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EQA

Liver EQA circulation G1






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EQA Meeting Discussion for circulation G1  pdf document symbol  Circulation G1 responses  excel document symbol

Case number 398

Male 42 years

Hepatitis C PCR +ve. Ex IVDU. For HCV treatment. 1 core 17mm long



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Reticulin


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Van Gieson


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Case number 399

Male 47 years

Haemochromatosis ? Cirrhotic. 3 cores, 7, 3 and 2mm



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Reticulin


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Van Gieson


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Perls


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Case number 400

Female 32 years

HBV Diagnosed 4 years ago, ? when acquired (African name). High viral PCR, Ag +ve, raised ALT. For staging. 1 core 14mm long





2 400 HBcAg x20.jpg 2 400 HBsAg x40.jpg


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Reticulin


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Van Gieson


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Case number 401

Male 37 years

Deranged LFTs. High BMI. ?fatty liver disease. One tan core of tissue 14mm in length. All embedded.



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Case number 402

Female 68 years

CT/US - heterogeneous liver echotexture ?HCC lesional biopsy. Tan Core 20mm



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Case number 403

Male 78 years

Admitted with liver dysfunction, worsening bilirubin/AST/ALT. Aetiology unclear. US guided biopsy.



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Case number 404

Female 43 years

HCV PCR +ve Alcohol excess. deranged LFTs. 1 core 15mm long



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Reticulin


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Van Gieson


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Case number 405

Female 46 years

Abnormal LFTs, positive ANF, 1:1000, raised IgG. 16mm core biopsy. Negative for copper -associated protein





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Case number 406

Female 72 years

Liver Metastasis and colorectal primary segment VI. Stuck to diaphragm Gerota's fascia. Irregular liver wedge 140x60x45mm with portion of diaphragm. Necrotic pale nodule 45 x 32 x 40mm close to surgical margin and diaphragm, adjacent smaller nodule, block 5 from smaller nodule



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Case number 407

Male 62 years

Cirrhotic Liver. HCC and 2-3 indeterminate lesions on CT. Ascites, banded varices, multiple lesions on MRI/CT felt consistent with HCC at HPB cancer MDM. Vaguely nodular but not cirrhotic liver with numerous areas of vascular ectasia, 14 & 44mm lesions looking like sclerosed haemangiomas. No HCC like lesion



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Case number 408

Male 28 years

Left hemihepatectomy for tumour. Left lobe of liver measuring 150x140x80mm, with a circumscribed pale yellow tumour abutting the capsule. The background liver does not appear to be cirrhotic



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Case number 409

Female 30 years

Non specific abdominal pain. Pedunculated tumour on imaging. Liver tissue imaging 60x50x35mm composed of the entire lesion, uniform brown with nodular appearance containing a central white scar



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