, S100, vimentin, EMA, CAM5.2 positive. DOG1 negative. PAS and PASD positive material present.


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Case 09

Female 88 years

Parotid swelling.

Specimen: PAROTID.


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Case 10

Female 39 years

Firm tumour in the right parotid extending into the neck.

Specimen: NECK LUMP.


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Case 11

Female 92 years

Right parotid lump, suggested pleomorphic adenoma on FNA. Irregualr margins and sinister on scan ? malignant.

Specimen: PAROTID.


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Case 12

Female 73 years

lump on tail of right parotid gland. FNA inconclusive.

Specimen: Parotid gland.

Macroscopic description:
Irregular, solid, grey/brown mass 50 x 30 x 15 mm. Representative sections taken.

Immunohistochemistry:
Nil.


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Case 13

Male 5 years

Mass right side of nose and post nasal space in a 5 year old ? malignant.

Specimen: PARANASAL SINUSES.


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Case 14

Female 75 years

Nasal polyp.

Specimen: PARANASAL SINUSES.


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Case 15

Male 82 years

Left nasal mass, obstruction. Detected through imaging for visual loss (attributed to pituitary macroadenoma).

Specimen: PARANASAL SINUSES.


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Case 16

Female 69 years

Parotid tumour left side, radical parotidectomy, facial nerve spared.

Specimen: PAROTID.


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Case 17

Male 67 years

Mass post nasal space.

Specimen: POST NASAL SPACE.


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Case 18

Female 40 years

Swelling in the right frontal bone.

Specimen: PARANASAL SINUSES.


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