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EQA

Liver EQA circulation I1






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I1 Histories, photomicrographs, scoring and comments  pdf document symbol  Circulation I1 responses  excel document symbol

Case number 422

Female 53 years

Patient with multisystemic sarcoidosis - deranged liver tests. Suspicious of liver sarcoidosis One core 17mm long


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Case number 423

Male 66 years

Persistently high ALT. AMA Positive. Serum electrophoresis = polyclonal hypergammaglobulmena Core biopsies tan liver tissue (please also see reticulin, sirius red and orcein on website)





1 423 orcein.jpg 1 423 retic.jpg 1 423 sirius red.jpg

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Reticulin


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Orcein


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Sirius red


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Case number 424

Male 53 years

HIV (CD4 =370) on HAART, history of diabetes mellitus, excesss alcohol. Hepatomegaly Single core 16mm length (please also see van Gieson)





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Van Gieson


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Case number 425

Male 24 years

Abnormal LFT's. Portal hypertension ? Non-cirrhotic portal hypertension ? Pale core 29mm (please also see van Gieson)





3 425 van Gieson.jpg

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Van Gieson


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Case number 426

Male 39 years

E antigen positive hepatitis B ALT>60, viral load 2 x 106. Biopsy 2006 no fibrosis. To re-stage disease. Tan core 30mm (please also see van Gieson)





4 426 van Gieson.jpg

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Van Gieson


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Case number 427

Female 56 years

MTX therapy. Increased LFTs. Ultrasound scan indicates fatty change/fibrosis? Cirrhosis Two pale yellow cores measuring 17mm and 15mm. (no special stains)


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Case number 428

Female 64 years

Recurrent ovarian tumour + liver; right lobe R1 resection Liver measuring 11 x 8 x 6cm, attached to a irregular mass of tumour 16 x 11 x 5 cm, together weighing 553g;


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Case number 429

Female 60 years

GIST tumour stomach, lesion noted in liver and resected Wedge of liver 2.2x2x1.1cm


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Case number 430

Male 70 years

Tumour mid CBD 27mm segment of bile duct up to a diameter of 13mm


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Case number 431

Female 67 years

Past medical history of chondrosarcoma. Segment IV&V lesion? Metastatic disease 40mm homogeneous white lesion with gritty cut surface


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Case number 432

Male 72 years

4.5cm lesion in seg 2/4 ? HCC, background liver fibrotic Left Hepatectomy 473g, 140x115x60mm circumscribed soft tan tumour 45mm across (please also see EVG and PASD)





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Case number 433

Female 52 years

Right hepatectomy for slowly enlarging rt lobe lesion and GB. Clinically ? Benign. liver measuring 14.8 x 11 x 7cm weighing 550g well defined rounded lesion measuring 5.5cm in maximum dimension. The inner part of the lesion appears congested where as the outer part is lined by a rim of pale tissue with an irregular inner border and a smooth outer border. background liver appears normal. (please also see reticulin)





11 433 reticulin.jpg

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Reticulin


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