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EQA

Liver EQA circulation J1






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J1 Histories, photomicrographs, scoring and comments  pdf document symbol  Circulation J1 responses  excel document symbol

Case number 434

Female 53 years

AID,AMA++ and PBC? 2 cores of brown tissue measuring up to 15 mm in length.





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Case number 435

Female 21 years

ANA positive 1:80 ASM positive; AMA negative. IgG elevated = 37, IgM mild increase 2.8. Three cores liver combined 28mm.


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Case number 436

Female 68 years

Right Hemihepatectomy and gallbladder. Hemihepatectomy weighing 613g and M 15 x 9 x 10 cm. Slicing reveals a well circumscribed yellow nodule with a multilobular contour measuring 2.8 x 2 x 1.5cm. Uninvolved liver has a normal cut surface.





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Case number 437

Female 64 years

Colorectal liver mets?? Previous colectomy Right hepatectomy. Liver M 15x8.5x9.5cm with attached gall bladder, together weighing 575g. Gallbladder m 8x3.5cm. On slicing the liver contains 3 separate nodules 1.5, 2.7 and 6.8cm across. The nodules are heavily calcified. The softer areas show cut surfaces which are pale with focal haemorrhage and possible necrosis. background liver appears normal. the gall bladder contains bile, the mucosa is flecked with yellow.


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Case number 438

Female 49 years

Liver Ovarian mets. Partial hepatectomy measuring 21x15x5cm. Slicing reveals a single tumour 8x8x10cm. The tumour has a pale surface. No other lesions identified. The background liver appears normal. TAH + BSO in 2004 - clear cell carcinoma of left ovary.


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Case number 439

Female 27 years

Lesion in segment 2. Septate cyst 145x110x125mm smooth walled, containing serous fluid.


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Case number 440

Male 58 years

Hepatitis C positive, fibroscan value raised. Two tan cores measuring 19mm and 17mm.





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Van Gieson


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Shikata


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Case number 441

Female 66 years

Abnormal LFT's ANA positive, raised lgG * ALT 136, br9, alk p 84, 2 cores 12mm and 15mm.


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Case number 442

Male 82 years

Non-targetted liver biopsy. Raised ALP + GGT. Anaemia. Needle biopsy core 25x1x1mm.


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Case number 443

Female 53 years

Deranged LFT's presented with lethargy and itch, recent course of antibiotics. 2 cores 1.6cm and 1.5cm.


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Case number 444

Female 64 years

Liver transplant for PBC in 1995 (18 years ago). Deranged LFTs. Anastomotic stricture in 2007 stented, follow up ERCP = no stricture. Rising ALP? Recurrent PBC? Chronic rejection. One core 20mm.





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Case number 445

Male 34 years

Hepatitis C ? Fibrosis. 3 cores of liver.





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