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EQA

Head and Neck Histopathology National EQA F - Spring 2017







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Case 01

Female 14 years

Radiolucency left mandible with resorption of roots of second premolar and first molar.

Specimen: Odontogenic.

Macroscopic description:
Intact cystic mass, 38x15x28mm.

Immunohistochemistry:
None.


H&E


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Case 02

Male 65 years

Block from the lateral resection margin of a partial maxillectomy specimen. Surgery performed to remove a squamous cell carcinoma.

Specimen: ORAL SOFT TISSUE / MUCOSA.


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Case 03

Male 17 years

NODULE LOWER LIP.

Specimen: ORAL.


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Case 04

Male 57 years

Pericoronal cyst associated with unerupted right maxillary third molar.

Specimen: Maxillary cyst.

Macroscopic description:
Nine cystic hard and soft tissue fragments, largest 60 x 21 x 1mm, smallest 5 x 4 x 2mm.

Immunohistochemistry:
Negative for CD56 and calretinin.


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Case 05

Female 67 years

Mass in the palate, bulky level 2 nodes.

Specimen: PALATAL MASS.


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Case 06

Male 82 years

Dense white patch right buccal mucosa, extends from commisure across mucosa. Diagnosis of pemphigus vulgaris. Dysplasia?

Specimen: incisional biopsy right buccal mucosa.

Macroscopic description:
7mm punch 4mm depth.

Immunohistochemistry:
none.


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Case 07

Male 77 years

Excision of presumed Warthin tumour left parotid.

Specimen: PAROTID.


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Case 08

Male 29 years

Right TMJ exploration.

Specimen: TMJ.


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Case 09

Female 50 years

Thirty year history of right cystic neck mass level II. Provisional diagnosis: branchial cyst.

Specimen: neck lump.


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Case 10

Male 78 years

Malignant left parotid tumour with skin involvement. FNA diagnosis favours adenocarcinoma.

Specimen: PAROTID.


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Case 11

Female 76 years

Swelling in the soft tissues high in the anterior labial sulcus. Displacing right nostril.

Specimen: Soft tissue excision.

Macroscopic description:
Cystic sac, 20x14x4mm.

Immunohistochemistry:
None.


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Case 12

Female 23 years

Longstanding > 10 years lump in submandibular gland, recent rapid increase in size this slide: BH - submandibular tumour.

Specimen: salivary.


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Case 13

Female 23 years

This slide is from the same case as the previous slide (EQA case12). This tissue was submitted in a pot labelled "peri-parotid tissue".

Specimen: Peri-parotid tissue.


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Case 14

Male 70 years

Nodular mass in soft tissue of midline neck (level VI region).

Specimen: NECK LUMP.

Immunohistochemistry:
None provided.


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Case 15

Female 62 years

Known Muir-Torre syndrome with several previous BCCs. Lesion in right external auditory canal. Removed intact.

Specimen: Ear canal biopsy.

Macroscopic description:
EOS: 5 x 3 mm with minimum of deeper tissue; pale nodule on surfacce 3 mm diameter.

Immunohistochemistry:
N/A.


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Case 16

Male 74 years

Unilateral left fleshy and friable polyp. Occupation: Hard wood polisher.

Specimen: PARANASAL SINUSES.


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Case 17

Female 31 years

Lesion in left middle ear.

Specimen: Left ear tissue.

Macroscopic description:
Multiple grey fragments up to 12 mm, all embedded.

Immunohistochemistry:
N/A.


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Case 18

Female 50 years

Unilateral enlarged right tonsil ? hypertrophy ? malignancy.

Specimen: Tonsil.


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